Association Between Receipt of Emotional Support and Caregivers' Overall Hospice Rating 2021
"Too much emotional support" is not always viewed negatively in consumer ratings of hospice care.
Publications from RAND Health Care Researchers
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Reducing Hospital Spending: Three Policy Options 2021
This Research Brief summarizes the spending impact of policy options to reduce hospital prices paid by private health plans, outlining design choices and effectiveness levels for each approach.
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Barriers to Price and Quality Transparency in Health Care Markets 2021
Consumers of health care in the United States often lack information on the actual prices of the care they receive and can also lack access to information about the quality of their care. RAND researchers gathered information on how health care prices are set, price variation in health care markets, barriers to price and quality transparency for consumers, and the extent to which price and quality information is used in marketing efforts.
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U.S. Prescription Drug Prices Are 2.5 Times Those in Other OECD Countries 2021
RAND researchers used 2018 prescription drug volume and price data to compare U.S. drug prices with those in 32 other nations, both overall and for specific categories of drugs, such as brand-name and generic medications.
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A Qualitative Evaluation of Housing for Health in Los Angeles County 2021
This study uses data from 14 qualitative interviews with senior leaders and nine focus groups with tenants and program staff to understand tenant experiences with permanent supportive housing programs, as they relate to care coordination.
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Evaluation of an Intervention to Reduce Low-Value Preoperative Care for Patients Undergoing Cataract Surgery at a Safety-Net Health System 2021
To evaluate a multipronged intervention to reduce low-value preoperative care for patients undergoing cataract surgery and analyze costs from various fiscal perspectives.
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Low-Value Proton Pump Inhibitor Prescriptions Among Older Adults at a Large Academic Health System 2021
Older adults are particularly vulnerable to complications from proton pump inhibitor drugs. We sought to characterize the prevalence of potentially low-value PPI prescriptions among older adults to inform a quality improvement intervention.
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Psychometric Evaluation of the Medicare Advantage and Prescription Drug Plan Disenrollment Reasons Survey 2021
To develop and assess the reliability and validity of composite measures of reasons for disenrollment from Medicare Advantage and prescription drug plans.
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Nursing Home Responses to Performance-based Accountability: Results of a National Survey 2021
We describe quality improvement changes that skilled nursing facilities reported making in response to CMS performance measurements and whether reported QI changes were associated with better performance on CMS performance measures.
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The Role of Regional and State Initiatives in Nursing Home Advance Care Planning Policies 2021
We examined whether state and regional advance care planning initiatives play a role in the presence of "do not administer antibiotics" orders for nursing home residents at the end of life.
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Improving Care Experiences for Patients and Caregivers at End of Life: A Systematic Review 2021
Previous reviews examined palliative care improvements or available measures but none explicitly on improving care experiences. We reviewed literature on improving patient and/or caregiver end-of-life care experiences.
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Decline in Trust in the Centers for Disease Control and Prevention During the COVID-19 Pandemic 2021
Researchers present a subset of results from May and October 2020 surveys fielded through the RAND American Life Panel to assess changes in levels of trust in the Centers for Disease Control and Prevention during the coronavirus disease 2019 pandemic. Non-Hispanic white and Hispanic respondents reported significant declines in trust, while the changes were not statistically significant for non-Hispanic black or respondents of other races.
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SNAP Participants and High Levels of Food Insecurity in the Early Stages of the COVID-19 Pandemic 2021
We examined how people enrolled in the Supplemental Nutrition Assistance Program have been affected by the coronavirus pandemic, particularly Black participants, and participants residing in food deserts.
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Bereaved Family More Likely to Report "Too Little" Care Than "Too Much" Care at the End of Life 2021
Interviews with family members about their loved one's end-of-life care found that a majority thought he or she received the right amount of care. One in six said their family member received too little care.
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Gender Differences in Patient Experience Across Medicare Advantage Plans 2021
We measured gender differences for six patient experience measures and how gender gaps differ across Medicare plans.
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Individual, Interpersonal, and Health Care Factors Associated with Informal and Formal Advance Care Planning in a Nationally-Representative Sample of Midlife and Older Adults 2021
This paper examines correlates of advance care planning among midlife and older adults in the U.S., with attention to informal planning (e.g., conversations) and formal planning (e.g., legal documentation) and factors at the individual, interpersonal, and health care levels.
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Online Modified-Delphi: A Potential Method for Continuous Patient Engagement Across Stages of Clinical Practice Guideline Development 2021
In this Perspective, we make the case for, and provide an approach to, using online Delphi approaches--particularly the online modified-Delphi--for engaging a panel of patients continuously throughout all stages of CPG development.
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Does Marijuana Legalization Affect Work Capacity? Evidence from Workers' Compensation Benefits 2021
We study the effect of state recreational marijuana laws on workers' compensation benefit receipt among adults 40–62 years old.
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Who Is (and Isn't) Receiving Telemedicine Care During the COVID-19 Pandemic 2021
COVID-19 has affected telehealth utilization disproportionately. The increase in telemedicine use was greatest among patients in counties with low poverty levels, among patients in metropolitan areas, and among adults compared with children.
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Multiplying the Impact of Opioid Settlement Funds by Investing in Primary Prevention 2021
In this Perspective, we describe three strategies hospitals can use to multiply the reach of their opioid settlement funding by addressing root causes of opioid use through primary prevention.