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Journal Article
Opening the "Black Box" of GME Costs and Benefits: A Conceptual Model and a Call for Systematic Studies
At the heart of the current debate on financing graduate medical education (GME) is a seemingly simple question, how much does it cost hospitals and other health care providers to participate in GME?
Apr 7, 2015
Journal Article
Medically Unnecessary Diagnostic Imaging: Emergency Physicians Weigh In
A substantial proportion of advanced imaging studies ordered by emergency physicians may be medically unnecessary. According to a broad survey of emergency medicine professionals, fear of missing a low-probability diagnosis and fear of litigation are perceived as two key contributing factors.
Apr 7, 2015
Journal Article
Emergency Physician Perceptions of Shared Decision-Making
A substantial proportion of advanced imaging studies ordered by emergency physicians may be medically unnecessary.
Apr 7, 2015
Research Brief
Prescribing Antibiotics for Acute Respiratory Infections: Practice Doesn't Always Make Perfect
Physicians who treat a higher volume of patients with acute respiratory infections (ARIs) are more likely to diagnose a condition that calls for antibiotics, rather than one that does not, and they are more likely to prescribe antibiotics for ARIs.
Apr 1, 2015
Journal Article
Antipsychotic Prescribing: Do Conflict of Interest Policies Make a Difference?
Psychiatrists exposed to strict conflict of interest policies prescribed heavily promoted antipsychotics at rates similar to academic psychiatrists and nonacademic psychiatrists exposed to less strict or no policies.
Mar 24, 2015
Journal Article
Gynecologists in the VA: Do They Enhance Availability of Sex-Specific Services and Policies in the Emergency Department?
On-site gynecologist FTE is associated with improved availability of sex-specific care in EDs.
Mar 24, 2015
Report
Best practice: Medizinische Aus- und Weiterbildung aus internationaler Perspektive
This is a German translation of a report that seeks to inform the further development of medical education and training for primary care in Germany.
Mar 19, 2015
Report
Best practice: Medical training from an international perspective
This report seeks to inform the further development of medical education and training for primary care in Germany. It concludes with a presentation of policy options that arise from comparison with experiences in England, France and the Netherlands.
Mar 19, 2015
Journal Article
Doctor of Nursing Practice by 2015: An Examination of Nursing Schools' Decisions to Offer a Doctor of Nursing Practice Degree
Multiple pathways to becoming an APRN are likely to remain until various factors yield a more favorable environment for a full transition to the doctoral of nursing practice (DNP).
Mar 15, 2015
Journal Article
The Volume-Quality Relationship in Antibiotic Prescribing: When More Isn't Better
The impact of volume on more common medical conditions such as acute respiratory infections (ARIs) has not been examined.
Feb 25, 2015
Journal Article
Emotional Exhaustion in Primary Care During Early Implementation of the VA's Medical Home Transformation: Patient-Aligned Care Team (PACT)
Transformation of primary care to new patient-centered models requires major changes in healthcare organizations, including interprofessional expectations and organizational policies.
Feb 25, 2015
Commentary
Does Expanding Nurse Practitioner Autonomy Affect the Value of Care Delivered?
Given the high cost of health care in America, policymakers should be very concerned about the effect of expanded nurse practitioner autonomy on the value of care. However, to have a sensible policy debate, we need to admit that we hardly know anything about it.
Jan 28, 2015
Report
The Impact of Full Practice Authority for Nurse Practitioners and Other Advanced Practice Registered Nurses in Ohio
RAND Corporation researchers describe the effect of advanced practice registered nurses' (APRNs') scope of practice (SOP) laws on health-care access, quality, and costs and the potential effect of expanding APRN SOP specifically in the state of Ohio.
Jan 28, 2015
Research Brief
When and How Are We Engaging Stakeholders in Health Care Research?
Stakeholder engagement in research varies significantly: Patients and health care providers were the most frequent collaborators. Policymakers and other researchers collaborated infrequently, or about 20 percent of the time.
Jan 22, 2015
Report
Predictive Model Could Apply to Medicare Physician Fee Schedule
The Centers for Medicare and Medicaid Services uses a resource-based relative value (RBRV) scale to calculate payments for physicians. The values of the scale were validated with predictive modeling, and the result may be helpful in two key applications: flagging codes as potentially misvalued and determining why a code is valued differently than predicted.
Jan 16, 2015
Research Brief
RAND Modeling Offers Support for Transparent and Consistent CMS Physician Fee Schedules
The current process used by the Centers for Medicare & Medicaid Services for valuing physician work is based on physician survey responses. RAND researchers examined the feasibility of developing a model based instead on external data sources.
Jan 16, 2015
Report
The DNP by 2015: A Study of the Institutional, Political, and Professional Issues that Facilitate or Impede Establishing a Post-Baccalaureate Doctor of Nursing Practice Program
In 2004, the American Association of Colleges of Nursing voted that all master's programs for advanced-practice registered nurses transition to doctorate programs by 2015. RAND studied current programs and barriers to adoption of doctorate programs.
Jan 9, 2015
Journal Article
The Critical Elements of Effective Academic-Practice Partnerships: A Framework Derived from the Department of Veterans Affairs Nursing Academy
The nursing profession is exploring how academic-practice partnerships should be structured to maximize the potential benefits for each partner.
Jan 8, 2015
Journal Article
A Cluster Randomized Trial of Adding Peer Specialists to Intensive Case Management Teams in the Veterans Health Administration
Use of peer specialists (PSs)--individuals with serious mental illness who use their experiences to help others with serious mental illness--is increasing.
Jan 1, 2015
Journal Article
Factors Associated with Ordering Laboratory Monitoring of High-Risk Medications
Physicians don't always order recommended lab tests to monitor patients taking high-risk medications.
Dec 11, 2014

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Researcher Spotlight

Carl Berdahl

Affiliated Adjunct Physician Policy Researcher

Carl Berdahl (he/him) is an affiliated adjunct physician policy researcher at the RAND Corporation. Also an emergency physician and health services researcher at Cedars-Sinai Medical Center, his primary research objective is to improve the quality and safety of emergency care by designing better…
Eric Apaydin

Adjunct Policy Researcher

Eric Apaydin is an adjunct policy researcher at the RAND Corporation. He is also a core investigator in the Center for the Study of Healthcare Innovation, Implementation, and Policy at the VA Greater Los Angeles Healthcare System. Apaydin is primarily interested in health care workforce research…

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