Special Needs Populations

Research conducted by: RAND Health; RAND Labor and Population; RAND Education; RAND Child Policy

All Items (29)

REPORT

How Americans Will Live and Work in 2020: A Workshop Exploring Key Trends and Philanthropic Responses — Jan 16, 2012

These proceedings summarize the topics and findings discussed at a July 2011 workshop convened to examine how trends in four areas — the economy, demographics, the workplace, and lifestyles — will affect the poor and vulnerable in America in the coming decade. The authors also present the results of the workshop's assumption-based planning exercise.

JOURNAL ARTICLE

The Unusually Poor Physical Health Status of Cambodian Refugees Two Decades After Resettlement — Sep 28, 2010

In interviews conducted for this study, Cambodian refugees reported exceedingly poor health when compared to the general population of Asian immigrants.

JOURNAL ARTICLE

Using a Community Partnered Participatory Research Approach to Implement a Randomized Controlled Trial: Planning Community Partners in Care — Jul 31, 2010

Community-based participatory research promotes community engagement in improving depression care.

REPORT

Navigating the Road to Recovery: Assessment of the Coordination, Communication, and Financing of the Disaster Case Management Pilot in Louisiana — Jun 11, 2010

The Louisiana Disaster Case Management Pilot was funded to help people still affected by the 2005 hurricanes access needed services and more permanent housing. This report describes the challenges that hindered implementation. In light of these challenges, researchers recommend that future efforts establish better ways to identify and locate affected residents, consider needs and vulnerabilities in planning, and ensure continuity of…

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

Assessing Care of Vulnerable Elders--Alzheimer's Disease: A Pilot Study of a Practice Redesign Intervention to Improve the Quality of Dementia Care — Jan 31, 2010

This pilot study suggests that a practice-based intervention can increase referral to Alzheimer's Association chapters and improve quality of dementia care.

JOURNAL ARTICLE

Medical Home Capabilities of Primary Care Practices That Serve Sociodemographically Vulnerable Neighborhoods — Dec 31, 2009

Primary care practices in sociodemographically vulnerable neighborhoods were more likely than other practices to have medical home capabilities (e.g., interpreters, multilingual physicians), making them potentially eligible for enhanced payments

JOURNAL ARTICLE

Rapid Community Participatory Assessment of Health Care in Post-Storm New Orleans — Nov 30, 2009

Community members emphasized healthcare access challenges; unmet needs of specific vulnerable populations; and opportunities, resources, and community adaptations to improve healthcare access.

JOURNAL ARTICLE

Recent Trends in State Children's Health Insurance Program Eligibility and Coverage for CSHCN — Nov 30, 2009

This study found that a dramatic increase between 2001 and 2005 in the number of uninsured children with special health care needs who were eligible for SCHIP.

REPORT

Enhancing Public Health Emergency Preparedness for Special Needs Populations: A Toolkit for State and Local Planning and Response — Sep 8, 2009

Experiences from Hurricanes Katrina and Rita showed that current emergency preparedness plans are inadequate to address the unique issues of special needs populations. This toolkit distills the most relevant emergency preparedness strategies, practices, and resources for these populations. It includes a Web-based Geographic Information Systems tool to identify and enumerate those with special needs in communities across the United States.

REPORT

Preserving Health among Vulnerable Populations: Three Essays — Jun 23, 2009

This dissertation consists of three stand-alone essays that focus on the economics of preserving health among vulnerable population, specifically chronic ill and elderly population.

JOURNAL ARTICLE

Terrorism-Related Fear and Avoidance Behavior in a Multiethnic Urban Population — Dec 31, 2008

Describes results of a survey that investigates whether groups traditionally most vulnerable to disasters would be more likely than others to perceive population-level risk as high, worry more about terrorism, and avoid activities because of terrorism concerns.

JOURNAL ARTICLE

Falling Short: Continued Challenges in Meeting the Mental Health Needs of Children with Special Health Care Needs — May 31, 2008

High levels of unmet need persist for children with special health care needs in the face of substantial resources that have been committed to improving their care, including the integration of behavioral health into Medicaid managed care.

JOURNAL ARTICLE

Language and Regional Differences in Evaluations of Medicare Managed Care By Hispanics — Mar 31, 2008

Uses the Consumer Assessments of Healthcare Providers and Systems survey to examine the experiences of Hispanics enrolled in Medicare managed care. Hispanics face barriers to care; however, their experiences with care vary by language and region.

JOURNAL ARTICLE

Access to Care for Youth with Special Health Care Needs in the Transition to Adulthood — Dec 31, 2007

Insurance gaps and delayed care are prevalent for low-income young adults who aged out of a public program for children with special health care needs, despite ongoing health problems. Greater transition support might improve access.

JOURNAL ARTICLE

Options to Improve Health Care Access and Quality for Immigrants — Sep 11, 2007

Expanding opportunities for immigrants to obtain legal residency and citizenship may be the best option to offer them better access to health care. Factors that affect their access to health care include: socioeconomic background, immigration status, limited English proficiency, and more.

JOURNAL ARTICLE

The Effects of Health Sector Market Factors and Vulnerable Group Membership on Access to Alcohol, Drug, and Mental Health Care — May 31, 2007

More research with longitudinal data is necessary to sort out the causal direction of social context and ADM access outcomes, and whether policy interventions to change health sector market conditions can shift ADM treatment utilization.

JOURNAL ARTICLE

A Community-Based Participatory Assessment of Health Care Needs in Post-Katrina New Orleans: An Update for Community Members and Advocates — Apr 30, 2007

The Rapid Evaluation and Action for Community Health in Louisiana (REACH-LA) Phase I project used community-based participatory methods to engage community members in the design, conduct, and interpretation of the results. This brief report describes the findings from the Community Discussion Groups, which affords the most direct insight into grassroots community perspectives on health care needs in New Orleans after Hurricane Katrina.

COMMENTARY

Saving Money and Saving Lives in Nursing Homes — Mar 30, 2007

Published commentary by RAND staff: Saving Money and Saving Lives in Nursing Homes, in Washingtonpost.com.

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