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Cardiovascular Disorders

Journal Article
Within‐Physician Differences in Patient Sharing Between Primary Care Physicians and Cardiologists Who Treat White and Black Patients With Heart Disease
Within-physician Black-White differences in patient sharing exist and may contribute to disparities in cardiac care.
Nov 22, 2023
Journal Article
Microsimulation Projections of Obesity Interventions on Cardiometabolic Health Disparities in the United States
Long-term health education campaigns can reduce obesity-related disease. All population groups benefit, but they would not substantially narrow cardiometabolic health disparities.
Nov 8, 2023
Journal Article
Effects of the Million Hearts Model on Myocardial Infarctions, Strokes, and Medicare Spending: A Randomized Clinical Trial
The study estimated model effects on first-time myocardial infarctions (MIs) and strokes and Medicare spending over a period up to 5 years as part of an evaluation of the Million Hearts Model.
Oct 20, 2023
Journal Article
Evaluation of the Million Hearts® Cardiovascular Disease Risk Reduction Model: Final Evaluation Report
Presents findings from a test of the Million Hearts model for CMS through a large, randomized trial, including hundreds of thousands of beneficiaries across the United States of the Million Hearts model from 2017 to 2021.
Oct 20, 2023
Tool
Heart Disease Data Portal
The Heart Disease Data Portal is designed to inform and support decisionmaking for public health by facilitating exploring of hypertension prevalence rates in each of the 26 health districts in Los Angeles County.
Jun 23, 2023
Commentary
Advancing Women's Health Requires Better Evidence
For decades, advances in health and health care have had a bias toward the male body. By shifting the focus of research to women's bodies and building out this base of evidence on women's health, scientists and doctors can improve health outcomes and overall quality of life for women, all while also saving money.
Apr 10, 2023
Journal Article
Evaluation of the Million Hearts® Cardiovascular Disease Risk Reduction Model: Fourth Annual Report
In this model, CMS pays participating organizations for assessing each of their eligible Medicare beneficiary's risk of having a heart attack or stroke over the next 10 years and for reducing CVD risk among high-risk beneficiaries.
Oct 25, 2022
Journal Article
Evaluation of the Million Hearts® Cardiovascular Disease Risk Reduction Model: Third Annual Report
In its first three years, the Million Hearts® Model improved cardiovascular preventive care, but did not yet reduce observed heart attacks and strokes or lower Medicare spending.
Oct 25, 2022
Journal Article
Topic Brief: Enhanced Recovery After Surgery for Vascular Surgery
The goal of the topic brief is to identify key ERAS strategies relevant to vascular surgery; provide an overview of clinical practice guidelines, systematic reviews, and randomized controlled trials that assess ERAS; and highlight evidence gaps.
Oct 24, 2022
Report
Strategies for Improving Prehospital Outcomes for Cardiac Arrest
Out-of-hospital cardiac arrest (OHCA) is a common, life-threatening event that is a leading cause of death in the United States. RAND researchers identified 49 strategies to improve OHCA survival and the delivery of care.
Jul 20, 2022
Journal Article
Improving Diet Quality in U.S. Adults: A 30-Year Health and Economic Impact Microsimulation
Microsimulation (Future Adult Model) predicted 30-year improved diet quality impacts across 12 demographic groups. Diet improvement reduced prevalence of heart disease by 7.6% to 13.8% across groups and reduced healthcare costs by $10B in year 30.
Jul 12, 2022
Journal Article
Diet Quality Improvement and 30-Year Population Health and Economic Outcomes: A Microsimulation Study
Microsimulation (Future Adult Model) predicted 30-year US population changes from improved diet quality. Diet improvement reduced prevalence of diabetes, heart disease and stroke by 11%, 7%, and 10%, and reduced healthcare costs by $144B in year 30.
Jul 12, 2022
Report
Is Today's U.S. Air Force Fit? It Depends on How Fitness Is Measured
In this report, the authors examine metrics used to monitor the fitness of airmen, and through their analyses of fitness data, they make a case for using multiple measures to gain a more accurate assessment of the health and fitness of the force.
May 2, 2022
Report
Physical Fitness Standards to Support Readiness and Deployability: An Examination of Department of the Air Force Policies and Culture
Through analyses involving the Air Force's Tier 1 fitness assessment (FA), the authors examine whether FA components meet their intended purpose to minimize health risks and maximize readiness of airmen.
May 2, 2022
Report
Investment in Women's Health Research Could Reap Large Societal Benefits
The potential gains from women-focused research are substantial, given the limitations in knowledge about disease development and impacts for women relative to men. Savings would include increased life years, fewer disruptions to work productivity, and fewer years with disease and functional dependence.
Oct 11, 2021
Report
The Impact of Funding Heart Disease Research Focused on Women
Physiological differences between men and women affect factors that relate to the development and progression of heart disease. Increasing investment in women's health research on coronary artery disease could yield considerable societal gains, including increased health-related quality of life and labor productivity.
Oct 11, 2021
Journal Article
Narrative Review and Evidence Mapping: Proteomics for Cancer and Cardiovascular Disease
This report presents evidence supporting proteomic tests for cancer and cardiovascular disease currently approved in the United States and proteomic tests that may be available in the near term.
Aug 26, 2021
Journal Article
Changes in Perceptions of Neighborhood Environment and Cardiometabolic Outcomes in Two Predominantly African American Neighborhoods
Perceived neighborhood characteristics, including satisfaction with one's neighborhood as a place to live, are associated with lower obesity rates and more favorable cardiovascular risk factor profiles.
Mar 16, 2021
Journal Article
What Drives Greater Assimilation of Telestroke in Emergency Departments?
Although many emergency departments (EDs) have telestroke capacity, it is unclear why some EDs consistently use telestroke and others do not. We compared the characteristics and practices of EDs with robust and low assimilation of telestroke.
Feb 10, 2021
Journal Article
Medicare Shared Savings Program and Readmission Rate Among Patients with Ischemic Stroke
Our aim was to determine if the Medicare Shared Savings Program is associated with changes in readmissions and mortality for patients hospitalized with ischemic stroke, and whether it has a different impact on safety net hospitals and non-SNHs.
Jan 29, 2021

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RAND Topic:
Cardiovascular Disorders

Research conducted by

RAND Health Care

Researcher Spotlight

Kanaka Shetty

Physician Policy Researcher

Kanaka Shetty is a physician policy researcher at the RAND Corporation. He is also an affiliate faculty member at the Pardee RAND Graduate School and a practicing hospital-based internist. His current research focuses on assessing the impact of the COVID-19 public health emergency on hospitals…
Thomas W. Concannon

Senior Policy Researcher

Thomas Concannon is a senior policy researcher at RAND, a professor of policy analysis at the Pardee RAND Graduate School, assistant professor of medicine at Tufts University School of Medicine (2006–present), and Codirector of Stakeholder and Community Engagement at Tufts Clinical and…

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