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Health Care Facilities

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

POLST Completion and Continuity in California Nursing Homes

We used MDS 2011–2016 linked to California Section S to describe POLST completion, cardiopulmonary resuscitation and do not resuscitate orders, invalid POLST documents, and switches in POLST content across the population of California NH residents.

Mar 16, 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
News Release

Audio-Only Telehealth Remains Common at Safety Net Health Clinics; Trend Raises Questions About Quality

Rapid adoption of telehealth helped safety net clinics in California to maintain consistent levels of service after the onset of the COVID-19 pandemic, but the use of audio-only care has persisted in the clinics longer than in other types of health care settings.

Mar 15, 2022
Report

Audio-Only Telehealth Remains Common at Safety Net Clinics; Raises Questions About Quality

Early in the COVID-19 pandemic, rapid adoption of telehealth helped safety net clinics in California maintain service. But the use of audio-only care has persisted in the clinics, raising questions about the quality of care and equity for low-income patients.

Mar 14, 2022
Journal Article

Cannabis Legalization and Cannabis-Involved Pregnancy Hospitalizations in Colorado

The primary objective of this study was to evaluate the association between presence of recreational cannabis dispensaries and prevalence of cannabis-involved pregnancy hospitalizations in Colorado.

Mar 4, 2022
Journal Article

APCDs Can Provide Important Insights for Surveilling the Opioid Epidemic, With Caveats

We compared Colorado's all-payer claims databases with other state-level databases, using analyses comparing quarterly rates of opioid-involved inpatient and emergency department visits and rates of 30-day opioid fills.

Mar 4, 2022
Journal Article

Changes in Emergency Department Encounters for Vomiting After Cannabis Legalization in Colorado

The findings of this study suggest that cannabis legalization in Colorado is associated with an increase in annual vomiting-related health care encounters with regard to exposure to these markets.

Mar 4, 2022
Journal Article

Organizational and Geographic Nursing Home Characteristics Associated With Increasing Prevalence of Resident Obesity in the United States

The objective of this study was to examine the associations between nursing home obesity prevalence rate and nursing home organizational, staffing, resident, and geographic factors within a profit maximization framework.

Feb 8, 2022
Journal Article

Nurse Aide Retention in Nursing Homes

The research presented provides information on nurse aide retention in nursing homes as a workforce challenge and its impact on quality.Retention may be an additional staffing characteristic of nursing facilities with policy and practice relevance.

Feb 8, 2022
Journal Article

Nursing Home Patient Safety Culture Perceptions Among US and Immigrant Nurses

This study compared the PSC perceptions of foreign and domestic born and trained nurses working in urban NHs in 5 states to analyze how nurses' patient safety culture perceptions corresponded to their personal and professional characteristics.

Feb 8, 2022
Multimedia

RAND Video Highlights of 2021

The best RAND videos from the past year brought our research to life in new ways. From the sidewalks of Pittsburgh to preschools in the Middle East, see how people around the world are using RAND research to make their communities safer and more secure, healthier and more prosperous.

Dec 20, 2021
Journal Article

Physician Compensation In Physician-Owned And Hospital-Owned Practices

Vertical integration of physician practices with hospitals or health systems was associated with lower income for nonsurgical specialists, no difference in income for primary care physicians, and slightly higher income for surgical specialists.

Dec 10, 2021
Journal Article

Association Between COVID-19 Relief Funds and Hospital Characteristics in the US

CARES Act funds may have disproportionately gone to hospitals that were in a stronger financial situation prior to the pandemic compared to those that were not.

Nov 2, 2021
Report

Practice Expense Data Collection and Methodology: Phase II Final Report

In this report, the authors address how the Centers for Medicare & Medicaid Services might improve the methodology used in practice expense (PE) rate-setting, update data that inform PE rates, or both.

Nov 1, 2021
Journal Article

Trends in Visits to Substance Use Disorder Treatment Facilities in 2020

This study examined weekly changes in the number of substance use disorder treatment facility visits in 2020 compared to 2019, and explored variation in change in weekly visits by COVID-19 incidence and historical fatal drug overdose rate.

Oct 22, 2021

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RAND Topic:
Health Care Facilities

Topic Synonyms:
Medical Facilities

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