RAND Europe helped the University of Cambridge conduct a study on "Living with Breathlessness" to improve the end-of-life care strategy for patients with advanced chronic obstructive pulmonary disease (COPD).
This report contains the findings from an online survey of stakeholders who work with people living with advanced COPD to explore agreement with, and feasibility of the recommendations from the Living with Breathlessness study.
The reactive approach to emerging infectious disease should be augmented with an anticipatory model that accounts for the dramatic changes occurring through globalization, greater interactions between human and zoonotic populations, and changes to the environment and climate patterns.
The potential for smoke to harm air quality and cause health problems was especially acute in 2015 because a record number of wildfires broke out in the United States. Pre-wildfire season preparedness could go a long way toward protecting public health.
Legionella bacteria are ubiquitous in many warm-water environments, but outbreaks of Legionnaires' disease like the recent one in the South Bronx don't have to be. Effective public health policies can help inhibit Legionella growth, minimize the occurrence and impact of outbreaks, and save lives.
Patients treated for acute respiratory infections by a doctor on a telephone or live video are as likely to be prescribed an antibiotic as those treated in person. However, patients treated virtually are more often prescribed a broad-spectrum antibiotic, which is concerning because overuse of the drugs increases costs and contributes to antibiotic resistance.
This study identifies the unique contributions of asthma severity, symptoms, control and generic measures of quality of life (QoL) to asthma-specific QoL, as measured by the 12-item RAND Negative Impact of Asthma on Quality of Life scale (RAND-IAQL-12).
Physicians who treat a higher volume of patients with acute respiratory infections (ARIs) are more likely to diagnose a condition that calls for antibiotics, rather than one that does not, and they are more likely to prescribe antibiotics for ARIs.
Opponents of action to mitigate climate change often suggest that regulation could have a negative impact on jobs, but stakeholders need to consider benefits, too. For instance, lower emissions could produce savings in the form of lower health care costs, reductions in premature death, and greater well-being.
This study presents a new framework for estimating the change in health outcomes resulting from implementation of specific carbon dioxide (CO2) reduction activities, allowing comparison of different sectors and options for climate mitigation activities.