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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
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
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
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
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
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
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
Report
Employer, Insurer, and Industry Perspectives on Patient-Centered Comparative Effectiveness Research: Final Report
This report describes the views of purchasers, payers, and industry stakeholders on comparative effectiveness research and implications for the work of the Patient-Centered Outcomes Research Institute.
Jan 5, 2016
Report
National Patient-Centered Clinical Research Network (PCORnet) Phase I: Final Evaluation Report
PCORnet, the National Patient-Centered Clinical Research Network, seeks to conduct clinical trials and observational research quickly and at low cost. This report contains the results of a formative evaluation of PCORnet's implementation phase.
Dec 31, 2015
Journal Article
Knowledge Translation and Barriers to Imaging Optimization in the Emergency Department: A Research Agenda
This article outlines a research agenda to promote the dissemination and implementation of evidence-based interventions for emergency department (ED) imaging.
Dec 1, 2015
Journal Article
Factors Associated with Premature Exits from Supported Housing
With the use of administrative data, a roster was obtained for consumers enrolled in the Veterans Affairs (VA) Greater Los Angeles supported housing program from 2011 to 2012. This was used to examine premature supported housing exits.
Nov 20, 2015
Report
Assessing the Quality and Value of Psychological Health Care in Civilian Health Plans: Lessons and Implications for the Military Health System
The Military Health System (MHS) cares for many patients with psychological health conditions. RAND examines civilian health plans' approaches to measuring the quality of psychological health care to inform MHS' quality measurement efforts.
Nov 16, 2015
Report
Antimicrobial stewardship: The effectiveness of educational interventions to change risk-related behaviours in the general population: A systematic review
A systematic review of the evidence of effectiveness and cost-effectiveness on changing the public's risk related behaviour pertaining to antimicrobial use to inform a NICE public health guideline aimed at delaying antimicrobial resistance.
Sep 30, 2015
Brochure
Redefining Health Care Systems
A scientific and personal perspective on health services research over the last half-century suggests how that science base can stimulate innovative thinking about ways to make health care systems safer, more efficient, more cost-effective, and more patient-centered.
Jul 14, 2015

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RAND Topic:
Evidence Based Health Practice

Topic Synonyms:
EBP;
Evidence-Based Practice

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