Published Research

Report

Peer-to-Peer Support Interventions for Health Care Providers: A Series of Literature Reviews

This report presents a series of literature reviews focused on the evidence for peer-to-peer interventions for health care providers receiving emotional support from colleagues.

Carolyn J. Crandall, Marjorie Danz, Huynh Trung Dung, Sangita M. Baxi, Lisa V. Rubenstein, Gina Thompson, Hamad Al-Ibrahim, Jody Larkin, Aneesa Motala, Goke Akinniranye, Susanne Hempel

Periodical

RAND Review: November-December 2022

Features explore an innovative fellowship for military veterans, spouses, and caregivers; how veterans fare in the civilian labor market after leaving the military; and the impact of racism on patient safety in health care settings.

Journal Article

Association Between Hospital-Physician Vertical Integration and Medication Adherence Rates

Increases in vertical integration were not associated with changes in medication adherence rates. However, adherence rates after vertical integration declined for non-Whites, patients over 80 years old, and patients with greater comorbidities.

Jonathan S. Levin, Swad Komanduri, Christopher M. Whaley

Journal Article

The Impact of the Affordable Care Act Insurance Expansions on Opioid-Related Emergency Department Visits

We leverage ACA coverage expansions to study the impact of health insurance on opioid-related emergency department visits while accounting for potentially confounding changes in relevant state-level policies.

Sandra L Decker, Michael Dworsky, Teresa B. Gibson, Rachel M Henke, Kimberly Walsh McDermott

Journal Article

Trends in Out-of-Pocket Costs for Naloxone by Drug Brand and Payer in the US, 2010–2018

The findings suggest that the out-of-pocket cost of naloxone has been an increasingly substantial barrier to naloxone access for uninsured patients, a population that constitutes nearly one-fifth of adults with opioid use disorder.

Evan D. Peet, David Powell, Rosalie Liccardo Pacula

Journal Article

What Parents Have to Say: Content and Actionability of Narrative Comments from Child HCAHPS Survey

The purpose of this paper is to examine the content and actionability of written comments from parents and guardians on the Child Hospital Consumer Assessment of Healthcare Providers and Systems (Child HCAHPS) survey.

Denise D. Quigley, Zachary Predmore

Journal Article

Usefulness of Child HCAHPS Survey Data for Improving Inpatient Pediatric Care Experiences

We surveyed children's hospital leaders and staff about their use of Child HCAHPS for QI, including measures from other studies. We compared scale and item means for leaders and staff and compared means to other studies.

Denise D. Quigley, Mary Ellen Slaughter, Courtney A. Gidengil, Alina I. Palimaru, Carlos F. Lerner, Ron D. Hays

Journal Article

Examining Inhalant Use Among Sexual Minority Adults in a National Sample: Drug-Specific Risks or Generalized Risk?

This study compared use of 12 specific inhalants among lesbian, gay, and bisexual (LGB) adults relative to heterosexual adults in a national sample.

Megan S. Schuler, Rajeev Ramchand

Journal Article

Scaling Interventions to Manage Chronic Disease: Innovative Methods at the Intersection of Health Policy Research and Implementation Science

In December 2021, Johns Hopkins convened a forum of research experts to discuss approaches for studying policy implementation. In this report, we summarize the ideas that came out of the forum.

Emma E. McGinty, Nicholas J. Seewald, Sachini Bandara, Magdalena Cerdá, Gail Daumit, Matthew Eisenberg, Beth Ann Griffin, Tak Igusa, John W. Jackson, Alene Kennedy-Hendricks, Jill A. Marsteller, Edward J. Miech, Jonathan Purtle, Ian Schmid, Megan S. Schuler, Christina T. Yuan, Elizabeth A. Stuart

Journal Article

Perceived Substance Use Risks Among Never Users: Sexual Identity Differences in a Sample of U.S. Young Adults

This investigation provides evidence that LGB adults perceive lower risks associated with multiple substance use behaviors than heterosexual adults, which may indicate important sexual identity differences in susceptibility to substance use initiation.

