Research Brief
RAND Europe co-led an evaluation of 16 varied pilot projects initiated by the Department of Health (England) as a means to explore new ways of integrating patient care from different local provider.
Journal Article
In this paper we reflect on our experience of providing a rapid response facility for international healthcare policy comparisons to the English Department of Health.
Blog
To be wise purchasers of health care services, consumers need access to accurate and understandable information about health plans and providers. They wrongly assume that more expensive providers are better than less expensive ones, despite inconsistent evidence that there is any link between health care cost and quality.
Journal Article
To compare reports about care experiences of individuals who died within 1 year of survey with reports of those who did not.
Journal Article
Recent developments in health reform related to the passage of the Affordable Care Act and ensuing regulations encourage delivery systems to engage in shared decision making, in which patients and providers together make health care decisions that are informed by medical evidence and tailored to the specific characteristics and values of the patient.
Commentary
At a time when our country is teetering on the edge of a “fiscal cliff,” no challenge in health care is more important than reducing health care spending, writes Arthur L. Kellermann.
Journal Article
About 37% of ED visits were for nonurgent conditions. Patients using EDs inappropriately tended to be younger, found EDs more convenient, had an ED referral by a physician, or had negative perceptions about providers who might be alternatives to ED care.
Journal Article
This study evaluated how the Perfecting Patient Care (PPC) University, a quality improvement (QI) training program for health care leaders and clinicians, affected the ability of organizations to improve the health care they provide.
Journal Article
This commentary explores the reasons why Boston's emergency response to the Marathon bombings was so effective and draws implications for other cities' preparedness efforts.
Journal Article
This article reports interim findings from a randomized controlled trial evaluating Assets-Getting To Outcomes (AGTO)
Journal Article
There is a growing body of cross-country comparisons in health systems and policy research. However, there is little consensus as to how to assess its quality.
Blog
The Affordable Care Act focuses primarily on extending coverage to uninsured Americans, but it is also intended to help curb cost growth. M. Susan Ridgely explains one of the key tools for doing that—the “accountable care organization,” an alternative delivery model intended to lower costs while also improving quality of care.
Journal Article
KL2 programs and institutional programs tend to have different preferences for policies versus activities to optimize qualification of mentors, the mentor-mentee relationship, incentives, and evaluation mechanisms.
Research Brief
Health information technology has not achieved its full potential, but its benefits should grow over time. Because health care is largely regulated at the state level, the states can play a valuable role as laboratories for innovative policies.
Content
In its second term, the Obama Administration can restrain further health care spending growth—without compromising quality—by employing four broad strategies: fostering efficient and accountable providers, engaging and empowering consumers, promoting population health, and facilitating high-value innovation.
Journal Article
People who visit retail medical clinics are less likely to return to a primary care physician for future illnesses and have less continuity of care. However, no evidence suggests that retail medical clinics disrupt preventive care or management of diabetes, two important measures of quality of primary care.
Journal Article
This article is an introduction to a special issue of Medical Care describing recent work conducted by investigators on the Consumer Assessment of Healthcare Providers and Systems (CAHPSs) project.
Journal Article
The CG-CAHPS Adult Visit Survey has acceptable psychometric properties at the individual level and practice site level.
Blog
Absent from the discussion about health care during the first debate between President Barack Obama and Governor Mitt Romney was any mention of one of the main providers of care for America's uninsured: emergency rooms. What does research tell us about the use of ERs and the relevant implications on health care access and cost?
Content
Retail health care clinics provide treatment for acute conditions like bronchitis as well as vaccinations and other preventive care. With the role of retail clinics expanding and U.S. health care entering a dynamic period of change, it is important to consider what we know about this emerging health care setting.