Healthcare Access

Access to health care refers to the ease with which an individual can obtain needed medical services. RAND research has examined the social, cultural, economic, and geographic factors that influence health care access worldwide; the effects of changes in access; and the relationship between access and health for specific U.S. populations—including racial and ethnic minorities, people with limited English proficiency, the uninsured, the elderly, children, and veterans.

Research conducted by: RAND Health; RAND National Security Research Division; Global Health; Military Health Policy Research

Journal Articles (172)

Accessing Primary Care: A Simulated Patient Study — Mar 1, 2013

Simulated patient, or so-called mystery-shopper, studies are a controversial, but potentially useful, approach to take when conducting health services research.

Disparities in Unmet Need for Care Coordination: The National Survey of Children's Health — Feb 1, 2013

This study was a cross-sectional analysis of the 2007 National Survey for Children's Health, a nationally representative survey of 91 642 parents.

What Is the Price of Prevention? New Evidence from a Field Experiment — Jan 1, 2013

Policies to increase preventive testing in developing countries should include subsidies towards treatment costs.

New Drugs and Health Technologies for Low-Income Populations: Will the Private Sector Meet the Needs of Low-Income Populations in Developing Countries? — Jan 1, 2013

This paper argues that the development of targeted health technologies for poor people will require a new mix of technology, organizations and institutions which we conceptualize as new social technologies.

The United States 2012 General Election: Making Children's Health and Well-Being a Priority for the Candidates — Sep 1, 2012

This commentary poses a series of policy questions for the 2012 presidential candidates to spur a dialogue about the vital issues of child poverty, health, development, and education.

Use of Retail Medical Clinics Continues to Grow; Older Patients and Preventive Services on Rise — Aug 15, 2012

Visits to retail medical clinics increased four-fold from 2007 to 2009, with the proportion of patients over age 65 growing from 8 to 19 percent of all visits during this period. More than 44 percent of visits occurred on the weekend or other hours when physician offices typically are closed.

Unmet Eye Care Needs Among U.S. 5th-Grade Students — Jul 1, 2012

Policies targeting socioeconomically disadvantaged groups and those without insurance may be needed to reduce disparities in access to appropriate eye care.

Growth of Consumer-Directed Health Plans to One-Half of All Employer-Sponsored Insurance Could Save $57 Billion Annually — May 1, 2012

Enrollment is increasing in consumer-directed health insurance plans, which feature high deductibles and a personal health care savings account.

Are There Differences in the Medicare Experiences of Beneficiaries in Puerto Rico Compared with Those in the U.S. Mainland? — Mar 1, 2012

The authors compare the experiences of elderly Medicare beneficiaries in Puerto Rico with their English-preferring and Spanish-preferring Medicare counterparts in the U.S. mainland.

Wealth Effect and Dental Care Utilization in the United States — Jan 1, 2012

The purpose of this article is to examine the relationship of wealth and income and the relative impact of each on dental utilization in a population of older Americans, using data from the Health and Retirement Study (HRS).

Model for Sustainable Development of Child Mental Health Infrastructure in the LMIC World: Vietnam as a Case Example — Jan 1, 2012

Children and adolescents are among the highest need populations in regards to mental health support, especially in low and middle income countries (LMIC).

Take-up of Public Insurance and Crowd-Out of Private Insurance Under Recent CHIP Expansions to Higher Income Children — Jan 1, 2012

The CHIP expansions to children in higher income families were associated with limited uptake of public coverage.

Well-child Care Practice Redesign for Low-Income Children: The Perspectives of Health Plans, Medical Groups, and State Agencies — Jan 1, 2012

The aim of this study was to examine the views of key stakeholders in health care payer organizations on the use of practice redesign strategies to improve the delivery of well-child care (WCC) to low-income children aged 0 to 3 years.

Trends in Retail Clinic Use Among the Commercially Insured — Nov 1, 2011

Retail clinic use increased 10-fold from 2007 to 2009. By 2009, roughly 7 percent of all visits by commercially insured patients for 11 common acute-care conditions were to a retail clinic. Increased use was especially dramatic among young, healthy, and higher-income individuals.

Relative Affordability of Health Insurance Premiums Under CHIP Expansion Programs and the ACA — Oct 1, 2011

Affordability benchmarks and premium-contribution requirements for Children's Health Insurance Program expansions in three states vary substantially, underscoring the ambiguity and subjectivity of affordability standards.

Understanding Disparities in Health Care Access – and Reducing Them – Through a Focus on Public Health — Oct 1, 2011

Approaching disparities through a public health framework can provide the foundation for developing more robust evidence to inform additional policies for improving access and reducing disparities.

Spillover Effects of Community Uninsurance on Working-Age Adults and Seniors: An Instrumental Variables Analysis — Sep 1, 2011

Access to care and care quality for those with insurance are poorer in communities in which many individuals are uninsured.

Insurance Expansion and Health Literacy — Aug 1, 2011

If the Affordable Care Act is to successfully expand health care coverage and access for those who most need it, states must implement strategies to ensure that those eligible for coverage are appropriately and efficiently enrolled.

K-12 Education Reform in Qatar — Jun 21, 2011

Examines the progress that Qatar has made in implementing a comprehensive reform, begun in 2002, of its K-12 education system.

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