Healthcare Utilization

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

All Items (284)

Commentary

Applying What Works to Reduce Non-Urgent Emergency Department Use — May 22, 2013

emergency sign

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.

Report

Hospital Emergency Departments Play a Growing Role in the U.S. Health Care System — May 20, 2013

patients in a waiting room

Emergency departments account for a rising proportion of hospital admissions and serve increasingly as an advanced diagnostic center for primary care physicians. While often targeted as the most expensive place to get medical care, emergency rooms remain an important safety net for Americans who cannot get care elsewhere.

News Release

Hospital Emergency Department Use, Importance Rises in U.S. Health Care System — May 20, 2013

Hospital emergency departments play a growing role in the U.S. health care system, accounting for a rising proportion of hospital admissions and serving increasingly as an advanced diagnostic center for primary care physicians.

Research Brief

The Evolving Roles of Emergency Departments — May 20, 2013

This brief summarizes a RAND analysis of the role of that hospital emergency departments may come to play in either contributing to or reducing the rising costs of health care.

Report

Building the Future: Summary of Four Studies to Develop the Private Sector, Education, Health Care, and Data for Decisionmaking for the Kurdistan Region — Iraq (with Arabic-language version) — May 8, 2013

This report summarizes four studies intended to help the Kurdistan Regional Government expand access to good education and health care, increase private-sector development, and design a data-collection system to support high-priority policies.

Report

Building the Future: Summary of Four Studies to Develop the Private Sector, Education, Health Care, and Data for Decisionmaking for the Kurdistan Region — Iraq (with Kurdish-language version) — May 8, 2013

This report summarizes four studies intended to help the Kurdistan Regional Government expand access to good education and health care, increase private-sector development, and design a data-collection system to support high-priority policies.

News Release

Strategies Could Curb Medicare Costs, but Also Drive Seniors Out of the Program — May 6, 2013

Doctor examining female senior patient with elbow pain

The rising cost of Medicare can be cut through strategies such as increasing premiums and raising the eligibility age, but those moves could drive many elderly Americans from the program, leaving them with limited access to health services.

Report

Oral Health in the District of Columbia: Parental and Provider Perspectives — Apr 26, 2013

Assesses the perspectives of Washington, D.C., stakeholders, including parents and providers, about the oral health of children.

Journal Article

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.

Report

Addressing the Global Cataract Problem — Feb 21, 2013

Most of the millions of cataract cases worldwide can be cured by quick, inexpensive procedures. But a shortage of trained surgeons remains a challenge. The HelpMeSee approach, a high-volume training and development system, could help close this gap.

Journal Article

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.

Journal Article

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.

Journal Article

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.

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?

Commentary

California Improves on Affordable Care Act by Letting RNs Dispense Birth Control — Oct 8, 2012

birth control pills

As we look for ways to provide efficient, high-quality and cost-effective healthcare to more Americans, states may study California as a potential model for how to do more to deliver on what the Affordable Care Act has to offer women, while saving money at the same time, writes Chloe Bird.

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.

Commentary

Supporting Comprehensive Healthcare for Women Makes Dollars, and Sense — Sep 5, 2012

As we look for ways to provide efficient, high-quality, and cost-effective health care to more Americans, we can't afford to ignore women's health issues, including reproductive health care and the cost savings that contraceptive access provides, writes Chloe Bird.

Report

Focus on K-12 Education — Sep 4, 2012

This document describes recent RAND work related to K-12 education, including teacher pay for performance, measuring teacher effectiveness, school leadership, school systems and reform, and out-of-school time.

Journal Article

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.

News Release

Efforts to Curb Tobacco Use in Arkansas Have Paid Dividends, but More Effort Needed — Aug 16, 2012

A decade of unprecedented efforts in Arkansas has cut cigarette use by nearly one-third and reduced incidence of tobacco-related illnesses such as heart attacks and stroke. To maintain the gains it has made, Arkansas should continue its financial commitment of devoting the tobacco settlement funds to public health programs.

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