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Health Care Facilities

Testimony
Solving the Mental Health Crisis: Tackling Psychiatric Bed Shortages in California
Psychiatric beds are essential infrastructure for meeting the needs of individuals with mental health conditions. But like many parts of the United States, California is confronting a shortage that, without action, will get worse over time. What are some recommendations to address the bed shortage?
May 1, 2023
Journal Article
Association Between Hospital Adoption of an Emergency Department Treatment Pathway for Opioid Use Disorder and Patient Initiation of Buprenorphine After Discharge
Researchers evaluated the association between hospitals attesting to an emergency department buprenorphine treatment Opioid Hospital Quality Improvement Program (O-HQIP) pathway and patients' subsequent initiation of buprenorphine treatment.
Apr 20, 2023
Journal Article
Trends in Geographic Proximity to Substance Use Disorder Treatment
This study aims to assess trends in the number and characteristics of substance use disorder treatment (SUDT) facilities within the county of residence of adults aged 50+ over time.
Apr 18, 2023
Journal Article
Does Integration of Palliative Care and Infection Management Reduce Hospital Transfers Among Nursing Home Residents?
We evaluated integration of palliative care and infection management (i.e. merging the goals of palliative care and infection management at end of life) in nursing homes and its association with hospital transfers for residents with advanced illness.
Apr 11, 2023
Journal Article
Barriers to Using Clinical Decision Support in Ambulatory Care: Do Clinics in Health Systems Fare Better?
We quantify the use of clinical decision support (CDS) and the specific barriers reported by ambulatory clinics and examine whether CDS utilization and barriers differed based on clinics' affiliation with health systems.
Jan 27, 2023
Journal Article
Patterns in Geographic Distribution of Substance Use Disorder Treatment Facilities in the US and Accepted Forms of Payment From 2010 to 2021
Researchers analyzed data to determine what proportion of the national population had local geographic availability to a licensed SUD treatment facility that accepted Medicare, Medicaid, private insurance, or cash.
Jan 25, 2023
Journal Article
The Hospital Care Experiences of Older Patients Compared to Younger Patients
Patients ages 75+ reported less-positive experiences than patients ages 55-74, especially for measures of communication. These differences may be specific to inpatient care.
Dec 23, 2022
Research Brief
Infection Control in Long-Term Care: Decisionmaking Lessons from the COVID-19 Pandemic
The COVID-19 pandemic highlighted a need to transform the decisionmaking culture in long-term care to make it more inclusive of residents, staff, and others who are affected by infection-control policies in these facilities.
Nov 9, 2022
Journal Article
The Impact of the Affordable Care Act Insurance Expansions on Opioid-Related Emergency Department Visits
We leverage ACA coverage expansions to study the impact of health insurance on opioid-related emergency department visits while accounting for potentially confounding changes in relevant state-level policies.
Oct 27, 2022
Report
Reimagining Policy Decisionmaking in Long-Term Care
Policies to mitigate the spread of COVID-19 in long-term care facilities were often mandated without input from residents and their family members, administrators, or staff. What can be done to make policy decisionmaking in these settings more inclusive?
Oct 20, 2022
Report
Health Care Consolidation: What Does the Evidence Say?
Hospital horizontal consolidation is associated with higher prices paid to providers. And there is some evidence of the same for vertical consolidation of hospitals and physician practices. What effect might the No Surprises Act—created to protect consumers from surprise medical bills—have on consolidation trends?
Sep 30, 2022
Journal Article
Higher Medicare Spending On Imaging And Lab Services After Primary Care Physician Group Vertical Integration
This study highlights how the growing trend of vertical integration, combined with differences in Medicare payment between hospitals and nonhospital providers, leads to higher Medicare spending.
Sep 20, 2022
Journal Article
Survey of Hospital Chargemaster Transparency
We compared hospital chargemaster data within a local hospital market where patients would reasonably try to shop or compare services.
Sep 15, 2022
Report
Psychiatric and Substance Use Disorder Bed Capacity, Need, and Shortage Estimates in California: Merced, San Joaquin, and Stanislaus Counties
In California, Merced, San Joaquin, and Stanislaus Counties sought to understand the gap between capacity and need for behavioral health beds. This report estimates bed shortages by triangulating estimates through multiple modeling methodologies.
Aug 26, 2022
Report
How Available and Accessible Are Mental Health Services in NYC?
Across the United States and in New York City in particular, the use of mental health services is low and care is not equitably distributed. Non-Hispanic white individuals are more likely to seek care than non-Hispanic Black or Hispanic individuals. Provider shortages and a lack of integration across service settings are two barriers, and COVID-19 exacerbated these challenges.
Jun 22, 2022
Journal Article
Examining the Course of Transitions from Hospital to Home-Based Palliative Care: A Mixed Methods Study
Mixed methods study of transitions from hospital to home for palliative care/hospice.
Jun 1, 2022
Journal Article
Trends In Hospital Prices Paid By Private Health Plans Varied Substantially Across The US
We describe how commercial hospital payment rates changed relative to Medicare rates during 2012–19 and how trends differed by hospital referral region.
Apr 20, 2022
News Release
Trends in Hospital Prices Varied Widely Across the United States
The average prices charged to commercial health plans by hospitals, as compared to what Medicare pays, remained relatively stable between 2012 and 2019, but there was a large amount of geographic variation in the trends.
Apr 4, 2022
Journal Article
The Impact of the COVID-19 Pandemic and Policy Response on Health Care Utilization: Evidence from County-Level Medical Claims and Cellphone Data
Shelter-in-place policies during the COVID-19 pandemic were associated with reductions in the use of preventive care, elective care, and the number of weekly visits to physician offices, hospitals and other health care-related industries.
Mar 31, 2022
Journal Article
Care Preferences in Physician Orders for Life Sustaining Treatment in California Nursing Homes
Physician Orders for Life-Sustaining Treatment (POLST) facilitates documentation and transition of patients' life-sustaining treatment orders across care settings. We describe the orders within POLST among all nursing home residents in California from 2011 to 2016.
Mar 16, 2022

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RAND Topic:
Health Care Facilities

Topic Synonyms:
Medical Facilities

Research conducted by

Researcher Spotlight

Catherine C. Cohen

Policy Researcher

Catherine "Katie" Cohen (she/her) is a nurse scientist and health services researcher at the RAND Corporation. Her work advances health care quality through research and policy. Her work often includes mixed-methods, including large data analysis and primary data collection, especially from…
Mahshid Abir

Senior Physician Policy Researcher

Mahshid Abir is a senior physician policy researcher at the RAND Corporation. Also a practicing emergency physician, Abir's research evaluates the continuum of acute care delivery, including pre-hospital, emergency, inpatient, and ambulatory care, with a focus on policy-related issues pertaining…

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