Health Care Quality

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Fixing the Problem of Innovation in the Health and Care System
The National Health System has an innovation problem. The problem is not that the system lacks an appetite for innovation; rather, it is that successive efforts to create an enabling environment for innovation have been met with only limited success. But why?
Oct 27, 2023

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RAND Experts on Veteran Mental Health Respond to the White House Mental Health Research Priorities
The White House identified eight research priorities to better manage America's current mental health crisis. RAND researchers highlight why each area is critical for veteran mental health and how RAND is contributing to address them.
Feb 20, 2023
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Gender Biases in Health Care: Listen to Women About Their Own Health
More and more information, evidence, and personal stories are emerging suggesting women are not being listened to or believed by health care professionals about their symptoms of physical illness. There is ongoing work in the United Kingdom to improve and integrate women's health services, which creates hope for improvements.
Jan 19, 2023
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Informing the Debate About Telemedicine Reimbursement: What Do We Need to Know?
At the start of the COVID-19 pandemic, U.S. payers and policymakers broadly expanded payment for telemedicine services and relaxed many regulations. To decide the long-term fate of pandemic-era temporary telemedicine, policymakers should consider the effects of telemedicine on health care spending, patient outcomes, and health equity.
Nov 21, 2022
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The Impact of Racism on Patient Safety
Minoritized patients are at high risk of experiencing what the medical field calls “patient safety events.” But the way the U.S. health care system tracks patient safety too often makes their experiences invisible. Better reporting would allow hospitals and other providers to identify disparities in care, and to address them.
Oct 26, 2022
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Setting Standards for Delivering High-Quality Care to Veterans with Invisible Wounds
Posttraumatic stress disorder, depression, traumatic brain injury, and substance use disorders are common among post-9/11 veterans and can interfere with their employment, family life, engagement with their communities, and overall well-being. A shared definition and standards for high-quality care can help organizations better support veterans.
Sep 12, 2022
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Tele-Palliative Care Among Underserved Patients: Considerations for Future Research to Ensure Equity for All Patients
Underserved patients have been historically marginalized in health care and may experience extensive barriers to palliative care. Telehealth may be a particularly promising mode of palliative care by engaging patients across long distances and facilitating access to existing palliative care resources.
Aug 31, 2022
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In Search of an Equity Lens: A Physician's Journey
Patient health outcomes, communication with providers, and overall patient satisfaction improve when patients and providers share a similar background. Further, diverse work environments may positively impact health care provider job satisfaction. Increasing diversity in health care work settings is a first important step that could help to increase equity and inclusion in these environments.
Aug 11, 2022
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Doubling NIH Funding for Women's Health Would Yield Substantial Return on Investment
The scientific evidence base generally is biased toward the male body as a result of a long history of generous funding for diseases that predominantly affect men and underfunding for those that predominantly affect women. But the cost of the science pales in comparison to the price we continue to pay for what we don't know about caring for women.
Jul 8, 2022
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Promoting Patient-Clinician Conversations to Reduce Cascades of Care
A cascade of care is a seemingly uncontrollable sequence of medical services that is driven by the desire to avoid even the smallest risk of a bad outcome. What drives cascades? And what interventions might mitigate them?
Apr 27, 2022
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Does Vertical Integration Improve or Imperil U.S. Health Care?
Health care consolidation is endemic across the United States. With consolidation has come public attention and regulatory scrutiny. Unfortunately, evidence is accumulating that health care consolidation is harming competition in the U.S. health care market, while neither reducing costs nor improving care.
Nov 16, 2021
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Advances in Care for Veterans with Traumatic Brain Injuries or PTSD
A new standard of care proposed by RAND researchers aims to redefine high-quality care for veterans with a traumatic brain injury or posttraumatic stress disorder. But it also could serve as a template for making health care more effective, more consistent, and more responsive for more patients.
Nov 8, 2021
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No Patient Left Behind: Considering Equitable Distribution of Telehealth
The pandemic has revealed telemedicine's potential to improve health care delivery and access. Telemedicine could help reach patients who would normally be excluded or alienated by the traditional structure of the health system.
Apr 20, 2021
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What Influences Quality Improvement Processes in Health Care?
Periods of rapid change offer both opportunities and challenges for health care quality improvement. Understanding the building blocks that need to be in place to support improvement processes may help those seeking to embed improvement capabilities and capacity into their organisations, both as we emerge from the COVID-19 pandemic and beyond.
Nov 10, 2020
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When It Comes to U.S. Health Systems—Diversity Matters
Health care systems are a powerful and relatively well-resourced stakeholder in the effort to eliminate inequities both among the health workforce and among patient populations. The deliberate practice of increasing diversity within the workplace may have the power to create significant, positive impacts on workplace culture and patient care.
Sep 25, 2020
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Moving on from Telehealth-by-Desperation: What Will Make Telehealth Stick
During the COVID-19 pandemic telehealth has helped to maintain continuity of care for millions of Americans, preserve personal protective equipment, and facilitate social distancing. But that does not mean that telehealth will be embraced by patients and providers in the long run.
Aug 18, 2020

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Quoted

Ukraine's Kursk offensive was a tactical masterstroke that changed the geometry of the battlefield by extending Russian lines and obliging them to rethink their force allocation assumptions. This changes the military calculus.

Ann Marie Dailey

Policy Researcher

Source: The National Interest

While it may not be obvious to patients, AI is already integrated into daily health care systems, from predicting which patients are likely to develop infections to forecasting missed appointments. Other uses are not fully developed: while ChatGPT has demonstrated success on a number of medical board exams, hospitals are not outsourcing actual medical care to computers yet.

Shira H. Fischer

Physician Policy Researcher

Source: rand.org

What Teachers Think of School Safety and Lockdown Drills

The Veterans Left Behind: Eligibility for VA Benefits and Other Than Honorable Discharges

Ukraine's 'Masterstroke' Kursk Offensive Is About Geometry, not Geography

Disinformation May Thrive as Transparency Deteriorates Across Social Media

Climate Change and Critical Infrastructure: Assessing the Risks and Identifying Mitigation Strategies

The Policy Currents Podcast

Getting to Know Military Caregivers and Their Needs

Managing Escalation in Crisis and War

Assessing and Articulating the Wider Benefits of Research

Improving Access to Early Childhood Education

Health Care Quality

Fixing the Problem of Innovation in the Health and Care System

RAND Experts on Veteran Mental Health Respond to the White House Mental Health Research Priorities

Gender Biases in Health Care: Listen to Women About Their Own Health

Informing the Debate About Telemedicine Reimbursement: What Do We Need to Know?

The Impact of Racism on Patient Safety

Setting Standards for Delivering High-Quality Care to Veterans with Invisible Wounds

Tele-Palliative Care Among Underserved Patients: Considerations for Future Research to Ensure Equity for All Patients

In Search of an Equity Lens: A Physician's Journey

Doubling NIH Funding for Women's Health Would Yield Substantial Return on Investment

Promoting Patient-Clinician Conversations to Reduce Cascades of Care

Does Vertical Integration Improve or Imperil U.S. Health Care?

Advances in Care for Veterans with Traumatic Brain Injuries or PTSD

No Patient Left Behind: Considering Equitable Distribution of Telehealth

What Influences Quality Improvement Processes in Health Care?

When It Comes to U.S. Health Systems—Diversity Matters

Moving on from Telehealth-by-Desperation: What Will Make Telehealth Stick

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