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Health Care Workforce

Journal Article

Effects of Opting-Out from Federal Nurse Anesthetists' Supervision Requirements on Anesthesiologist Work Patterns

In response to California opting out of a supervision requirement for CRNAs, anesthesiologists' did not change time spent working, or time spent supervising CRNAs. They did decrease direct care clinical work hours and worked more in intraoperative care and less in postoperative care.

Nov 25, 2020
Journal Article

The Surgical and Anesthesia Workforce and Provision of Surgical Services in Rural Communities: A Mixed-Methods Examination

This mixed-methods study describes the distribution of the surgical and anesthesia workforce and qualitatively explores how such workforce and other factors influence rural hospitals' provision of surgical services.

Nov 24, 2020
Report

How Military Medical Care Has Evolved

How America cares for its war casualties—those physically or mentally wounded in combat—is a high priority. From the Korean War to recent conflicts in the Middle East, there have been dramatic changes in the care that these casualties receive in the field and in hospitals, in the care given to disabled veterans and their dependents, and in who provides that care.

Nov 11, 2020
Journal Article

Estimating the Cost of Growing the NHS Cancer Workforce in England by 2029

This research aims to understand the requirements for the NHS, and particularly for HEE, of increasing the seven priority cancer workforces by 45 per cent by 2029.

Oct 14, 2020
Commentary

When It Comes to U.S. Health Systems—Diversity Matters

Health care systems are a powerful and relatively well-resourced stakeholder in the effort to eliminate inequities both among the health workforce and among patient populations. The deliberate practice of increasing diversity within the workplace may have the power to create significant, positive impacts on workplace culture and patient care.

Sep 25, 2020
Tool

Making Improvements to Stackable Credential Pipelines: A Toolkit on Using Data to Drive Improvement in Ohio Postsecondary Institutions

Stackable credential programs are designed to make it easier for students to earn multiple postsecondary credentials within a field. This toolkit provides steps for identifying issues in and making improvements to stackable credential pipelines.

Sep 23, 2020
Journal Article

A Framework for Conceptualizing How Narratives from Health-Care Consumers Might Improve or Impede the Use of Information About Provider Quality

This paper describes a conceptual framework for examining mechanisms by which narrative information might influence consumer judgments and decisions about providers.

Sep 16, 2020
Journal Article

Monthly Patient Volumes of Buprenorphine-Waivered Clinicians in the US

This cross-sectional study examines the number of patients prescribed buprenorphine by waivered-clinicians. Evidence shows waivered-clinicians who are able to prescribe buprenorphine treat fewer patients than their limit allows. With so much unmet demand for OUD treatment, this suggests the need for ongoing efforts to address treatment barriers.

Aug 27, 2020
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

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