Special Needs Populations

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

Journal Articles (24)

Inpatient Fall Prevention Programs as a Patient Safety Strategy: A Systematic Review — Mar 1, 2013

The purpose of this updated review is to reassess the benefits and harms of fall prevention programs in acute care settings and to identify factors associated with successful implementation of these programs.

Redesign of an Electronic Clinical Reminder to Prevent Falls in Older Adults — Mar 1, 2013

The authors redesigned an electronic clinical reminder to improve identification and management of Veterans at high risk for falls, and piloted the reminder in 3 Veterans Health Administration community-based outpatient clinics.

Access to Leave Benefits for Primary Caregivers of Children with Special Health Care Needs: A Double Bind — Jan 1, 2013

We examined whether access to benefits varies by level of childcare responsibilities among employed parents of children with special health care needs (CSHCN).

Support for Children with Special Educational Needs (SEN) — Dec 1, 2012

This policy brief provides an overview of existing evidence on effective diagnosis and early intervention for children with Special Educational Needs (SEN) in Europe.

Fixing a Broken System: The Story of Autism, One State at a Time — Aug 1, 2012

This commentary presents an overview of the issues associated with how health plans and public Medicaid systems should share in the costs of assessing and treating children with autism.

Legacy for Children: A Pair of Randomized Controlled Trials of a Public Health Model to Improve Developmental Outcomes Among Children in Poverty — Aug 1, 2012

The Legacy for Children(TM) model was developed in response to this need and marries the perspectives of epidemiology and public health to developmental psychology theory in order to better address the needs of children at environmental risk for poor developmental outcomes.

The Unusually Poor Physical Health Status of Cambodian Refugees Two Decades After Resettlement — Sep 29, 2010

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

Using a Community Partnered Participatory Research Approach to Implement a Randomized Controlled Trial: Planning Community Partners in Care — Aug 1, 2010

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

Paying for Performance in Primary Care: Potential Impact on Practices and Disparities — May 1, 2010

Performance-based payments are increasingly common in primary care. With persistent disparities in the quality of care that different populations receive, however, such payments may steer new resources away from the care of racial and ethnic minorities and people of low socioeconomic status. We simulated performance-based payments to Massachusetts practices serving higher and lower shares of patients from these vulnerable communities in Massachusetts. Typical practices serving higher shares of vulnerable populations would receive less per practice compared to others, by estimated amounts of more than $7,000.

Assessing Care of Vulnerable Elders--Alzheimer's Disease: A Pilot Study of a Practice Redesign Intervention to Improve the Quality of Dementia Care — Feb 1, 2010

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

Medical Home Capabilities of Primary Care Practices That Serve Sociodemographically Vulnerable Neighborhoods — Jan 1, 2010

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

Rapid Community Participatory Assessment of Health Care in Post-Storm New Orleans — Dec 1, 2009

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

Recent Trends in State Children's Health Insurance Program Eligibility and Coverage for CSHCN — Dec 1, 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.

Terrorism-Related Fear and Avoidance Behavior in a Multiethnic Urban Population — Jan 1, 2009

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.

Falling Short: Continued Challenges in Meeting the Mental Health Needs of Children with Special Health Care Needs — Jun 1, 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.

Language and Regional Differences in Evaluations of Medicare Managed Care By Hispanics — Apr 1, 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.

Access to Care for Youth with Special Health Care Needs in the Transition to Adulthood — Jan 1, 2008

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.

Immigrants and Health Care: Sources of Vulnerability — Sep 15, 2007

Immigrants have been identified as a vulnerable population, but there is heterogeneity in the degree to which they are vulnerable to inadequate health care.

The Effects of Health Sector Market Factors and Vulnerable Group Membership on Access to Alcohol, Drug, and Mental Health Care — Jun 1, 2007

Uses Andersen's Behavioral Model to see if health sector market conditions affect vulnerable subgroups' use of ADM differently than general population

A Community-Based Participatory Assessment of Health Care Needs in Post-Katrina New Orleans: An Update for Community Members and Advocates — May 1, 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 healthcare needs in New Orleans after Hurricane Katrina.

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