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State Policies Requiring Education for Buprenorphine Prescribers Boosts Use of Opioid Use Disorder Treatment
States that want to increase access to buprenorphine, a lifesaving medication used to treat opioid use disorder, should consider efforts to enhance professional education and clinician knowledge.
May 26, 2023
Report
How to Strengthen Virginia's Health Care Workforce
Like the United States as a whole, Virginia faces a significant shortage of health care workers in nursing, primary care, and behavioral health. Multiple interventions could boost recruitment, retention, and the structural efficiency of health care delivered by these professions.
Nov 15, 2023

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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
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

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Research conducted by

Researcher Spotlight

Shreya S. Huilgol

Research Assistant

Shreya Huilgol (she/her) is a research assistant at the RAND Corporation. Her research interests include helping clinicians and staff within health care organizations make better decisions and understand how innovations are disseminated and implemented in health care settings, leading to better…
Hampton Toole

Analyst

Hampton Toole (she/her) is an analyst at the RAND Corporation. She works primarily in health and wellbeing at RAND Europe with a focus on health care innovation research. She has experience in health systems research on subjects including NHS innovation programmes, utilising desk research,…

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