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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

Hyaluronic Acid Injection Therapy for Osteoarthritis of the Knee: Concordant Efficacy and Conflicting Serious Adverse Events in Two Systematic Reviews

A lack of standards for reporting and synthesizing adverse events associated with common treatments can lead to conflicting conclusions about the balance of their benefits and harms.

Nov 28, 2016
Report

Improving Population Health Through an Innovative Collaborative: The Be There San Diego Data for Quality Group

The Be There San Diego Data for Quality (DFQ) Group created a safe venue for competing health care organizations in San Diego County to share performance data on quality-of-care measures, insights, lessons learned, and challenges they face.

Sep 26, 2016
Journal Article

Journal Article

The "Retrofitting" Approach to Adapting Evidence-Based Interventions: A Case Study of Pediatric Asthma Care Coordination, United States, 2010–2014

This case study of pediatric asthma care coordination found preliminary support for the validity of retrofitting concept--adapting evidence-based modifications rather than entirely new interventions.

Sep 14, 2016
News Release

News Release

Cost Savings Possible from Reducing Use of Low-Value Health Services

The first national study to examine spending on a wide array of low-value health services among adults with commercial health insurance finds that while use of such services is modest, there is considerable potential for cost savings.

Aug 29, 2016
Journal Article

Journal Article

EPC Methods: AHRQ End-User Perspectives of Rapid Reviews

Provides insight into the perspectives of AHRQ evidence synthesis end-users, highlighting as important: the credibility of the review producer, relevance of key questions, and close working relationship between the end-user and review producer.

Aug 1, 2016
Journal Article

Journal Article

Estimation of Benefits, Burden, and Harms of Colorectal Cancer Screening Strategies: Modeling Study for the US Preventive Services Task Force

Comparative modeling of colorectal cancer screening methods for previously unscreened adults found that the use of four strategies over different intervals between the ages of 50 and 75 years yielded a comparable balance of benefit and burden.

Jun 21, 2016
Report

Report

Agreement with, and feasibility of, the emerging recommendations from the Living with Breathlessness study: Findings from an online stakeholder survey

This report contains the findings from an online survey of stakeholders who work with people living with advanced COPD to explore agreement with, and feasibility of the recommendations from the Living with Breathlessness study.

Jun 6, 2016
Journal Article

Journal Article

Depression Quality of Care: Measuring Quality Over Time Using VA Electronic Medical Record Data

Analysis of administrative data showed that VA improved depression follow-up between FY2000 and FY2010, and that treatment rates compared favorably with non-VA benchmarks

May 19, 2016
Journal Article

Journal Article

Mental Health Services Research in the Military Health System

The Military Health System faces unique challenges in mental health services delivery; evidence-supported solutions require collaboration of patients, providers, and clinic leaders within military health.

May 11, 2016
Journal Article

Journal Article

A Learning Behavioral Health Care System: Opportunities to Enhance Research

A learning health system could help address current challenges in delivery of behavioral health care, from lack of care coordination and decision-support tools to disparities in access, quality, and outcomes.

May 9, 2016
Commentary

What Makes Stakeholders Want to Become Involved in Research?

Involving stakeholders in comparative-effectiveness research is important. But competing demands for their time can make this a challenge. Why do stakeholders get involved in this research, or not?

May 2, 2016
Commentary

What Do Stakeholders Say About Comparative-Effectiveness Research?

Insurers, employers, and industry are some of the stakeholder groups that are critical to the success of comparative-effectiveness research. Current research models may not provide stakeholders with all the information they need to support their involvement.

Apr 25, 2016
Journal Article

Journal Article

Complexity in Redesigning Depression Care: Comparing Intention Versus Implementation of an Automated Depression Screening and Monitoring Program

An automated depression screening program reduced barriers to patients' receiving guideline-recommended depression care.

Apr 12, 2016
Commentary

Making Prevention a Priority

A bill legalizing marijuana for recreational purposes in Vermont has a strong possibility of passing. Lawmakers and communities should focus on putting in place drug prevention programs aimed at young people, considering that their marijuana use is higher in Vermont than the national average.

Mar 7, 2016
News Release

News Release

Areas of Excellence and Need for Improvement Found in Quality of Mental Health Care Provided by the Military

The military health system performs well in following up with patients after they are discharged from a mental health hospitalization. But some areas of care for PTSD and depression need improvement. For example, although most patients received at least one psychotherapy visit, the number and timing of subsequent visits may be inadequate.

Feb 18, 2016
Report

Quality of Mental Health Care Provided by the Military

The military health system performs well in following up with patients after they are discharged from a mental health hospitalization. But some areas of care for PTSD and depression need improvement. For example, although most patients received at least one psychotherapy visit, the number and timing of subsequent visits may be inadequate.

Feb 18, 2016
Research Brief

Ensuring Excellent PTSD and Depression Care for Service Members

Service members with PTSD or depression receive considerable medical care, so providing excellent care is critical. The Military Health System shows important strengths, but improvements in care for PTSD and depression are needed.

Feb 18, 2016
Journal Article

Journal Article

Twelve Recommendations for Integrating Existing Systematic Reviews Into New Reviews: EPC Guidance

As time and cost constraints in the conduct of systematic reviews increase, the need to consider the use of existing systematic reviews also increases. We developed guidance on the integration of systematic reviews into new reviews.

Feb 12, 2016
Multimedia

RAND Summer Institute Lecture Series 2015

The RAND Summer Institute (RSI) is comprised of conferences addressing critical issues facing our aging population. This video session is from the 22nd Annual RAND Summer Institute, held July 8-9, 2015, in Santa Monica, California.

Feb 3, 2016
Commentary

More Research Is Needed on Artificial Joints and Patients Can Play a Key Role

Safety problems with artificial knees and hips, including product recalls, highlight the need for more patient-centered research. RAND has partnered with CreakyJoints in a project intended to train a group of patients to get involved in research on this topic.

Jan 22, 2016

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RAND Topic:
Evidence Based Health Practice

Topic Synonyms:
EBP;
Evidence-Based Practice

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