Published Research

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  • North Korea displays what appears to be its largest intercontinental ballistic missile during a parade to mark the 75th anniversary of the founding of its ruling Workers' Party, October 10, 2020, photo by KCNA

    Report

    Countering the Risks of North Korean Nuclear Weapons

    The authors argue that the United States and the Republic of Korea (ROK) should pursue firm deterrence of North Korean nuclear weapon use—which might soon pose a serious threat to the United States and the ROK—rather than relying on negotiations.

    Apr 12, 2021

    Bruce W. Bennett, Kang Choi, Myong-Hyun Go, Bruce E., Jr. Bechtol, Jiyoung Park, Bruce Klingner, Du-Hyeogn Cha

  • Journal Article

    Journal Article

    Nursing Home Responses to Performance-based Accountability: Results of a National Survey

    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.

    Apr 9, 2021

    Kanaka Shetty, Anagha Alka Tolpadi, Michael W. Robbins, Erin Audrey Taylor, Kyle N. Campbell, Cheryl L. Damberg

  • Journal Article

    Journal Article

    Low-Value Proton Pump Inhibitor Prescriptions Among Older Adults at a Large Academic Health System

    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.

    Apr 9, 2021

    John N. Mafi, Folasade P. May, Katherine L. Kahn, Michelle Chong, Edgar Corona, Liu Yang, Margaret M. Mongare, Vishnu Nair, Courtney Reynolds, Reshma Gupta, Cheryl L. Damberg, Eric Esrailian, Catherine A. Sarkisian

  • Journal Article

    Journal Article

    Psychometric Evaluation of the Medicare Advantage and Prescription Drug Plan Disenrollment Reasons Survey

    To develop and assess the reliability and validity of composite measures of reasons for disenrollment from Medicare Advantage and prescription drug plans.

    Apr 9, 2021

    Steven C. Martino, Marc N. Elliott, Alan M. Zaslavsky, Nathan Orr, Andy Bogart, Feifei Ye, Cheryl L. Damberg

  • Journal Article

    Journal Article

    Evaluation of an Intervention to Reduce Low-Value Preoperative Care for Patients Undergoing Cataract Surgery at a Safety-Net Health System

    To evaluate a multipronged intervention to reduce low-value preoperative care for patients undergoing cataract surgery and analyze costs from various fiscal perspectives.

    Apr 9, 2021

    John N. Mafi, Patricia Godoy-Travieso, Eric Wei, Malvin Anders, Rodolfo Amaya, Carmen A. Carrillo, Jesse L. Berry, Laura Sarff, Lauren Patty Daskivich, Sitaram Vangala, Joseph A. Ladapo, Emmett B. Keeler, Cheryl L. Damberg, Catherine A. Sarkisian

  • A statue of Lady Justice wearing a face mask, photos by Ulf, Honcharuk/Adobe Stock; design by Peter Soriano/RAND Corporation

    Report

    The U.S. Criminal Justice System in the Pandemic Era and Beyond: Taking Stock of Efforts to Maintain Safety and Justice Through the COVID-19 Pandemic and Prepare for Future Challenges

    The Priority Criminal Justice Needs Initiative convened a set of workshops with justice practitioners to take stock of responses to the coronavirus disease 2019 pandemic. They identified key challenges, system innovations, and lessons for the future.

    Apr 8, 2021

    Brian A. Jackson, Michael J. D. Vermeer, Dulani Woods, Duren Banks, Sean E. Goodison, Joe Russo, Jeremy D. Barnum, Camille Gourdet, Lynn Langton, Michael G. Planty, Shoshana R. Shelton, Siara I. Sitar, Amanda R. Witwer

  • A teacher and student wearing face masks talk to each other using sign language, photo by Wavebreakmedia/Getty Images

    Report

    How Are Teachers Educating Students with Disabilities During the Pandemic?

    In this Data Note, researchers present findings on teaching students with disabilities during a pandemic by drawing on surveys administered via the RAND American Teacher Panel to a nationally representative sample of teachers in fall 2020.

    Apr 8, 2021

    Laura Stelitano, Christine Mulhern, Katie Feistel, Heather Gomez-Bendaña

  • Report

    Report

    Integrating Psychological Counseling into National Guard Youth ChalleNGe Programs: Insights and Recommendations from Current Practices

    To learn how the National Guard Youth ChalleNGe Program can support cadets with mental health disorders, RAND researchers interviewed counselors and surveyed ChalleNGe sites about their counseling services and cadets’ mental health needs in 2019.

    Apr 8, 2021

    Wing Yi Chan, Thomas E. Trail

  • Report

    Report

    Tailoring Medical Standards for Air Force Personnel

    To serve in the U.S. military, individuals must meet medical standards to ensure that they are fit to serve. The authors explore the implications to U.S. Air Force culture of tailoring such standards to expand or limit the pool of qualified personnel.

