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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
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
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
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
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

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RAND Topic:
Evidence Based Health Practice

Topic Synonyms:
EBP;
Evidence-Based Practice

Research conducted by

Researcher Spotlight

Carl Berdahl

Affiliated Adjunct Physician Policy Researcher

Carl Berdahl (he/him) is an affiliated adjunct physician policy researcher at the RAND Corporation. Also an emergency physician and health services researcher at Cedars-Sinai Medical Center, his primary research objective is to improve the quality and safety of emergency care by designing better…
Joachim O. Hero

Associate Policy Researcher

Joachim O. Hero is an associate policy researcher at the RAND Corporation. He applies frameworks and methods in quantitative survey research, systematic literature review, and policy analysis to study topics in health care and public health. In health care his research has covered issues in…

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