Health Care Organization and Administration

Research conducted by: RAND Health

All Items (136)

Research Brief

Does integrated care deliver the benefits expected? Findings from 16 integrated care pilot initiatives in England — May 13, 2013

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

Policy-Research Linkage: What We Have Learned from Providing a Rapid Response Facility for International Healthcare Comparisons to the Department of Health in England — May 1, 2013

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

Are You a 'Wise' Health Care Consumer? — Feb 5, 2013

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

Care Experiences of Managed Care Medicare Enrollees Near the End of Life — Feb 4, 2013

To compare reports about care experiences of individuals who died within 1 year of survey with reports of those who did not.

Journal Article

A Demonstration of Shared Decision Making in Primary Care Highlights Barriers to Adoption and Potential Remedies — Feb 1, 2013

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

Health Care Costs Are Killing Us — Jan 4, 2013

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

Emergency Department Visits for Nonurgent Conditions: Systematic Literature Review — Jan 1, 2013

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

A Retrospective Evaluation of the Perfecting Patient Care University Training Program for Health Care Organizations — Jan 1, 2013

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

Lessons from Boston — Jan 1, 2013

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

Intervening with Practitioners to Improve the Quality of Prevention: One-Year Findings Form a Randomized Trial of Assets-Getting to Outcomes — Jan 1, 2013

This article reports interim findings from a randomized controlled trial evaluating Assets-Getting To Outcomes (AGTO)

Journal Article

Assessing Quality in Cross-Country Comparisons of Health Systems and Policies: Towards a Set of Generic Quality Criteria — Jan 1, 2013

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

ACOs: Making Organizations 'Accountable' for Care — Dec 19, 2012

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

Policies, Activities, and Structures Supporting Research Mentoring: A National Survey of Academic Health Centers with Clinical and Translational Science Awards — Dec 5, 2012

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

Flattening the Trajectory of Health Care Spending: Facilitate High-Value Innovation — Nov 15, 2012

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

Four Strategies to Contain America's Growing Health Care Spending — Nov 15, 2012

pills and coins

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

Evidence About Whether Retail Medical Clinics Disrupt Doctor-Patient Relationships Is Mixed — Oct 31, 2012

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

Introduction — Oct 29, 2012

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

Psychometric Properties of the Consumer Assessment of Healthcare Providers and Systems (CAHPS®) Clinician and Group Adult Visit Survey — Oct 29, 2012

The CG-CAHPS Adult Visit Survey has acceptable psychometric properties at the individual level and practice site level.

Blog

Caring for the Uninsured: What Role Do Emergency Rooms Play? — Oct 9, 2012

emergency room

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 Clinics Play Growing Role in Health Care Marketplace — Sep 11, 2012

man getting his arm wrapped

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.

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