    Apr 8, 2021

    Sean Robson, Maria C. Lytell, Miriam Matthews, Carra S. Sims, Tracy C. Krueger, Spencer R. Case, Katherine Costello, Sydne Newberry

  • Journal Article

    Journal Article

    Improving Care Experiences for Patients and Caregivers at End of Life: A Systematic Review

    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.

    Apr 7, 2021

    Denise D. Quigley, Sara G. McCleskey

  • Journal Article

    Journal Article

    The Role of Regional and State Initiatives in Nursing Home Advance Care Planning Policies

    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.

    Apr 7, 2021

    Caroline J. Fu, Mansi Agarwal, Leah V. Estrada, Komal P. Murali, Denise D. Quigley, Andrew W. Dick, Patricia Stone

  • Brochure

    Brochure

    2020 RAND Annual Report

    RAND's 2020 Annual Report describes the importance of philanthropic support and how RAND’s evidence-based research and analysis help people around the world lead lives that are safer and more secure, healthier and more prosperous.

    Apr 7, 2021

  • Journal Article

    Journal Article

    Heterogeneity in the Effects of College Course Placement

    To better understand which types of students might be most likely to benefit from being placed into college-level math coursework, this study examines heterogeneity in the causal effects of placement into college-level courses using administrative data from Texas.

    Apr 6, 2021

    Lindsay Daugherty, Russell Gerber, Paco Martorell, Trey Miller, Emily Weisburst

  • Report

    Report

    A Review of the Air Force Fitness Assessment

    This report presents an overview of research relevant to U.S. Air Force fitness assessment components to ensure readiness of personnel, support the National Defense Strategy, and promote a culture of health and well-being across the U.S. Air Force.

    Apr 6, 2021

    Sean Robson, Isabel Leamon, Maria C. Lytell, Miriam Matthews, Margaret Chamberlin

  • The exterior of the Tom Harkin Global Communications Center, otherwise known as Building 19, located on the Centers for Disease Control and Prevention's (CDC) Roybal Campus in Atlanta, Georgia.

    Report

    Decline in Trust in the Centers for Disease Control and Prevention During the COVID-19 Pandemic

    Researchers present a subset of results from May and October 2020 surveys fielded through the RAND American Life Panel to assess declines in trust in the Centers for Disease Control and Prevention during the coronavirus disease 2019 pandemic.

    Apr 5, 2021

    Michael S. Pollard, Lois M. Davis

  • Research Brief

    Research Brief

    Improving Behavioral Health Care for Remote Service Members: Three Key Priorities

    Service members who are geographically remote from a military treatment facility may face unique challenges accessing high-quality behavioral health care. RAND research identified three key priority areas for the U.S. Department of Defense.

    Apr 5, 2021

    Kimberly A. Hepner, Ryan Andrew Brown, Carol P. Roth, Teague Ruder, Harold Alan Pincus

  • Journal Article

    Journal Article

    Forecasts and Decisions: A Commentary on Lustick and Tetlock 2021

    This article is a commentary on a paper by Lustick and Tetlock (2021), on forecasting, decisionmaking, and the intelligence community.

    Apr 2, 2021

    Steven W. Popper, Robert J. Lempert, Paul K. Davis, Tim McDonald

  • Journal Article

    Journal Article

    SNAP Participants and High Levels of Food Insecurity in the Early Stages of the COVID-19 Pandemic

    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.

    Apr 2, 2021

    Sameer M. Siddiqi, Jonathan Cantor, Bonnie Ghosh-Dastidar, Robin L. Beckman, Andrea Richardson, Matthew D. Baird, Tamara Dubowitz

  • Light catches the security fence around the U.S. Capitol, erected in the wake of the January 6th attack but now scheduled to be removed, in Washington, D.C., March 15, 2021, photo by Jonathan Ernst/Reuters

    Report

    Violent Extremism in America: Interviews with Former Extremists and Their Families on Radicalization and Deradicalization

    Terrorism and ideologically inspired violence are persistent and serious threats to U.S. national security. This report uses interviews to explore why and how 32 individuals joined extremist organizations and how some of them exited these groups.

    Apr 1, 2021

    Ryan Andrew Brown, Todd C. Helmus, Rajeev Ramchand, Alina I. Palimaru, Sarah Weilant, Ashley L. Rhoades, Liisa Hiatt

  • The Sodium Guidestar at the Air Force Research Laboratory's Starfire Optical Range resides on a 6,240 foot hilltop at Kirtland Air Force Base, New Mexico, photo by U.S. Air Force

    Report

    A History of the Third Offset, 2014–2018

    The authors describe the Third Offset -- a U.S. strategy centered on the potential of technology to offset Chinese and Russian military advances and that shaped the 2018 National Defense Strategy -- focusing on efforts to effect institutional change.

    Mar 31, 2021

    Gian Gentile, Michael Shurkin, Alexandra T. Evans, Michelle Grisé, Mark Hvizda, Rebecca Jensen