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Health Care Workforce

Report

Identification of Alternative Physician Assistant Recertification Models: An Analysis of the Landscape and Evidence Surrounding Approaches to Recertification in the Health Professions

Health professional recertification is meant to demonstrate and foster knowledge and competence. This report assesses recertification requirements for physician assistants, physicians, and advanced practice nurses in the U.S. and elsewhere.

Oct 3, 2018
Report

Report

Evaluation of the Second Phase of the Q Initiative 2016–2020: Interim Report

Q is an initiative is led by the Health Foundation to connect people working in quality improvement across the UK healthcare system. This is the interim report of RAND Europe's independent evaluation of the Q initiative from 2016 to 2020.

Sep 14, 2018
Report

Report

Independent evaluation of the Q Improvement Lab: Final Report

RAND Europe led a formative evaluation to understand if the Q Improvement Lab is likely to become an effective, valuable way of developing ideas or interventions to support positive change at multiple levels of the health and care system.

Sep 14, 2018
Journal Article

Journal Article

Nursing Home Infection Control Program Characteristics, CMS Citations, and Implementation of Antibiotic Stewardship Policies: A National Study

National baseline data on nursing home infection control programs will aid evaluations of a Centers for Medicare & Medicaid Services rule requiring facilities to include an antibiotic stewardship and employ an infection preventionist.

Jul 6, 2018
Journal Article

Journal Article

Rural And Nonrural Primary Care Physician Practices Increasingly Rely On Nurse Practitioners

Data from 2008-2016 show that both rural and non-rural primary care practices increasingly involve nurse practitioners (NPs) to deliver care.

Jul 6, 2018
Journal Article

Journal Article

Perceptual and Structural Facilitators and Barriers to Becoming a Surgeon: A Qualitative Study of African-American and Latino Surgeons

The path to a surgical career for African-Americans and Latinos is heavily influenced by mentors who can help mediate their integration into surgical culture and engender a sense of belonging.

Jun 29, 2018
Commentary

Getting Doctors to Make Better Decisions Will Take More than Money and Nudges

While monetary incentives and behavioral nudges both have their strengths, neither is enough to reliably change clinician behavior and improve quality of care. Organizational culture provides another important lens to understand why clinicians are practicing in a certain way and to put forth more comprehensive, long-term solutions.

Jun 21, 2018
Dissertation

Dissertation

Three Essays on Value in Health Care: Workplace Wellness Program Return on Investment, Effectiveness of Monetary Penalties for Tobacco Cessation Non-Participation, and Physician Perceptions of Their Use of Time and Appropriateness of Care Provided

This dissertation, in a three paper format, examines three policy levers for improving health care value.

Jun 12, 2018
Journal Article

Journal Article

Promoting a Culture of Health Through Cross-Sector Collaborations

Effective efforts to promote the health of communities require cross-sector collaborations that draw on long-term, trusting relationships .

Jun 5, 2018
Journal Article

Differences in Physician Income by Gender

About half of medical school matriculants are women. But male physicians have significantly higher incomes than their female counterparts. After adjusting for many factors, including hours worked, 30 percent of this disparity remains unexplained.

May 15, 2018
Report

Report

Health Sector Reform in the Kurdistan Region — Iraq: Primary Care Management Information System, Physician Dual Practice Finance Reform, and Quality of Care Training (Kurdish-language version)

Since 2010, RAND has worked with the Kurdistan Regional Government to improve its health care system. This phase focused on a primary care management information system, physician dual practice reform, and patient safety training.

Apr 19, 2018
Journal Article

Journal Article

Care Experiences Among Medicare Beneficiaries With and Without a Personal Physician

Medicare patients without a personal physician reported worse patient experiences, and were 3 times more likely than those with a physician not to have seen any health care provider in the last 6 months.

Apr 12, 2018
Journal Article

Journal Article

Stigma Gets in My Way: Factors Affecting Client-Provider Communication Regarding Childbearing Among People Living with HIV in Uganda

Among Ugandan HIV clients and health care providers, communication about childbearing needs is poor and associated with stigma.

Apr 10, 2018
Journal Article

Journal Article

How Should Surgical Residents Be Educated About Patient Safety: A Pilot Randomized Controlled Trial

For training medical residents, a safety workshop compared with a hospital-based online curriculum did not significantly improve overall resident perceptions of patient safety, though the workshop did lead to improvements among senior residents.

Mar 22, 2018
Report

Report

System change through situated learning: Pre-evaluation of the Health Innovation Network's Communities of Practice

This scoping study assessed the feasibility of, and best approach to, an evaluation of Communities of Practice, self-organising and self-governing groups of people who strive to be better practitioners by sharing new knowledge and practices.

Mar 20, 2018
Report

Report

Health Sector Reform in the Kurdistan Region — Iraq: Primary Care Management Information System, Physician Dual Practice Finance Reform, and Quality of Care Training (Arabic-language version)

Since 2010, RAND has worked with the Kurdistan Regional Government to improve its health care system. This phase focused on a primary care management information system, physician dual practice reform, and patient safety training.

Mar 14, 2018
Journal Article

Journal Article

Efficacy of Educational Video Game Versus Traditional Educational Apps at Improving Physician Decision Making in Trauma Triage: Randomized Controlled Trial

Results suggest that narrative based video games have the potential to influence physician behavior, although the real world implications remain unclear.

Feb 20, 2018
Dissertation

Dissertation

The Impact of Nurse Practitioner Scope-of-Practice Regulations in Primary Care

The dissertation assesses the impact of nurse practitioner scope-of-practice regulations in primary care.

Feb 14, 2018
Journal Article

Journal Article

Recruiting Rural Healthcare Providers Today: A Systematic Review of Training Program Success and Determinants of Geographic Choices

Exposing medical students and residents to rural practice during their training is a promising approach to addressing the shortfall of providers in rural communities.

Jan 24, 2018
Journal Article

Journal Article

Choosing Doctors Wisely: Can Assisted Choice Enhance Patients' Selection of Clinicians?

Deploying trained navigators - who can support and evaluate a patient's choice of a clinician-is a promising strategy for equitably promoting higher quality decision-making about provider choices.

Jan 24, 2018

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