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Health Care Workforce

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
Journal Article
Physicians with Waivers to Prescribe Buprenorphine for Opioid Addiction Have Capacity to Treat More Patients
Many American physicians who prescribe buprenorphine to treat individuals addicted to opioids are prescribing substantially below the patient limits allowed by law. More than 20 percent of waivered physicians treated only three or fewer patients.
Sep 28, 2016
News Release
Physicians with Waivers to Prescribe Buprenorphine for Opioid Addiction Have Capacity to Treat More Patients
Many American physicians who prescribe buprenorphine to treat individuals addicted to opioids are prescribing substantially below the patient limits allowed by law. More than 20 percent of waivered physicians treated only three or fewer patients.
Sep 20, 2016
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
Research Brief
Expanding Nurse Practitioner Scope of Practice in Michigan: Effects on Health Care Delivery
Changing scope of practice regulations in Michigan to allow nurse practitioners to autonomously diagnose, treat, and prescribe medications could increase access to care, improve favorable utilization of care, and improve patient-centeredness.
Sep 15, 2016
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
Report
The Impact of Establishing a Full Scope of Practice for Nurse Practitioners in Michigan
RAND researchers examine the existing literature on the relationship between state scope-of-practice regulations for nurse practitioners and various health care delivery outcomes, then estimate the impact if Michigan expanded that scope of practice.
Sep 15, 2016
Journal Article
Patients Learning to Read Their Doctors' Notes: The Importance of Reminders
As patients gain access to clinicians' notes, explicit email invitations to review notes may foster patient engagement.
Sep 13, 2016
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

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