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Understanding how organisations ensure that their decision making is fair

The UK General Medical Council commissioned RAND Europe to investigate the tools, practices and processes used by organisations to support fair decision making in a regulatory context.

Sep 20, 2017
News Release

News Release

Clinicians, Staff at Safety-Net Medical Clinics Report Increasing Dissatisfaction with Workplace

Physicians, nurses and other staff members at medical clinics that care for people from lower-income communities are increasingly dissatisfied with their jobs, adding to evidence that the health care workforce is under stress.

Aug 7, 2017
Journal Article

Journal Article

Provision of Peer Specialist Services in VA Patient Aligned Care Teams: Protocol for Testing a Cluster Randomized Implementation Trial

Assessing the impact of outside assistance on the deployment of peer specialists in Veterans Health Administration Patient Aligned Care Teams will provide critical data to administrators and policy makers.

Jun 7, 2017
Journal Article

Journal Article

Partnering to Improve Care: The Case of the Veterans' Health Administration's Quality Enhancement Research Initiative

Understanding the respective experiences and perspectives of researchers and operations partners (i.e., policymakers, managers, clinical leaders) can help improve research partnership success.

May 30, 2017
Journal Article

Journal Article

Speaking Up About Traditional and Professionalism-Related Patient Safety Threats: A National Survey of Interns and Residents

Interns and residents often observe unprofessional behavior, but they are less likely to speak up about it, compared with traditional patient safety threats, even when they see high potential for patient harm.

May 25, 2017
Journal Article

Journal Article

Lessons Learned from an Integrated MTM Program

A community health center in western Massachusetts offers a model of integrated care, in which pharmacists play key roles in decision making and charting.

May 11, 2017
Journal Article

Telehealth Prompts New Use of Medical Services; Not Likely to Decrease Spending

Direct-to-consumer telehealth services are touted as a convenient, cheaper way to get care for minor ailments. But telehealth prompts new use of medical services. This may drive up spending rather than trim costs.

Mar 28, 2017
Journal Article

Journal Article

Prescribing of Clozapine and Antipsychotic Polypharmacy for Schizophrenia in a Large Medicaid Program

Analysis of prescribing habits for treatment of schizophrenia suggests that some clinicians may underprescribe clozapine and overprescribe multiple antipsychotics; addressing such inconsistencies with the evidence base could improve care.

Mar 16, 2017
Journal Article

Journal Article

Barriers of Pediatric Residents to Speaking Up About Patient Safety

Among pediatric residents, communication skills and a lack of confidence are the most commonly cited barriers to speaking up about patient safety.

Jan 3, 2017
Journal Article

Journal Article

Patient-Reported Offers of Alcohol Treatment for Primary Care Patients at High-Risk for an Alcohol Use Disorder

Most primary care patients in this study, who were at high risk for an alcohol use disorder, report that they were not offered treatment after an annual screening.

Nov 29, 2016
Report

Evaluation of Policy Options for Increasing the Availability of Primary Care Services in Rural Washington State

To address a perceived shortage in rural primary care providers, RAND Corporation researchers projected the effects that various policy options could have on Washington State's rural primary care workforce through 2025.

Nov 15, 2016
Journal Article

Journal Article

Acceptability of an Online Modified Delphi Panel Approach for Developing Health Services Performance Measures: Results from 3 Panels on Arthritis Research

An online Delphi-based process to select criteria for defining health care quality was rated as acceptable by three groups of participants, indicating it could be used to engage stakeholders in developing performance measures.

Sep 29, 2016
Journal Article

Journal Article

Social Networks in Health Care Teams: Evidence from the United States

Health care teams could use social network analysis study findings to adjust team structures to help facilitate information exchange, promote collaboration, and improve team performance and patient outcomes.

Sep 20, 2016
Journal Article

Journal Article

Understanding Negative Feedback from South Asian Patients: An Experimental Vignette Study

Ethnic minority participants rated communication in simulated primary care visits substantially higher than White British participants, suggesting that lower scoring from minorities on the English GP Patient Survey reflects real quality differences.

Sep 15, 2016
Journal Article

Journal Article

Mapping the Health Care Policy Landscape for Complementary and Alternative Medicine Professions Using Expert Panels and Literature Analysis

The policy environment related to complementary and alternative medicine (CAM) would benefit from a discussion involving a wide range of stakeholders about how to unify definitions of CAM as a collection of treatments vs. CAM as a professional field.

Sep 12, 2016
Journal Article

Journal Article

How Policy Can Help Develop and Sustain Workforce Capacity in UK Dementia Research: Insights from a Career Tracking Analysis and Stakeholder Interviews

This article attempts to identify research support strategies likely to be effective for strengthening the UK's dementia research landscape and ensuring a sustainable and competitive workforce.

Sep 6, 2016
Journal Article

Journal Article

Opioid Analgesic and Benzodiazepine Prescribing Among Medicaid-enrollees with Opioid Use Disorders: The Influence of Provider Communities

A substantial number of Medicaid enrollees were able to fill prescriptions for opioid analgesics, benzodiazepines, or both in the year following diagnosis for an opioid use disorder.

Aug 23, 2016
Journal Article

Journal Article

Measuring Moral Courage for Interns and Residents: Scale Development and Initial Psychometrics

The Moral Courage Scale for Physicians measures physicians' abilities to stand up for ethical beliefs in the context of patient care.

Jul 21, 2016
Journal Article

Journal Article

Measuring Workplace Climate in Community Clinics and Health Centers

Combining items from existing survey sets would improve measurement of community clinic and health center workplace climates.

Jul 6, 2016
Report

Report

Enhancing Military–Civilian Medical Synergies: The Role of Army Medical Practice in Civilian Facilities

RAND researchers assessed Army medical practice in U.S. Department of Veterans Affairs and non-Veterans Affairs civilian facilities and suggested opportunities for improving military-civilian synergies.

Jun 22, 2016

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