Medical Care

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.

Research conducted by: RAND Health; Military Health Policy Research; RAND Europe; RAND Drug Policy Research Center; RAND Justice, Infrastructure, and Environment; RAND Labor and Population; RAND Gulf States Policy Institute

Featured at RAND

The Affordable Care Act: Four Key Policy Areas

Obama signing the ACA

With the complex process of implementing the ACA underway, RAND research is tracking the progress of implementation and assessing the potential consequences of choices facing federal and state governments, employers, families, and individuals.

Four Strategies to Contain America's Growing Health Care Spending

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.

All Items (7347)

Journal Article

Modeling Employer Self-Insurance Decisions After the Affordable Care Act — Jan 1, 2013

Self-insurance rates will increase among small firms only under the hypothetical situation that generous stop-loss policies are available to them after implementation of the ACA. Even if many small firms choose to self insure under this situation, it will not increase the premiums charged in the insurance exchanges by more than a few tenths of a percent.

Journal Article

Parental and Peer Factors Associated with Body Image Discrepancy Among Fifth-Grade Boys and Girls — Jan 1, 2013

Getting along with peers as well as fear of being viewed negatively by them may influence the discrepancy between how adolescents view their body size and what they think the ideal size should be. Adolescents who have warm and nurturing parents are more likely to have positive views about their body size.

Journal Article

Obesity Utilization and Health-Related Quality of Life in Medicare Enrollees — Jan 1, 2013

Obese Medicare beneficiaries have poorer health, functions, and health-related quality of life. They also have substantially higher use of outpatient services.

Journal Article

Effects of Pain and Prescription Opioid Use on Outcomes in a Collaborative Care Intervention for Anxiety — Jan 1, 2013

Anxious patients with pain benefit as much as those without pain from cognitive-behavioral therapy and medication treatment.

Journal Article

The Prevalence and Overlap of Interstitial Cystitis/Bladder Pain Syndrome and Chronic Prostatitis/Chronic Pelvic Pain Syndrome in Men: Results of the RAND Interstitial Cystitis Epidemiology Male Study — Jan 1, 2013

As part of the RICE (RAND Interstitial Cystitis Epidemiology) study, we developed validated case definitions to identify interstitial cystitis/bladder pain syndrome in women and chronic prostatitis/chronic pelvic pain syndrome in men.

Journal Article

Cost of Talking Parents, Healthy Teens: A Worksite-Based Intervention to Promote Parent-Adolescent Sexual Health Communication — Jan 1, 2013

To examine the cost and cost-effectiveness of implementing Talking Parents, Healthy Teens, a worksite-based parenting program designed to help parents address sexual health with their adolescent children.

Journal Article

International Comparative Performance of Mental Health Research, 1980-2011 — Jan 1, 2013

This paper provides a bibliometric assessment of mental health research (MHR) outputs from 1980 to 2011.

Journal Article

Can Honorific Awards Give Us Clues About the Connection Between Socioeconomic Status and Mortality? — Jan 1, 2013

Social epidemiologists Marmot and Wilkinson argue that relative deprivation is the dominant mechanism through which socioeconomic status (SES) affects mortality.

Journal Article

The Impact of ART on the Economic Outcomes of People Living with HIV/AIDS — Jan 1, 2013

Unemployed HIV+ clients in sub-Saharan Africa being treated with ART were more likely to become employed, compared with those not under treatment. Having a higher income was associated with being male and having some secondary education.

Journal Article

Anxiety Treatment Improves Physical Functioning with Oblique Scoring of the SF-12 Short Form Health Survey — Jan 1, 2013

Evidence-based treatment for anxiety disorders in primary care improves physical functioning when measured using oblique scoring of the SF-12.

Journal Article

Monogamy on the Street: A Mixed Methods Study of Homeless Men — Jan 1, 2013

In this study, we used a mixed methods approach to explore the determinants of relationship patterns and risky sex among homeless men living in downtown Los Angeles.

Journal Article

Promising Pathways for Regional Disease Surveillance Networks — Jan 1, 2013

The globalization of trade and travel has led to the globalization of communicable diseases and, in turn, increased need for globalization of solutions to fight them.

Journal Article

Emerging Adults with Type 1 Diabetes: A Comparison to Peers Without Diabetes — Jan 1, 2013

This longitudinal study compared emerging adults with and without type 1 diabetes on life path decisions, health behaviors, and psychological well-being during the transition out of high school.

Journal Article

Is Obesity Associated with Reduced Health-Related Quality of Life in Latino, Black and White Children in the Community? — Jan 1, 2013

Overweight, obese and extremely obese 5th graders on average experience worse HRQOL than normal weight children, especially in psychosocial domains including self-worth and peer relationships, regardless of race/ethnicity.

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.

Journal Article

Hospital Fall Prevention: A Systematic Review of Implementation, Components, Adherence, and Effectiveness — Jan 1, 2013

Better reporting of outcomes, implementation, adherence, intervention components, and comparison group information is necessary to establish evidence on how hospitals can successfully prevent falls.

Journal Article

Outdoor Advertising, Obesity, and Soda Consumption: A Cross-Sectional Study — Jan 1, 2013

There is a relationship between the percentage of outdoor food advertising and overweight/obesity.

Journal Article

Learning About After Action Reporting from the 2009 H1N1 Pandemic: A Workshop Summary — Jan 1, 2013

The after action report/improvement plan (AAR/IP) can be useful for both accountability and quality improvement, but these objectives require different foci and methodological approaches.

Journal Article

A Cash-Back Rebate Program for Healthy Food Purchases in South Africa: Results from Scanner Data — Jan 1, 2013

This study examines the effect of a price reduction for healthy food items on household grocery shopping behavior among members of South Africa's largest health plan.

Journal Article

Physician-Patient Communication About Dietary Supplements — Jan 1, 2013

Physicians could more frequently address topics that may influence patient dietary supplement use, such as the risks, effectiveness, and costs of supplements.

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