Health Care Facilities

Research conducted by: RAND Health; RAND Europe

All Items (307)

Journal Article

Medicare HMO Impact on Utilization at the End of Life — Jan 1, 2008

Medicare beneficiaries who died while enrolled in independent practice association model HMOs, including the Kaiser model, had many fewer hospital days during the two years before death than beneficiaries who died with fee-for-service coverage.

Journal Article

The Relationship of Reported Pain Severity to Perceived Effect on Function of Nursing Home Residents — Jan 1, 2008

Finds that questions addressing the effect of pain on day-to-day functions are an important addition to standardized pain assessments in nursing homes, particularly for persons who report intermediate levels of pain severity.

Journal Article

Trials and Tribulations on the Road to Implementing Integrative Medicine in a Hospital Setting — Jan 1, 2008

The objective of the study is to identify the barriers and the facilitators for creating integrative medicine in a hospital-based centre.

Journal Article

Nursing Home Assessment of Cognitive Impairment: Development and Testing of a Brief Instrument of Mental Status — Jan 1, 2008

Tests the accuracy of a brief cognitive assessment of nursing home (NH) residents and to determine whether facility nurses can reliably perform this assessment.

Journal Article

Can Additional Patient Experience Items Improve the Reliability of and Add New Domains to the CAHPS Hospital Survey? — Jan 1, 2008

In the Consumer Assessment of Health Care Providers and Systems Hospital Survey, internal consistency reliability is low, and some care domains are not represented. Additional questions significantly improve the psychometric properties of the survey.

Journal Article

Hospitals as Hotels: The Role of Patient Amenities in Hospital Demand — Jan 1, 2008

Pharmaceutical regulations in 19 developed countries from 1992 to 2004 are analyzed for their affect on pharmaceutical revenues. There has been a trend toward increased regulation, and most regulations reduce pharmaceutical revenues significantly.

Journal Article

The Influence of Staffing Characteristics on Quality of Care in Nursing Homes — Oct 1, 2007

The influence staffing levels, turnover, worker stability, and agency staff had on quality of care in nursing homes was examined.

Report

Accelerating the Adoption of Clinical IT Among the Healthcare Providers in US: Strategies & Policies — Jun 18, 2007

Analyzes the process of adopting clinical health information technology in hospitals and healthcare systems and derives policy strategies that could promote nationwide adoption.

Journal Article

Rates and Types of Events Reported to Established Incident Reporting Systems in Two US Hospitals — Jun 1, 2007

US hospitals have had voluntary incident reporting systems for many years, but the effectiveness of these systems is unknown.

Report

Redesign of the National Hospital Discharge Survey: Conceptual Framework and Feasibility Study: Final Report — Apr 24, 2007

Describes the first phase of an effort to develop an approach to redesigning the National Hospital Discharge Survey and to identify and recommend, through a feasibility study, specific data elements and field procedures for that survey.

Journal Article

Racial Disparities in Completion Rates from Publicly Funded Alcohol Treatment: Economic Resources Explain More Than Demographics and Addiction Severity — Apr 1, 2007

Assess racial and ethnic differences in rates of completion from publicly funded alcohol treatment programs, and estimate extent to which any identified racial differences in completion rates are related to differences in patient characteristics.

Commentary

Saving Money and Saving Lives in Nursing Homes — Mar 30, 2007

Published commentary by RAND staff: Saving Money and Saving Lives in Nursing Homes, in Washingtonpost.com.

Journal Article

The Effects of Multi-Hospital Systems on Hospital Prices — Mar 1, 2007

U.S. hospital prices are rising again after years of limited growth.

Journal Article

Nursing Home Administrators' Opinions of the Resident Safety Culture in Nursing Homes — Jan 15, 2007

Nursing homes in the near future would benefit by addressing the resident safety culture.

Journal Article

High-deductible Health Plans and Emergency Department Use — Jan 1, 2007

The health care system needs to be reengineered so that unnecessary and harmful care is eliminated and effective care is provided more efficiently.

Journal Article

Job Satisfaction of Nurse Aides in Nursing Homes: Intent to Leave and Turnover — Jan 1, 2007

Training, rewards, and workload are particularly important aspects of nurse aides' jobs.

Journal Article

Nursing Home Deficiency Citations for Medication Use — Jan 1, 2007

Examines deficiency citations for medication use in nursing homes, including those for psychoactive drug use.

Journal Article

Nurse Working Conditions, Organizational Climate, and Intent to Leave in ICUs: An Instrumental Variable Approach — Jan 1, 2007

Implementing interventions aimed at creating a positive organizational climate (OC), as found in Magnet hospitals, may be a more effective strategy.

Journal Article

Have Nursing Home Compare Quality Measure Scores Changed Over Time in Response to Competition? — Jan 1, 2007

Examines changes in 15 quality measures for nursing homes, and assesses whether competition and/or excess demand have influenced these scores over a period of 1 year.

Journal Article

Down in New Orleans — Jan 1, 2007

Illustrates universal vulnerability through the stories of a native New Orleans physician helping his community after Katrina and a writer turned advocate for her mentally retarded brother.

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