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Evidence Based Health Practice

Evidence-based health practice applies the scientific method to use the best available evidence—from physical exams, diagnostic reviews, medical research, and known risks and benefits of treatment options—when making medical decisions. RAND has investigated the impact of adopting evidence-based health practices on patient care and health care policies, and the greater implications of using a national quality measurement and reporting system.

Journal Article

Translating Economic Evaluations Into Financing Strategies for Implementing Evidence-Based Practices

We use three case examples to illustrate the importance of implementation financing strategies, which secure and direct funds to support Evidence-Based Practices adoption and continued use.

Jul 14, 2021
Tool

How to Integrate Pharmacotherapy for Substance Use Disorders at Your Mental Health Clinic: A Step-By-Step Guide for Screening and Treating Adults with Co-Occurring Mental Illness and Alcohol and/or Opioid Use Disorders with Pharmacotherapy in Mental Health Clinics

RAND researchers provide a toolkit to support the delivery of effective, evidence-based pharmacotherapy for clients with co-occurring substance use and mental health disorders and simplify care implementation in mental health clinics.

Jul 8, 2021
Tool

Medication Management of Co-Occurring Opioid Use Disorder in Mental Health Settings: A Guide for Practitioners

Researchers and clinicians provide a guide for identifying clients with co-occurring opioid use and mental health disorders in mental health settings and treating these clients with an appropriate opioid use disorder medication.

Jul 8, 2021
Journal Article

What Influences Evidence-Based Treatment Sustainment After Implementation Support Ends? A Mixed Method Study of the Adolescent-Community Reinforcement Approach

Our findings lend empirical support for implementation theories in that multiple factors appear to be associated with long-term delivery of an evidence-based treatment.

May 27, 2021
Journal Article

Evidence Map of Ductal Carcinoma in Situ Management Options

This is an evidence-map of ductal carcinoma in situ treatment options and impacts on patient-centered and clinical options.

May 26, 2021
Multimedia

RAND Summer Institute Lecture Series 2020

This video session is from the 27th Annual RAND Summer Institute, held virtually July 6-10, 2020, which addresses critical issues facing the aging population.

May 13, 2021
Journal Article

Methodological Challenges and Proposed Solutions for Evaluating Opioid Policy Effectiveness

In this paper, we provide an overview of methodological challenges facing opioid policy researchers when conducting opioid policy evaluation studies using observational data, as well as some potential solutions to those challenges.

Jan 20, 2021
Journal Article

Sustaining an Evidence-Based Program Over Time: Moderators of Sustainability and the Role of the Getting to Outcomes® Implementation Support Intervention

This randomized controlled trial advances the literature by testing the effects of Getting To Outcomes, an after-school evidence-based program for preventing substance use among middle-school students.

Jan 5, 2021
Report

Mitigating the Effects of Blast-Related Burn Injuries from Prolonged Field Care to Rehabilitation and Resilience: Proceedings and Expert Findings from a U.S. Department of Defense International State-of-the-Science Meeting

Blast-related burns, which accounted for most burns suffered by service members in the recent conflict in Afghanistan, are difficult to treat. These conference proceedings describe a meeting held at RAND to identify gaps in blast-injury research.

Dec 23, 2020
Journal Article

Association of Scheduled vs Emergency-Only Dialysis With Health Outcomes and Costs in Undocumented Immigrants With End-stage Renal Disease

This article examines the association of scheduled vs emergency-only hemodialysis with health care outcomes and costs in undocumented immigrants with end-stage renal disease.

Nov 17, 2020
Journal Article

A Scoping Review of Strategies for Financing the Implementation of Evidence-Based Practices in Behavioral Health Systems: State of the Literature and Future Directions

We conducted a scoping review that assessed the current state of evidence on EBP financing strategies for behavioral health. We defined financing strategies as techniques that secure and direct financial resources to support evidence-based practice implementation.

Sep 15, 2020
Report

Limb Salvage and Recovery After Severe Blast Injury

Although there is a vast literature on limb salvage, there is limited research on military blast-related limb salvage. What can be learned from the evidence and innovations about restoration and reconstruction after limb salvage for severe blast-related limb injury?

Jul 6, 2020
Journal Article

Researching the Appropriateness of Care in the Complementary and Integrative Health Professions: Part 4: Putting Practice Back Into Evidence-based Practice by Recruiting Clinics and Patients

This study found that clinics can be successfully recruited for practice-based studies, and patients can be recruited using iPads. Obtaining patient records presents considerable challenges, and clinics varied in whether they had electronic files, nonelectronic records, or a mixture.

Jun 10, 2020
Commentary

Innovations During COVID-19: Silver Lining or Threat to Patient Safety?

We still don't know what works best to treat COVID-19. Some of the ideas and innovations are outstanding, but they are, so far, untested. There is an urgent need to evaluate ongoing innovations to learn what works and what doesn't, and what may have costs that are acceptable only under crisis conditions.

Jun 1, 2020
Commentary

The Unintended Consequences of a Proposed Cure for COVID-19

The very discussion of chloroquine and hydroxychloroquine as therapeutic options against COVID-19 has decreased their availability for proven treatments, exacerbated global shortages, fueled a rampant counterfeit drug market in Africa, and worsened trade tensions. What can be done to deal with these unintended consequences?

Apr 29, 2020
Journal Article

Cost Analysis of a Randomized Trial of Getting to Outcomes Implementation Support of CHOICE in Boys and Girls Clubs in Southern California

This study estimates the societal costs of implementing CHOICE, a voluntary after-school alcohol and other drug prevention program for adolescents, in Boys and Girls Clubs across Southern California with and without an implementation support system called Getting To Outcomes.

Mar 11, 2020
Report

Decision-making for investment in early diagnosis interventions for cancer: An interview-based study for Cancer Research UK

RAND Europe sought to better understand how commissioners of healthcare services and Cancer Alliances make decisions about early diagnosis interventions at a local level, with a particular focus on England and Northern Ireland.

Mar 2, 2020
Report

2019 RAND Summer Institute Lecture Series

Video sessions from the 26th Annual RAND Summer Institute, two annual conferences in Santa Monica, California, which addressed critical issues facing our aging population: The Mini-Medical School for Social Scientists on July 8–9, and the Demography, Economics, Psychology, and Epidemiology of Aging conference on July 10–11, 2019.

Dec 9, 2019
Report

The Use of Technology to Augment Clinical Care in Depression and Anxiety Disorders: An Evidence Map

This evidence map provides an overview of the existing research evaluating technology in depression and anxiety care and documents upcoming research to evaluate the role of technology to support clinical care.

Aug 15, 2019
Journal Article

A Systematic Review in Support of the National Consensus Project Clinical Practice Guidelines for Quality Palliative Care, Fourth Edition

A substantial body of evidence exists to support clinical practice guidelines for quality palliative care but the quality of evidence is limited.

Mar 26, 2019

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RAND Topic:
Evidence Based Health Practice

Topic Synonyms:
EBP;
Evidence-Based Practice

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