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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

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
Report

Report

Evaluation of Technology-Enabled Collaborative Learning and Capacity Building Models: Materials for a Report to Congress

This report examines the quality of evidence for the effectiveness of health care models that connect generalist providers with specialist teams via technology to provide additional training.

Mar 6, 2019
Journal Article

Journal Article

Testing Implementation Support For Evidence-Based Programs in Community Settings: A Replication Cluster-Randomized Trial of Getting To Outcomes

The systematic support provided by Getting to Outcomes can help community organizations implement evidence-based prevention programs with more fidelity.

Feb 5, 2019
Journal Article

Journal Article

Elusive Search for Effective Provider Interventions: A Systematic Review of Provider Interventions to Increase Adherence to Evidence-Based Treatment for Depression

Low quality of evidence and lack of replication of specific intervention strategies across studies limit conclusions that can be drawn from the existing research about the effectiveness of interventions to improve adherence to antidepressant medications.

Dec 20, 2018
News Release

Growing Evidence Supports Best Practices in Palliative Care

A rapidly aging U.S. population with complex care needs will likely accelerate emphasis on palliative care services. A review of palliative care research found substantial evidence to support clinical practice guidelines and was incorporated into the new edition of the guidelines.

Oct 31, 2018
Multimedia

Integrative Health: Moving from Marginal to Mainstream

In this Events @ RAND podcast, some of the nation's leading integrative health experts discuss the path forward for incorporating evidence-based complementary and alternative treatments into standard patient care, medical training, and policymaking.

Sep 20, 2018
Report

Report

Provider Interventions to Increase Uptake of Evidence-Based Treatment for Depression: A Systematic Review

This systematic review synthesizes evidence of health care provider interventions to promote evidence-based treatment of depression across provider groups, care settings, and patient health.

Sep 10, 2018
Infographic

Managing Pain with Alternative Therapies

About 126 million adults report having pain in the past three months. Alternative and integrative therapies, such as acupuncture, mindfulness (meditation), and Tai Chi, may help some individuals manage their pain. This infographic compiles information from hundreds of reviews of the evidence on the effect of these three therapies on different types of pain.

Aug 24, 2018
Journal Article

Journal Article

The Use of Technology in the Clinical Care of Depression: An Evidence Map

This evidence map provides a broad overview of the existing research evaluating technology in depression care. Computer applications are most common. Almost all applications yield symptom improvement. Further research on these applications is needed.

Aug 22, 2018
Multimedia

2018 RAND Summer Institute Lecture Series

Video sessions from the 25th Annual RAND Summer Institute, held July 9-12, 2018, in Santa Monica, California, which addresses critical issues facing our aging population.

Aug 8, 2018
Commentary

CONSORT-SPI 2018: Announcing an Extension for Randomized Controlled Trials of Social and Psychological Interventions

Complete and transparent reporting of randomized controlled trials is integral for replication, critical appraisal and understanding context. A new extension of the CONSORT Statement aims to improve the reporting of randomized controlled trials of social and psychological interventions.

Aug 2, 2018
Report

Determining the Appropriateness of Spinal Manipulation and Mobilization for Chronic Low Back Pain

As part of a larger study, back pain experts discussed and rated the appropriateness of spinal manipulation and mobilization for chronic low back pain. Ratings were higher for mobilization than manipulation, and rates of agreement increased after panelists met to discuss the issues.

Jul 24, 2018
Report

Determining the Appropriateness of Spinal Manipulation and Mobilization for Chronic Neck Pain

As part of a larger study, RAND researchers assessed the appropriateness of spinal manipulation and mobilization for chronic neck pain. Ratings were higher for mobilization than for manipulation, and rates of agreement increased after panelists met to discuss the issues.

Jul 24, 2018
Journal Article

Journal Article

Multilevel and Community-Level Interventions with Native Americans: Challenges and Opportunities

To address health disparities among Native American communities, researchers need to collaborate with community leaders to develop, adapt, and test culturally relevant and sustainable measures and interventions.

Jun 28, 2018
Journal Article

Journal Article

Massage for Pain: An Evidence Map

More research is needed to establish confidence in the effect of massage therapy for pain.

Jun 27, 2018
Commentary

Getting Doctors to Make Better Decisions Will Take More than Money and Nudges

While monetary incentives and behavioral nudges both have their strengths, neither is enough to reliably change clinician behavior and improve quality of care. Organizational culture provides another important lens to understand why clinicians are practicing in a certain way and to put forth more comprehensive, long-term solutions.

Jun 21, 2018
Testimony

Three Goals for Developing a Suicide Prevention Plan for California

As California seeks to develop a suicide prevention plan, it should keep three goals in mind: Provide better care to those known to be at risk, identify more at-risk individuals who could benefit from services, and create safer environments designed to prevent suicide.

May 24, 2018
Journal Article

Journal Article

Current and Future Cardiovascular Disease Risk Assessment in the European Union: An International Comparative Study

This study describes how cardiovascular disease (CVD) risk assessment is carried out in practice across Europe.

Mar 15, 2018
Journal Article

Journal Article

Identification of Facilitators and Barriers to Residents' Use of a Clinical Reasoning Tool

A clinical reasoning tool improved residents' diagnostic accuracy on written cases.

Feb 21, 2018
Journal Article

Journal Article

Perioperative Management of Antiplatelet Therapy in Patients Undergoing Non-Cardiac Surgery Following Coronary Stent Placement: A Systematic Review

Current evidence regarding APT management in patients with cardiac stents undergoing NCS is insufficient to guide practice.

Feb 14, 2018

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RAND Topic:
Evidence Based Health Practice

Topic Synonyms:
EBP;
Evidence-Based Practice

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