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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.

Commentary

Support for Implementing Home Visiting Under the Affordable Care Act

One groundbreaking provision of the Affordable Care Act is its funding for home visiting programs that match the parents of young children with trained specialists who provide information, social support, parental skill instruction, and more.

Jan 8, 2014
Tool

Getting to Outcomes® (GTO) Toolkit

The Getting To Outcomes®: Improving Community-Based Substance-Use Prevention project assesses the effectiveness of participatory methods meant to assist community coalitions in preventing substance abuse and to improve community health.

Jan 1, 2014
Journal Article

A Patient-Centered Primary Care Practice Approach Using Evidence-Based Quality Improvement: Rationale, Methods, and Early Assessment of Implementation

Healthcare systems and their primary care practices are redesigning to achieve goals identified in Patient-Centered Medical Home (PCMH) models such as Veterans Affairs (VA)'s Patient Aligned Care Teams (PACT).

Jan 1, 2014
Journal Article

The Vietnam Multicomponent Collaborative Care for Depression Program: Development of Depression Care for Low- and Middle-Income Nations

A collaborative care mental health initiative in Vietnam triumphed over social, cultural and system barriers.

Jan 1, 2014
Commentary

The Time Is Ripe for Evidence

Earlier this year, the European Commission renewed its commitment to promoting child well-being. One of the guidelines was to strengthen the use of evidence-based policy. This is noteworthy because it represents one of the first times that the EC has specifically advocated the use of evidence in policy making.

Dec 2, 2013
Journal Article

Journal Article

A Surveillance System to Assess the Need for Updating Systematic Reviews

This report describes the development and initial results of a surveillance system to assess produced by the Agency for Research and Quality (AHRQ) Evidence-based Practice Center (EPC) Program.

Nov 1, 2013
Commentary

How to Improve the Way Medical Research Is Applied in Frontline Care

Many people assume that it is enough to present clinicians and managers with the results of medical research for them to adopt those techniques that work best. This is quite untrue. The scale and pace of medical advance poses a continual challenge, and there is often a gap between recommended care and actual care received.

Oct 7, 2013
Brochure

The time is ripe for evidence-based child policy in the EU

This note provides an overview of the reasons for greater demand for evidence-based child policy in Europe, and things to take into account in using evidence-based information in this area.

Aug 21, 2013
News Release

News Release

New International Report on HIV Prevention Urges Localised Consideration of Antiretroviral Strategies

To make an impact on new HIV infections globally, antiretroviral (ARV)-based HIV prevention strategies need to be closely tailored to local contexts and cultures.

Jun 19, 2013
Multimedia

Mapping Pathways to HIV Prevention

Molly Morgan Jones, a Research Leader in RAND Europe, discusses how antiretroviral (ARV)-based HIV prevention strategies need to be closely tailored to local contexts and cultures in order to make an impact on new HIV infections globally.

Jun 19, 2013
Report

International Report on HIV Prevention Urges Localised ARV Strategies

To make an impact on new HIV infections globally, antiretroviral (ARV)-based HIV prevention strategies need to be closely tailored to local contexts and cultures.

Jun 19, 2013
Research Brief

Research Brief

Mapping pathways to HIV prevention: Developing evidence-based, people-centred strategies for the use of antiretrovirals

Mapping Pathways is the first integrated, research-driven and community-led project to synthesise scientific evidence and local perspectives about antiretroviral drug-based HIV prevention strategies, in South Africa, India and the United States.

Jun 19, 2013
Journal Article

Journal Article

Options for Effective Mechanisms to Support Evidence-Informed Policymaking in RMNCH in Asia and the Pacific

This RAND Europe report looks at providing timely, reliable and high-quality evidence to inform decision-making to improve women's and children's health.

May 1, 2013
Journal Article

Journal Article

The Top Patient Safety Strategies That Can Be Encouraged for Adoption Now

This paper describes the first phase of a three-phase effort to conduct an evidence-based assessment of patient safety strategies. The paper describes a framework for reviewing existing studies and prospectively evaluating new studies of the implementation of patient safety practices.

Mar 1, 2013
Journal Article

Journal Article

Reducing Quality-of-Care Disparities in Childhood Asthma: La Red De Asma Infantil Intervention in San Juan, Puerto Rico

The objective of this study was to describe our experience in reducing quality-of-care disparities among Puerto Rican children with asthma by adapting 2 existing evidence-based asthma interventions.

Mar 1, 2013
Content

The Southern California Evidence-Based Practice Center

The SC-EPC conducts systematic reviews and technology assessments of all aspects of health care. Sponsored by the Agency for Healthcare Research and Quality, the center is one of 13 nationwide.

Feb 28, 2013
Journal Article

Journal Article

Shared Decision Making Between Patients and Doctors Will Require Investment by Health Systems

Health care providers are encouraged to implement “shared decision making” in which patients and doctors together choose the treatment that is best for each patient. However, doctors need more instruction on how to engage patients and better information systems to make sure patients know their options and receive individualized care.

Feb 1, 2013
Journal Article

Journal Article

Trajectories of Change in Anxiety Severity and Impairment During and After Treatment with Evidence-Based Treatment for Multiple Anxiety Disorders in Primary Care

This study aimed to identify (1) clusters of participants with similar patterns of change in anxiety severity and impairment (trajectory groups); and (2) characteristics that predict trajectory group membership.

Jan 1, 2013
Research Brief

Providers Influence the Bulk of Health Care Spending in the U.S.

Providers can dramatically improve American health care by focusing on “value” instead of “volume,” eliminating wasteful and inappropriate care, applying the best available evidence to their practices, and enhancing patient safety.

Nov 15, 2012
Report

Report

Dissemination and Adoption of Comparative Effectiveness Research Findings When Findings Challenge Current Practices

An analysis of factors that impede the translation of comparative effectiveness research (CER) into clinical practice and those that facilitate it, based on case studies of five recent CER studies.

Oct 10, 2012

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RAND Topic:
Evidence Based Health Practice

Topic Synonyms:
EBP;
Evidence-Based Practice

Research conducted by

Researcher Spotlight

Susanne Hempel

Director, Southern California Evidence-based Practice Center

Susanne Hempel is an affiliated adjunct at the RAND Corporation. She is the director of the Southern California Evidence-based Practice Center (EPC), leading contracts for the Agency for Healthcare Research and Quality (AHRQ), the Psychological Health Center of Excellence (PHCoE), and other…
Sonja Marjanovic

Director, Healthcare Innovation, Industry and Policy, RAND Europe

Sonja Marjanovic directs RAND Europe’s portfolio of research in the field of healthcare innovation, industry and policy. Her work provides decision makers with evidence and insights to support innovation and improvement in healthcare systems, and to support the translation of innovation into…

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