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This document describes interim findings from a study of health and the health care service delivery system in the District of Columbia. The goals of the study are to: (1) conduct a comprehensive health needs assessment for Washington DC; (2) assess the quality and accessibility of the District’s health care delivery system for individuals with urgent or emergent medical needs; and (3) use information from those assessments to identify and assess various policy options for improving the health care delivery system. This document summarizes findings related to the first two goals. A final report will include findings relevant to goal (3).

Table of Contents

  • Chapter One


  • Chapter Two

    Health Outcomes

  • Chapter Three

    Access to Health Care: Access Facilitators

  • Chapter Four

    Access to Health Care: Use of Care

  • Chapter Five

    Access to Health Care: Quality of Care

  • Chapter Six

    Health Care Capacity and Infrastructure: Outpatient Care

  • Chapter Seven

    Health Care Capacity and Infrastructure: Inpatient Care

  • Chapter Eight

    Health Care Capacity and Infrastructure: Hospital Emergency Departments

  • Chapter Nine

    Emergency Care: Emergency Medical Transport

  • Chapter Ten

    Emergency Care: Transitions from EMS to the Hospital

  • Chapter Eleven

    Emergency Care: Findings from Interviews with Key Informants

  • Chapter Twelve

    Comparison to Benchmark Cities

  • Chapter Thirteen


The research described in this report was prepared for the Executive Office of the Mayor, District of Columbia and performed under the auspices of RAND Health.

This report is part of the RAND Corporation Working paper series. RAND working papers are intended to share researchers' latest findings and to solicit informal peer review. They have been approved for circulation by RAND but may not have been formally edited or peer reviewed.

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