Megan S. Schuler, Rebecca J. Evans-Polce

Journal Article

Mental Health Service Use Among Lesbian, Gay, and Bisexual Adults Who Report Having Attempted Suicide

This study estimated mental health service use among lesbian, gay, and bisexual (LGB) adults in the United States who reported having made a suicide attempt.

Rajeev Ramchand, Megan S. Schuler, Lynsay Ayer, Lisa Colpe, Michael Schoenbaum

Journal Article

Suicidality Among Sexual Minority Adults: Gender, Age, and Race/Ethnicity Differences

This study examined past-year suicide thoughts, plans, and attempts among adult respondents to the 2015–2019 National Surveys on Drug Use and Health (pooled N=191,954).

Rajeev Ramchand, Megan S. Schuler, Michael Schoenbaum, Lisa Colpe, Lynsay Ayer

Journal Article

Association of Medicare Advantage Premiums With Measures of Quality and Patient Experience

This population-based cross-sectional study found that although quality of care and patient experience were slightly higher with higher-premium plans, quality varied widely within each premium category.

Amelia Haviland, Sai Ma, David J. Klein, Nathan Orr, Marc N. Elliott

Journal Article

Practices and Changes Associated With Patient-Centered Medical Home Transformation

Evidence shows that leaders who implement the patient-centered medical home care model encounter challenges in driving change. Understanding which changes and quality improvement practices further implementation is essential.

Denise D. Quigley, Mary Ellen Slaughter, Nabeel Qureshi, Marc N. Elliott, Ron D. Hays

Journal Article

Using CAHPS Patient Experience Data for Patient-Centered Medical Home Transformation

We interviewed 105 practice leaders from 294 sampled practices and used content analysis to identify themes about uses of patient experience data for practice improvement during PCMH transformation.

Denise D. Quigley, Luma Issa Al Masarweh, Nabeel Qureshi, Ron D. Hays

Research Brief

A long road to just transitions: Limited green job opportunities for disadvantaged groups

RAND Europe, with support from JPMorgan Chase, explored the current situation of green opportunities for disadvantaged groups, in particular for people with low qualifications, in 10 European Regions.

Joanna Hofman, Michaela Bruckmayer, Katrin Feyerabend, Simon Larmour, Mark Reed, Lydia Lymperis

Report

Green jobs and skills development for disadvantaged groups

This report explored green jobs and skills development for people from disadvantaged groups in 10 European cities.

Joanna Hofman, Michaela Bruckmayer, Katrin Feyerabend, Simon Larmour, Mark Reed, Lydia Lymperis, Giovanni Amodeo, Frederico Cardoso, Sam Cole, Megan Hughes, Giulia Lanfredi, Mafalda Pardal, Pamina Smith

Report

Early Childhood Educators in Hawaiʻi: Addressing Compensation, Working Conditions, and Professional Advancement

This report documents the low wages, few benefits, and mixed working conditions for the early care and education (ECE) workforce and provides strategies for investing in improvements that would help with recruiting and retaining ECE workers.

Lynn A. Karoly, Jill S. Cannon, Celia J. Gomez, Ashley Woo

Report

The Role of Information in U.S. Concepts for Strategic Competition

A detailed enumeration of activities, a synthesis of expert consensus on challenges to gray zone competition, and a dynamic menu of solutions can enhance the U.S. competitive position in the gray zone and beyond.

Christopher Paul, Michael Schwille, Michael Vasseur, Elizabeth M. Bartels, Ryan Bauer

Report

Anticipating Chinese Reactions to U.S. Posture Enhancements

This report provides a framework of key factors to aid U.S. policymakers in assessing how China may react to shifting U.S. posture in the Indo-Pacific. The authors apply the framework to hypothetical posture enhancements to offer insights.

Kristen Gunness, Bryan Frederick, Timothy R. Heath, Emily Ellinger, Christian Curriden, Nathan Chandler, Bonny Lin, James Benkowski, Bryan Rooney, Cortez A. III Cooper, Cristina L. Garafola, Paul Orner, Karl P. Mueller, Jeffrey W. Hornung, Erik E. Mueller