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Health Care Workforce

Commentary

Moving on from Telehealth-by-Desperation: What Will Make Telehealth Stick

During the COVID-19 pandemic telehealth has helped to maintain continuity of care for millions of Americans, preserve personal protective equipment, and facilitate social distancing. But that does not mean that telehealth will be embraced by patients and providers in the long run.

Aug 18, 2020
Commentary

The Link Between Workplace Diversity and the Gender Pay Gap

Many factors explain the gender earnings gap, including workplace biases, differences in how credit is attributed, and differences in how men and women negotiate. But another factor could influence the pay women receive: the number of men in their workplace.

Aug 15, 2020
Journal Article

Factors Influencing Physician Practices' Adoption of Behavioral Health Integration in the United States: A Qualitative Study

Practices currently using behavioral health integration face barriers to implementing and sustaining behavioral health integration. Tailored, context-specific technical support to guide practices' implementation and payment models that improve the business case for practices may enhance the dissemination and long-term sustainability of behavioral health integration.

Aug 5, 2020
News Release

Telemedicine Can Help Safety-Net Providers Expand Specialized Medical Services

Safety-net medical providers can substantially increase their telemedicine services with modest investments in new staff and technology, a move that can help them expand patients' access to specialized medical care.

Jul 29, 2020
Report

The Case for a Telemedicine Coordinator: Lessons Learned from the Sustainable Models of Telemedicine in the Safety Net Initiative

This brief report offers lessons learned about telemedicine staffing and the coordinator role from the experience of nine community health centers in California that participated in the Sustainable Models of Telehealth in the Safety Net initiative.

Jul 29, 2020
Report

Promising Practices for Telemedicine Implementation

RAND researchers describe practices identified by health centers participating in the Sustainable Models of Telehealth in the Safety Net initiative that could support the growth and sustainability of telemedicine programs in safety-net settings.

Jul 29, 2020
News Release

Integrating Behavioral Health Services into Medical Practices Faces Culture and Financial Barriers

Integrating behavioral health services into physician medical practices raises cultural and financial barriers, but providing technical support and improved payment models may enhance the long-term sustainability of the approach.

Jun 2, 2020
Report

Options for Maintaining Clinical Proficiency During Peacetime

The U.S. Army Medical Department has a dual mission: to care for the war wounded during times of conflict and to operate medical treatment facilities that provide care to service members, their beneficiaries, and military retirees. What options exist for improving the readiness of Army medical personnel?

May 19, 2020
Report

Planning Hospital Needs for Ventilators and Respiratory Therapists in the COVID-19 Crisis

During the coronavirus pandemic, many hospitals have run short of ventilators, as well as respiratory therapists who are trained to operate them. RAND researchers developed a model that can help hospitals prepare for and respond to shortages.

May 13, 2020
Commentary

Want to Stem the Rising Mental Health Crisis? Look Beyond the Usual Suspects for Help

As the COVID-19 pandemic and its economic effects spread, concerns about mental health impacts continue to grow. Many communities and policymakers are desperate to stem the tide of unaddressed mental health needs, and with the right investments in training, task-shifting models have enormous potential to bolster available, accessible mental health services.

May 12, 2020
Journal Article

Psychological Symptoms Among Frontline Healthcare Workers During COVID-19 Outbreak in Wuhan

To examine the psychosocial impact of COVID-19 on frontline healthcare workers in Wuhan, we collected data between February 13-17, 2020 through a smartphone-based survey.

May 12, 2020
Report

Stacking Educational Credentials in Ohio: Pathways Through Postsecondary Education in Health Care, Manufacturing and Engineering Technology, and Information Technology

RAND researchers examine students who earned postsecondary certificates in Ohio and went on to earn additional educational credentials. The researchers describe which types of credentials were earned and how students progressed through institutions.

May 11, 2020
Commentary

How COVID-19 May Affect NHS Staff

COVID-19 may leave a long legacy of poor health and well-being in the National Health Service workforce. This could affect quality of care and the financial performance of the system. We need to ensure that NHS organizations provide significant support for health care workers.

Apr 15, 2020
Blog

COVID-19's Effects on Mental Health, Food Access, and Education: RAND Weekly Recap

This weekly recap focuses on COVID-19 and mental health, food security challenges during the pandemic, supporting children while schools are closed, and more.

Apr 3, 2020
Commentary

Amidst a Pandemic, a Mental Health Crisis May Be Looming

The effects of the COVID-19 pandemic on health care workers' mental health could be significant and may weaken the health care system's ability to resolve the crisis and survive over the long term. Interventions to promote psychological well-being should be implemented now.

Apr 1, 2020
Journal Article

Differences in Consumer Assessment of Healthcare Providers and Systems Clinician and Group Survey Scores by Recency of the Last Visit: Implications for Comparability of Periodic and Continuous Sampling

Patient experiences an be collected by sampling patients periodically (visits over a 1-year period)or continuously (any visit in a monthly interval). We explored differences in Consumer Assessment of Healthcare Providers and Systems Clinician and Group scores using both sampling methods.

Mar 18, 2020
Journal Article

Association Between Opioid Prescribing in Medicare and Pharmaceutical Company Gifts by Physician Specialty

The value of opioid-related gifts given to physicians varies substantially by provider specialty, as does the relationship between payment amounts and prescriber behavior in the following year.

Mar 13, 2020
Q&A

Coronavirus Outbreak Intensifies: Q&A with RAND Experts

Cases of the coronavirus have now spread to several dozens of countries, infecting thousands and thousands of people across the globe. With concerns about the disease rising, we asked a group of RAND researchers to answer a wide range of questions about the crisis.

Mar 5, 2020
Journal Article

When Financial Incentives Backfire: Evidence from a Community Health Worker Experiment in Uganda

Despite stronger financial incentives for community health workers, the entrepreneurial model led to substantially less effort (fewer household visits) than the free delivery model. Our results call into question the notion that an entrepreneurial model necessarily increases community health worker effort relative to free distribution.

Feb 13, 2020
Dissertation

Physician Professional Satisfaction, Job Role and Income in the United States

Three papers covering different aspects of physicians' working lives: factors related to professional satisfaction; perceptions about administrative work; and physician job roles; and an analysis of sex differences in income.

Jan 14, 2020

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