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Health Care Workforce

Journal Article

Attitudes, Practices, and Experiences with Implementing a Patient-Centered Medical Home for Women Veterans

Strengthening positive attitudes toward female veterans may matter more than changing women’s health practice characteristics alone.

Mar 14, 2017
Journal Article

The Effects of Pay-for-Performance Programs on Health, Health Care Use, and Processes of Care: A Systematic Review

There is some evidence that pay-for-performance programs improve processes of care, but there is no clear evidence that they improve patient outcomes.

Mar 14, 2017
Journal Article

Medical Oncologists' Experiences in Using Genomic Testing for Lung and Colorectal Cancer Care

More research is needed to determine whether the observed variation in genomic testing for lung and colorectal cancer reflects appropriate or inappropriate care.

Mar 13, 2017
Tool

RAND's Fidelity Monitoring Protocol for Suicide Prevention Workshops in California

RAND developed a fidelity monitoring protocol composed of adherence and competence measures based on the Applied Suicide Intervention Skills Training (ASIST) for the California Mental Health Services Authority.

Mar 7, 2017
Commentary

Should the Definition of Health Include a Measure of Tolerance?

Involving the medical community in helping to measure and increase tolerance could help make individuals and communities healthier. Since hate is both deadly and contagious, now is the time to engage the medical profession in eradicating it.

Feb 15, 2017
Journal Article

Feasibility and Pilot Efficacy of a Brief Smoking Cessation Intervention Delivered by Vascular Surgeons in the Vascular Physician Offer and Report (VAPOR) Trial

Surgeons successfully delivered a brief smoking cessation intervention to patients preparing for peripheral artery disease surgery; initial results suggest the pre-surgery period may be a “teachable moment” for encouraging patients to quit smoking.

Feb 9, 2017
Commentary

Responsible e-Prescribing Needs e-Discontinuation

Implementation of electronic prescribing has been a big success in health information technology. But most e-prescribing systems don't allow electronic cancellation of orders. Adding this feature could help reduce medication errors.

Feb 7, 2017
Journal Article

New Parent Home Visiting Program Reduces Infants' Need for Medical Care

Infants whose families took part in a new parent home visit program were less likely to visit the emergency room and made fewer primary care visits during their first year of life. The program benefited at-risk families and those who had no risk factors.

Jan 27, 2017
Report

Testing New Codes to Capture Post-Operative Care

This report summarizes RAND's pilot testing of a set of proposed nonpayment codes that physicians would use for post-operative visits. The goal of testing was to assess whether practitioners understood and could correctly apply the codes.

Jan 11, 2017
Journal Article

Fostering Evidence-Based Quality Improvement for Patient-Centered Medical Homes: Initiating Local Quality Councils to Transform Primary Care

Primary care quality councils – consisting of local leaders from medicine, nursing, administration, and a local Veteran patient representative – successfully cultivated quality improvement leadership in 6 VA patient-centered medical homes.

Jan 10, 2017
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

Optimizing Patients' Vital Interests Post-Discharge

While there is value in assessing risk for post-discharge adverse events at the end of a hospital stay, a better strategy might be to try to identify and address risks at admission.

Dec 12, 2016
Journal Article

Testing a Videogame Intervention to Recalibrate Physician Heuristics in Trauma Triage: Study Protocol for a Randomized Controlled Trial

A randomized controlled trial will test whether a game can help adjust the mental shortcuts physicians use to triage trauma patients, and thus improve accuracy.

Dec 9, 2016
Report

Lessons Learned from the MAVEN Project Pilot

The Medical Alumni Volunteer Expert Network (MAVEN) Project created a corps of experienced volunteer physicians to provide telehealth consults to providers in safety-net clinics. This evaluation of the program can inform quality-improvement efforts.

Dec 9, 2016
Journal Article

Gender and Physician Specialization and Practice Settings in Ecuador: A Qualitative Study

More women than men are now doctors in Ecuador, but gender norms still exert strong influence on female physicians' choice of specialty and practice setting.

Dec 8, 2016
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
Commentary

What If Being a Leader In Public Health Is About More Than Just Health?

Public health leaders should be able to articulate the business case for their work and should have the skills to work with others outside the health sector. Schools could help by preparing students to think beyond the traditional boundaries of public health.

Nov 17, 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

Rating Communication in GP Consultations: The Association Between Ratings Made by Patients and Trained Clinical Raters

Patients are less likely than professional evaluators to rate physician communication as poor.

Oct 20, 2016
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

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