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Report
Assessing Burnout Among Military Health Care Providers
Health care provider burnout poses a threat to mental and behavioral health care for service members, veterans, and their families. How prevalent is burnout? What workplace factors are associated with increased risk for burnout? And what interventions could help?
May 3, 2022
Report
Designing the Health System–Community Pathways Program for African American Children and Young Adults
Low representation of African American/Black individuals in the health care workforce can be traced to a history of exclusionary practices that leave them less likely to pursue health careers. A pathway program aims to increase representation of African American/Black communities in the health care workforce and improve the quality of their educational and work experiences.
Apr 14, 2022

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Journal Article
The Medicare Access and CHIP Reauthorization Act: Effects on Medicare
The Medicare Access and Chip Reauthorization Act (MACRA) will decrease Medicare spending on physician services by an estimated -$35 to -$106 billion and change spending on hospital services by +$32 to -$250 billion between 2015 and 2030.
Apr 5, 2017
Journal Article
Antibiotics Prescribed as Often During Telemedicine Appointments as In-Person Visits
Patients treated for acute respiratory infections by a doctor on a telephone or live video are as likely to be prescribed an antibiotic as those treated in person. However, patients treated virtually are more often prescribed a broad-spectrum antibiotic, which is concerning because overuse of the drugs increases costs and contributes to antibiotic resistance.
Mar 28, 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
Report
The Impact of Establishing a Full Scope of Practice for Advanced Practice Registered Nurses in the State of Indiana
This report examines the literature related to the relationship between state APRN SOP regulations and health care delivery, and it estimates the effect on the state of Indiana if the legislature were to define a full SOP for APRNs.
Mar 22, 2017
Journal Article
Leveraging Telehealth to Bring Volunteer Physicians Into Underserved Communities
Organizations that use telehealth to address safety net clinic needs by recruiting retired or semi-retired doctor volunteers can help improve access to physicians in underserved areas while enriching the professional lives of clinicians.
Mar 16, 2017
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
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

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Research conducted by

Researcher Spotlight

Allyson D. Gittens

Policy Analyst

Allyson Gittens (she/her) is a policy analyst at the RAND Corporation. Her research focuses on the social determinants of health, health equity, the health care workforce, teacher workforce and education equity. Gittens has served as project manager and task lead on a number of complex projects…
Jordan M. Harrison

Policy Researcher

Jordan Harrison is a health policy researcher at the RAND Corporation. She works across a range of program and policy areas in health care and social and economic wellbeing. Her research interests center around the health care workforce, aging, and long-term care. She currently leads a study…

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