Centralized resources with tailored or specialized links to unique local resources such as in-person trainings and state-specific contact information could be more beneficial for NH.
The purpose of this study is to explore factors that are likely to affect patient/caregiver adherence to endocrine and bone health recommendations for Duchenne Muscular Dystrophy (DMD).
This study examined different types of co-use as a first step in understanding more detailed patterns of cannabis and tobacco/nicotine use among young adults, an age group that has the highest rates of both cannabis and tobacco/nicotine use, as well as co-use of these products.
This infographic illustrates the evolution from 2000 to 2015 of state policy environments related to substance use in pregnancy. Punitive or potentially punitive policies were more commonly enacted than were policies supporting treatment.
Findings highlight that implementation support, such as Getting to Outcomes, is likely to help low-resourced community-based organizations improve program delivery through a focus on implementation processes.
Despite stronger financial incentives for community health workers, the entrepreneurial model led to substantially less effort (fewer household visits) than the free delivery model. Our results call into question the notion that an entrepreneurial model necessarily increases community health worker effort relative to free distribution.
The panel achieved consensus on definitions of optimal access and access management, on eight urgent and important priorities for guiding access management improvement, and on 1–3 recommendations per priority. Each recommendation is supported by referenced, panel-approved suggestions for implementation.
Developing and using a state-level opioid policy can facilitate the design and implementation of more effective state-level policies-an essential tool in addressing the opioid crisis.
RAND researchers identify opportunities to strengthen the system of care for treating rare but serious infectious diseases, including the use of tiered facilities such as those established during the recent Ebola outbreak, developing a brain trust to provide advice to health care providers, using mobile teams, and enhancing air and ground patient transport. The authors also discuss financial considerations for the sustainability of the system.
The RAND Corporation is dedicated to transforming the wellbeing of all people by improving health care systems in the United States and abroad. This book illustrates just some of the many ways that RAND has helped improve policymaking by providing health care decisionmakers, practitioners, and communities with actionable, objective evidence to support their most complex decisions.
On November 7, 2019, the RAND Corporation convened a Technical Expert Panel (TEP) web meeting to gather input on analyses that could be conducted to further enhance the Medicare Advantage (MA) and Part D Contract Star Ratings program.
Children with in utero opioid exposure had a predicted probability of being diagnosed with a pediatric complex chronic condition similar to that among children with tobacco exposure and those with neither exposure (20.4%,18.7%, and 20.2%, respectively). Our findings were consistent when we examined a subgroup of opioid-exposed children identified as having neonatal opioid withdrawal symptoms.
Passage of morphine equivalent daily dose guidelines was associated with significant decreases in high dose opioid prescribing among workers' compensation claimants with chronic non-cancer related pain.
Building on over 10 years of collaborative work in addressing mental health in Louisiana and California, our team employed a community-partnered participatory research approach to develop the Resilience Against Depression Disparities (RADD) study.
Rebalancing long-term services and supports toward increased home- and community-based services will engage and affect multiple stakeholder groups, including governmental and nongovernmental stakeholders. This study describes stakeholder engagement in a LTSS rebalancing initiative.
This study is part of an ongoing effort to discover how and why some health systems in the United States are high performing and others are not.
Health system affiliation was associated with improved financial performance for rural hospitals but that it also could reduce local access to certain services and was not associated with improved health care quality for the two measures examined.
Medicare appears to be overpaying surgeons for post-operative care associated many medical procedures. Federal officials should incorporate ways to more objectively measure the amount of postoperative care surgeons provide to patients
Findings suggest efforts to reduce the use of tobacco products among youth experiencing homelessness should focus on the combined use of these products and screen for substance use disorder and housing stability to include those that need help the most.
Urban Native American teens may benefit from culturally centered programs. No differences found between MICUNAY + Community Wellness Gatherings (CWGs) and CWGs only.
