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Health Care Organization and Administration

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The administration and organization of health care systems, hospital networks, and other health care settings can greatly affect health outcomes, quality of care, and patient satisfaction. RAND researchers have examined care coordination and integration, the organization and administration of military health care, and how new models of payment and care delivery under health care reform might shape the way health care systems and settings are organized and managed.

Tool

Create Your Own Hospital Ratings

Aug 29, 2018

The Personalized Hospital Performance Report Card lets you review, customize, and compare hospitals across the United States. Create your own custom ratings based on the hospital performance areas that are most important to you.
Research Brief

The Evolving Role of Retail Clinics

Nov 10, 2016

Retail clinics are playing a growing role in the health care marketplace. But they have also generated controversy. Research can provide a factual basis for assessing this new mode of care delivery.

Explore Health Care Organization and Administration

Multimedia

Integrative Health: Moving from Marginal to Mainstream

In this Events @ RAND podcast, some of the nation's leading integrative health experts discuss the path forward for incorporating evidence-based complementary and alternative treatments into standard patient care, medical training, and policymaking.

Sep 20, 2018
Report

Recommendations for Improving Access to Primary Care

Access to primary care is critical for ensuring population health. Evidence-based priorities can help health care organizations improve access and access management.

Sep 5, 2018
Periodical

Periodical

RAND Review: September-October 2018

This issue spotlights RAND's research on social and emotional learning; workforce development in Appalachia; and the effects of marijuana ads on adolescents and young adults.

Sep 4, 2018
Journal Article

Sustaining Alcohol and Opioid Use Disorder Treatment in Primary Care: A Mixed Methods Study

Access to external funding and staff support are two important factors for the sustainability of substance use disorder treatment provision within primary care clinics.

Aug 24, 2018
Journal Article

Journal Article

The Use of Technology in the Clinical Care of Depression: An Evidence Map

This evidence map provides a broad overview of the existing research evaluating technology in depression care. Computer applications are most common. Almost all applications yield symptom improvement. Further research on these applications is needed.

Aug 22, 2018
Journal Article

Journal Article

Blind Spots in Telemedicine: A Qualitative Study of Staff Workarounds to Resolve Gaps in Diabetes Management

Despite noteworthy progress in detecting diabetic retinopathy and access to DR screening, telemedical screening adds additional burdens to medical staff that should be addressed to strengthen the potential of such platforms.

Aug 15, 2018
Journal Article

Journal Article

Rural And Nonrural Primary Care Physician Practices Increasingly Rely On Nurse Practitioners

Data from 2008-2016 show that both rural and non-rural primary care practices increasingly involve nurse practitioners (NPs) to deliver care.

Jul 6, 2018
Journal Article

Direct-to-Consumer Telemedicine Following Natural Disasters

Direct-to-consumer telemedicine is a viable way to deliver medical care in the days after a natural disaster. But most people who use such services do so for routine matters, not disaster-caused illnesses.

Jun 4, 2018
Journal Article

Journal Article

Communication Among Team Members Within the Patient-centered Medical Home and Patient Satisfaction With Providers: The Mediating Role of Patient-Provider Communication

To examine the relationship between intrateam communication in a PCMH and patients' satisfaction with assigned PCPs, and whether patient-provider communication mediates this relationship.

Jun 1, 2018
Report

Patient-Centered Medical Home Implementation in Indian Health Service Direct Service Facilities

In 2008, the Indian Health Service launched a patient-centered medical home (PCMH) initiative to improve the quality of care in its clinics. RAND researchers identified barriers and strategies to assist clinics on the path to PCMH recognition.

May 25, 2018
News Release

News Release

Direct-to-Consumer Telemedicine Can Deliver Routine Care to Affected People Following Natural Disasters

Direct-to-consumer telemedicine is a viable way to deliver medical care in the days following a natural disaster, although most people who use such services do so for routine matters rather than disaster-caused illnesses.

Apr 25, 2018
Journal Article

Unmet Mental Health Treatment Need and Attitudes Toward Online Mental Health Services Among Community College Students

Community college students reported being open to using online mental health services, but utilization was low.

Apr 24, 2018
Report

Report

Health Sector Reform in the Kurdistan Region — Iraq: Primary Care Management Information System, Physician Dual Practice Finance Reform, and Quality of Care Training (Kurdish-language version)

Since 2010, RAND has worked with the Kurdistan Regional Government to improve its health care system. This phase focused on a primary care management information system, physician dual practice reform, and patient safety training.

Apr 19, 2018
Journal Article

Journal Article

Cognitive and Mind-Body Therapies for Chronic Low Back Pain and Neck Pain: Effectiveness and Value

A recent Institute for Clinical and Economic Review provides evidence that some cognitive and mind-body therapies are effective for chronic low back pain and also cost-effective.

Apr 18, 2018
Report

Practice Expense Methodology and Data Collection Research and Analysis

This report proposes alternative methodologies for determining the practice expense (PE) component of the Medicare Physician Fee Schedule in order to avoid misvalued payment rates. A main concern is the allocation of indirect practice costs.

Apr 11, 2018
Journal Article

Journal Article

Impact of a Mental Health Based Primary Care Program on Emergency Department Visits and Inpatient Stays

Introducing primary care services into mental health clinics may increase utilization of inpatient services, perhaps due to newly identified unmet medical need.

Apr 10, 2018
Journal Article

Journal Article

Integrating Behavioral Health and Primary Care Services for People with Serious Mental Illness: A Qualitative Systems Analysis of Integration in New York

Effective integration of behavioral and physical health care does not advance along a single continuum from minimally to fully integrated care but along several, parallel pathways.

Mar 22, 2018
Report

Report

Health Sector Reform in the Kurdistan Region — Iraq: Primary Care Management Information System, Physician Dual Practice Finance Reform, and Quality of Care Training (Arabic-language version)

Since 2010, RAND has worked with the Kurdistan Regional Government to improve its health care system. This phase focused on a primary care management information system, physician dual practice reform, and patient safety training.

Mar 14, 2018
Journal Article

Journal Article

Use of CAHPS Patient Experience Survey Data as Part of a Patient-Centered Medical Home Quality Improvement Initiative

Practice leaders at a large urban Federally Qualified Health Center in California. regularly engaged and used CAHPS scores, trends, and benchmarks alongside other data while making changes related to QI and patient centered medical homes

Mar 2, 2018
Journal Article

Journal Article

Integrating Physical Health: What Were the Costs to Behavioral Health Care Clinics?

Delivering physical health care in specialty mental health clinics was a promising strategy for improving the care that adults with SMI receive for their physical health conditions, but financial feasibility remains a major challenge.

Feb 13, 2018

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RAND Topic:
Health Care Organization and Administration

Topic Synonyms:
Health Care Organizations

Research conducted by

RAND Health