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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.
Report

Recommendations for Improving Access to Primary Care

Aug 31, 2018

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

Explore Health Care Organization and Administration

Report

Report

The Use of Technology to Augment Clinical Care in Depression and Anxiety Disorders: An Evidence Map

This evidence map provides an overview of the existing research evaluating technology in depression and anxiety care and documents upcoming research to evaluate the role of technology to support clinical care.

Aug 15, 2019
News Release

Child Psychiatry Telephone Consultation Programs Help Increase Mental Health Services for Children

Telephone hotlines that allow primary care doctors to immediately consult with a child psychiatrist about urgent patient problems appear to increase the number of children who receive aid, offering one strategy to help more children receive mental health services.

Jul 15, 2019
Journal Article

Journal Article

The Problematic Economics of Integrative Oncology

The economics of integrative oncology are problematic because of the lack of good studies, the lack of historic incentives for efficiency, and the high cost of cancer care and its financial toxicity on patients. However, these problems can be overcome, with help from one good economic evaluation at a time.

Jun 11, 2019
Journal Article

Journal Article

Benchmarking Deployment of Ehealth Among General Practitioners: Final Report

A study measuring the use of ICT and eHealth applications by primary care physicians in the EU. Researchers analysed the main drivers of change and factors that can enhance or inhibit the role and use of technologies within health care.

May 30, 2019
Journal Article

Journal Article

A 'Telephone First' Approach to Demand Management in English General Practice: The Tele-First Multimethod Evaluation

An evaluation of a 'telephone first' approach, where patients requesting a general practitioner appointment are asked to speak to a GP on the telephone first. The review included practice comparisons, plus patient and staff surveys.

May 8, 2019
News Release

The 'Telephone First' Approach by GPs Does Not Work for All Patients

The 'telephone first' approach in general practice does not work for all patients and can lead to challenges for primary care staff. The system clearly suited some patients, avoiding the need to visit the surgery, but was difficult for others.

May 8, 2019
Journal Article

Journal Article

GPs' and Practice Staff's Views of a Telephone First Approach to Demand Management: A Qualitative Study in Primary Care

A study to help understand the views of GPs and practice staff of the telephone first approach for demand management, and to identify enablers and barriers to the successful adoption of the approach.

Apr 25, 2019
Report

Examining the Impact of the Primary and Behavioral Health Care Integration Program

Evidence suggests that the Primary and Behavioral Health Care Integration Program reduced the cost of care and use of emergency room and inpatient services, as well as improved follow-up after hospitalization for mental illness.

Apr 19, 2019
Report

Report

Addressing Social Determinants of Health Needs of Dually Enrolled Beneficiaries in Medicare Advantage Plans: Findings from Interviews and Case Studies

How are the needs of dually enrolled beneficiaries in Medicare and Medicaid met? This report presents ways that Medicare Advantage (MA) plans and Medicare-Medicaid plans can meet the needs of dually enrolled beneficiaries.

Apr 12, 2019
Report

Report

Better evaluations to support the needs of older people in the UK

Transforming care for older people is complex. This report summarises workshops undertaken with different stakeholders in an attempt to identify ways to improve how evaluations are commissioned, completed and used in a changing policy landscape.

Mar 24, 2019
Report

Report

Southwark and Lambeth Integrated Care: Evaluation of the Older People's Programme Final report

The Southwark and Lambeth Older People's Programme for older people at risk of avoidable hospitalisation, reduced A&E and outpatient attendances and elective admissions but not emergency admissions. The Programme was not cost-saving.

Mar 22, 2019
Report

Experiences of Medicaid Programs and Health Centers in Implementing Telehealth

Safety-net providers underuse telehealth due to a range of policy, organizational, and logistical barriers. Examining the use of telehealth by federal programs in seven states, researchers identified common themes and considerations for policymakers.

Mar 8, 2019
Report

Report

Evaluation of Technology-Enabled Collaborative Learning and Capacity Building Models: Materials for a Report to Congress

This report examines the quality of evidence for the effectiveness of health care models that connect generalist providers with specialist teams via technology to provide additional training.

Mar 6, 2019
Commentary

How a New Tool Could Help Mental Health Providers Deliver More Effective Care

The mental health workforce needs the proper tools to meet the needs of the communities it serves. A key element of this is high-quality training in how to deliver evidence-based treatments. RAND developed a new tool designed to assess how well a specific training aligns with the most critical features of effective training.

Mar 1, 2019
Research Brief

Research Brief

Preliminary Feasibility Assessment of DoD-VA Purchased Care Integration

An integrated approach to purchasing health care for U.S. Department of Defense and U.S. Department of Veterans Affairs could have important implications for access, quality, and costs but could face legislative, policy, or contractual challenges.

Nov 26, 2018
Report

Integrating Department of Defense and Department of Veterans Affairs Purchased Care: Preliminary Feasibility Assessment

An integrated approach to purchasing health care for U.S. Department of Defense and U.S. Department of Veterans Affairs could have important implications for access, quality, and costs but could face legislative, policy, or contractual challenges.

Nov 26, 2018
Research Brief

The Effects of Alternative Payment Models on Physician Practices: Follow-Up Study

Physician practice engagement with alternative payment models (APMs) would be enhanced by simpler APMs, a slower pace of change, greater support for new capabilities and timely data, and reexamination of practice response to APMs with financial risk.

Oct 24, 2018
Report

Physicians Struggle to Keep Up with Changing Payment Models

Alternative payment models cause administrative burdens that take doctors away from patient care. Slowing the rate of change and simplifying payment models could help them focus on patients. And getting physicians' input on the design of new payment methods might improve their engagement.

Oct 24, 2018
News Release

News Release

Complex and Rapidly Changing Payment Models Challenge Physician Practices

Physician payment models are becoming more complex and the pace of change is increasing, creating challenges for physician practices that might hamper their ability to improve the quality and efficiency of care despite their willingness to change.

Oct 24, 2018
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

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RAND Topic:
Health Care Organization and Administration

Topic Synonyms:
Health Care Organizations

Research conducted by

RAND Health Care