Primary Care

Contents:

Research conducted by: RAND Health

All Items (161)

BLOG

Attempts by States to Save Money by Locking Medicaid Enrollees out of the ED Are Likely to Backfire — May 21, 2012

A better solution than restricting emergency department use by Medicaid enrollees is to reverse what for many years has been a trend of shrinking access to primary care for Medicaid beneficiaries.

COMMENTARY

Emergency Departments, Medicaid Costs, and Access to Primary Care—Understanding the Link — May 16, 2012

The fact that many ED (emergency department) visits could be managed in primary care settings does not mean that such care is available, write Arthur L. Kellermann and Robin M. Weinick.

JOURNAL ARTICLE

Implementation of the CALM Intervention for Anxiety Disorders: A Qualitative Study — Apr 1, 2012

Investigators recently tested the effectiveness of a collaborative-care intervention for anxiety disorders, Coordinated Anxiety Learning and Management(CALM), in 17 primary care clinics around the United States.

JOURNAL ARTICLE

Integrating Susceptibility Into Environmental Policy: An Analysis of the National Ambient Air Quality Standard for Lead — Mar 1, 2012

This study examines how characterization of risk may change when susceptibility is explicitly considered in policy development; in particular we examine the process used by the U.S. Environmental Protection Agency (EPA) to set a National Ambient Air Quality Standard (NAAQS) for lead.

JOURNAL ARTICLE

Assessment and Management of Patients with Cognitive Impairment and Dementia in Primary Care — Jan 1, 2012

Findings from this small study should be replicated in larger studies to stimulate interventions that will improve the initial and ongoing treatment of older persons with cognitive impairment.

JOURNAL ARTICLE

Use of Retail Medical Clinics Rises Tenfold Over Two-Year Period — Nov 22, 2011

Use of retail medical clinics located in pharmacies and other retail settings increased tenfold between 2007 and 2009. The determining factors in choosing one over a physician's office were found to be age, health status, income, and proximity to the clinic.

JOURNAL ARTICLE

Quality of and Patient Satisfaction with Primary Health Care for Anxiety Disorders — Jun 30, 2011

Most patients with anxiety disorders receive their care from primary care practitioners, but fewer than half receive high-quality care.

JOURNAL ARTICLE

Disorder-specific Impact of Coordinated Anxiety Learning and Management Treatment for Anxiety Disorders in Primary Care — Mar 31, 2011

Cognitive behavior therapy and pharmacotherapy medication is more effective than is usual care for principal anxiety disorders and, to a lesser extent, comorbid anxiety disorders that present in primary care.

JOURNAL ARTICLE

Incremental Benefits and Cost of Coordinated Anxiety Learning and Management for Anxiety Treatment in Primary Care — Jan 1, 2011

An approach to anxiety treatment in primary care integrates research interventions into real-world practice settings. Patients benefit but costs are modestly increased.

RESEARCH BRIEF

Where Do Americans Get Acute Care? Not at Their Doctor's Office — Sep 2, 2010

Less than half of acute care visits in the United States involve a patient's personal physician. Emergency physicians, who comprise only 4 percent of doctors, handle 28 percent of all acute care encounters and nearly all after-hours and weekend care.

JOURNAL ARTICLE

Improving Access to and Utilization of Adolescent Preventive Health Care: The Perspectives of Adolescents — Jul 31, 2010

Adolescents and parents reported that the most effective way to encourage preventive care utilization among teens was to directly address provider-level barriers related to the timeliness, privacy, confidentiality, comprehensiveness, and continuity of their preventive care.

NEWS RELEASE

Performance-Based Payments for Primary Care Providers May Worsen Disparities in Medical Care — May 4, 2010

Rewarding primary care physicians for providing better care to patients could end up widening medical disparities experienced by poorer people and by minorities. Increasing the number of primary care physicians is also not enough to boost U.S. health care quality and lower costs.

JOURNAL ARTICLE

Performance-Based Payments for Primary Care Providers May Worsen Disparities in Medical Care — May 3, 2010

Rewarding primary care physicians for providing better care to patients could end up widening medical disparities experienced by poorer people and by minorities. Increasing the number of primary care physicians is also not enough to boost U.S. health care quality and lower costs.

JOURNAL ARTICLE

Primary Care: A Critical Review of the Evidence on Quality and Costs of Health Care — Apr 30, 2010

Despite contentious debate over the new national health care reform law, there is an emerging consensus that strengthening primary care will improve health outcomes and restrain the growth of health care spending.

JOURNAL ARTICLE

Meta-Analysis: Effect of Interactive Communication Between Collaborating Primary Care Physicians and Specialists — Feb 15, 2010

Assesses the effects of interactive communication between collaborating primary care physicians and key specialists on outcomes for patients receiving ambulatory care.

JOURNAL ARTICLE

A Survey of Primary Care Physician Practices in the Diagnosis and Management of Women with Interstitial Cystitis/Painful Bladder Syndrome — Dec 31, 2009

Education can help primary care physicians improve care for patients with interstitial cystitis/painful bladder syndrome.

JOURNAL ARTICLE

Effectiveness of Collaborative Care in Addressing Depression Treatment Preferences Among Low-Income Latinos — Dec 31, 2009

Depressed Latino patients receiving care in public-sector clinics preferred counseling or counseling/medication over medication alone. Compared to usual care, those receiving collaborative care were 21 times as likely to receive preferred treatment.

JOURNAL ARTICLE

Reducing Disparities and Improving Quality: Understanding the Needs of Small Primary Care Practices — Dec 31, 2009

Small primary care practices have limited staff and fewer resources than larger group practices, making it difficult to improve care for minority patients on their own. Other challenges include language barriers and lack of information systems.

JOURNAL ARTICLE

Financial Barriers to the Adoption of Combination Vaccines By Pediatricians — Dec 31, 2009

One in 5 pediatricians reported that inadequate reimbursement prevented their using 1 or more combination vaccines. Vaccination was less likely in smaller practices, and those with a lower proportion of publicly insured patients.

JOURNAL ARTICLE

Meta-analysis: Effect of Interactive Communication Between Collaborating Primary Care Physicians and Specialists — Dec 31, 2009

Assesses the effects of interactive communication between collaborating primary care physicians and key specialists on outcomes for patients receiving ambulatory care.

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Martin Roland

Special Advisor to RAND Europe

Martin Roland

Martin Roland has a first-class honours degree and a doctorate from Oxford University, with professional qualifications by examination in general practice, specialist medicine and public health medicine.

Katherine M. Harris

Senior Economist

Katherine M. Harris

Katherine Harris is a senior economist at the RAND Corporation and a professor at the Pardee RAND Graduate School. Her areas of study include health economics and health services research. She has led numerous studies on consumer demand for health care. Her most recent work focuses on the…

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