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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

Commentary

How COVID-19 Lessons Can Transform U.S. Mental Health Care

It would be a powerful conclusion to the pandemic if Americans reimagined a health system that was resilient against future threats, including the resulting psychological trauma. Policymakers have the opportunity now to cut short the pandemic's long tail of mental illness by taking decisive action.

Jun 2, 2021
Journal Article

Common Themes in Early State Policy Responses to Substance Use Disorder Treatment During COVID-19

States have made significant policy changes to SUD treatment policies during COVID-19, particularly regarding telehealth and facilitation of remote care. Understanding these changes could help policymakers prioritize guidance during the pandemic and for future health crises.

May 27, 2021
Journal Article

Clinician Perspectives on Methadone Service Delivery and the Use of Telemedicine During the COVID-19 Pandemic: A Qualitative Study

To explore the impact of the pandemic and accompanying policy changes on service delivery, we asked OTP clinicians about changes in care patterns and perceptions of impacts on access and quality.

May 5, 2021
Journal Article

Pilot Randomized Clinical Trial of a Text Messaging-Based Intervention for Smoking Cessation Among Young People Experiencing Homelessness

This is the first study to evaluate the feasibility of using a text messaging-based intervention (TMI) for behavior change with 18–25 year olds experiencing homelessness, and the first to test a TMI to provide ongoing support for smoking cessation.

Apr 28, 2021
Commentary

No Patient Left Behind: Considering Equitable Distribution of Telehealth

The pandemic has revealed telemedicine's potential to improve health care delivery and access. Telemedicine could help reach patients who would normally be excluded or alienated by the traditional structure of the health system.

Apr 20, 2021
Research Brief

Improving Behavioral Health Care for Remote Service Members: Three Key Priorities

Service members who are geographically remote from a military treatment facility may face unique challenges accessing high-quality behavioral health care. RAND research identified three key priority areas for the U.S. Department of Defense.

Apr 5, 2021
News Release

Geographic Barriers to Behavioral Health Care May Put Remote Service Members at Risk

Remote service members may face challenges accessing and receiving high-quality behavioral health care through the Military Health System, putting them at a greater risk for negative outcomes related to behavioral health issues.

Mar 31, 2021
Report

Geographic Barriers to Behavioral Health Care May Put Remote Service Members at Risk

Remote service members with PTSD, depression, or substance use disorder face challenges accessing high-quality behavioral health care through the Military Health System. They see primary care and private-sector providers for such care and are less likely to receive psychotherapy.

Mar 31, 2021
Multimedia

The Role of Data in the Fight Against COVID-19

RAND senior physician policy researcher Mahshid Abir discusses the importance of accurate and efficient reporting of COVID-related outcomes in the fight against COVID-19.

Mar 22, 2021
Blog

Game Theory to Help the Vaccine Rollout, Abraham Accords, Telehealth: RAND Weekly Recap

This weekly recap focuses on how game theory can help the COVID-19 vaccine rollout, potential economic benefits of the Abraham Accords, telemedicine use during the pandemic, and more.

Mar 19, 2021
Journal Article

Who Is (and Isn't) Receiving Telemedicine Care During the COVID-19 Pandemic

COVID-19 has affected telehealth utilization disproportionately. The increase in telemedicine use was greatest among patients in counties with low poverty levels, among patients in metropolitan areas, and among adults compared with children.

Mar 18, 2021
Multimedia

Pros and Cons of Telehealth

RAND senior policy researcher Lori Uscher-Pines presents the pros and cons of telehealth.

Mar 17, 2021
News Release

Growth of Telehealth During Pandemic Occurred Mostly in More Affluent and in Metropolitan Areas

Increases in the use of telehealth during the coronavirus pandemic among people with private insurance has occurred mostly among those who are more affluent and those who live in metropolitan areas.

Mar 15, 2021
Commentary

The Uncertain Future of Audio-Only Visits and Why We Need Them to Address Disparities

Audio-only health care visits have been instrumental in maintaining access to care during the pandemic. Despite this, coverage for audio-only visits is likely temporary. Devaluing and prematurely casting off a key telemedicine modality could mean the difference between a needed doctor visit and no visit at all.

Mar 12, 2021
Journal Article

Perceived Care Coordination Among Permanent Supportive Housing Participants: Evidence from a Managed Care Plan in the United States

The study explored patient perceptions of care coordination in a permanent supportive housing program operated by a large health plan in Southern California.

Mar 12, 2021
Essay

Giving Family Caregivers a Voice

One in every five American adults is caring for a loved one in need. Too often, they have to fight to make their voices heard in a health care system that doesn't always see them as the partners in care they can be. More could be done to integrate them into patients' health care teams.

Mar 10, 2021
Research Brief

10Plan, How Would It Affect Health Care Spending by Consumers and the Federal Government

The 10Plan is a self-pay plan for individuals currently uninsured or covered by a private nongroup health insurance plan. The authors built a microsimulation model to estimate health care spending under both the status quo and the 10Plan.

Feb 25, 2021
Report

Primary Care Productivity: Findings from the Literature and Perspectives from a Stakeholder Panel

To advance understanding of primary care clinic productivity, the authors reviewed relevant literature and convened stakeholders to explore definitions, identify relevant tools, and establish consensus on key aspects of primary care productivity.

Feb 17, 2021
Journal Article

Care Management Reduced Infant Mortality for Medicaid Managed Care Enrollees in Ohio

The Ohio Department of Medicaid introduced requirements to be delivered by Medicaid managed care organizations (MCOs). This study evaluated the impact of care management on reducing infant mortality in the largest Medicaid MCO in Ohio.

Feb 12, 2021
Journal Article

What Drives Greater Assimilation of Telestroke in Emergency Departments?

Although many emergency departments (EDs) have telestroke capacity, it is unclear why some EDs consistently use telestroke and others do not. We compared the characteristics and practices of EDs with robust and low assimilation of telestroke.

Feb 10, 2021

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RAND Topic:
Health Care Organization and Administration

Topic Synonyms:
Health Care Organizations

Research conducted by

RAND Health Care