RAND advances understanding of health and health behaviors and examines how the organization and financing of care affect costs, quality, and access. RAND's body of research—conducted primarily through the RAND Health division—includes innovative studies of health insurance, health care reform, health information technology, and women's health, as well as topical concerns such as obesity, complementary and alternative medicine, and PTSD in veterans and survivors of catastrophe.
While our research has taught us many things about suicide prevention we think additional research is critically needed in two areas, writes Rajeev Ramchand. The first is gun control. The second area is the quality of behavioral health care available to those who need it.
There are proposals to have England's National Health Service offer non-emergency service on weekends. Since there is a strong association between the health and well-being of staff and the quality of patient care, 24/7 working could have unintended consequences for patients.
It is likely that communities with low rates of non-urgent ED use not only have better access to primary care, but patients who are educated about appropriate care seeking and convenient alternatives for acute care, writes Lori Uscher-Pines.
Driving Mexican marijuana out of the U.S. would probably reduce the traffickers' export revenue by a few billion dollars a year, writes Beau Kilmer. But would reducing that revenue lead to a corresponding decrease in trafficker violence?
Three mass-casualty events occurring in three very different settings show that disaster preparedness should not be limited to large cities or “target” areas in the United States. One trait that is common to all such events is the need for coordinated, responsive trauma care for victims.
Contaminated drinking water contributes to the deaths of some 750,000 children under the age of five every year due to diarrheal disease. A RAND project is using mobile phones to increase the sales and use of safe-water filters in Kenya.
Perhaps most tragic of all are the disasters that are wholly preventable: the deaths, maimings, and crushed livelihoods that result from human callousness or indifference, writes Jonah Blank.
Having dealt with outbreaks of H5N1 bird flu and other communicable diseases like Severe Acute Respiratory Syndrome (SARS) in 2003 and H1N1 swine flu in 2009, health officials are now far better prepared to detect new diseases early and react quickly to monitor and contain their spread.
It is time for the government in partnership with industry to return to the drawing board to craft a plan that will provide protection for the more than 9 million people who will need care for dementia by 2040, writes Michael D. Hurd.
At the rate that the U.S. population is aging, the total cost of dementia could reach half a trillion dollars a year by 2040. Those who care for impaired relatives and friends are acutely aware of the effects of dementia, and unfortunately they are all too familiar with its costs, writes Kathleen J. Mullen.
While a governor or legislator may disagree with Medicaid expansion for philosophical reasons, the claims that the expansion will be a burden on states' economies seem misguided given the full range of projected economic impacts on the states, writes Carter C. Price.
Policymakers in Washington and Colorado are confronting some new and tricky issues that have never been addressed. For them, and for anyone else thinking about changing their pot laws, there are seven key decision areas that will shape the costs and benefits of marijuana legalization.
Boston's health care providers reacted the way they did because they knew what they were supposed to do. Those who did not were smart enough to follow the lead of those who did. That's how a “ritualized” disaster plan works.
Better understanding of how malaria reduction affects different households, regions, and economic sectors in Sub-Saharan Africa could allow policymakers to assess alternative intervention strategies and allocate resources more efficiently and effectively.
If this issue were to be decided on the basis of public health benefits, the outcome would be clear: Condoms indisputably prevent both unintended pregnancies and the spread of sexually transmitted infections, writes Chloe Bird.
Although official after-action reports are still being compiled, it looks like Boston's first responders and hospitals delivered under difficult circumstances, writes Arthur Kellermann.
The path to climate change preparedness should start at the intersection of resilience and robustness — that is, building resilient communities with the individuals and organizations within those communities making robust decisions, ones designed to work well over a wide range of ever-changing conditions.
Multistate plans are most likely to appeal to out-of-state students, interstate migrants, out-of-state workers, seasonal movers (e.g., “snowbirds”), and similar groups that require improved access to health care across state lines.
Removing the constraints on Medicare would not only lead to lower prices at the drugstore, hospital and doctor's office, it could spark a new era of healthcare innovation, says Arthur Kellermann.
An ample body of evidence indicates that the benefits of keeping a gun for protection are substantially outweighed by the associated risks, writes Art Kellermann.
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