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Health Care Workforce

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
Tool

User Guide for the Training in Psychotherapy (TIP) Tool 2.0

The Training in Psychotherapy (TIP) Tool assesses how well psychotherapy trainings for community-based providers include elements of trainings identified as potentially effective. This guide provides an update of the TIP Tool based on pilot testing.

Dec 11, 2019
News Release

Federal Disability Payments Encourage More Caregiving Assistance from Family Members

Federal disability benefits can lead to increases in other support for beneficiaries, such as in-kind assistance from adult children. They also increase the likelihood that children are paid for their in-kind assistance and enable children who provide that assistance to reduce the amount that they work.

Dec 10, 2019
Commentary

Recognizing Family Caregivers as Part of the Health Care Team

Recent shifts in health care practices have left family caregivers increasingly responsible for medical tasks. Given family caregivers' central role in medical care, there are efforts underway to improve family caregiver integration into the health care team, but there are barriers to effective integration and engagement.

Nov 18, 2019
Journal Article

Growth and Distribution of Child Psychiatrists in the United States: 2007–2016

Despite the increased ratio of child psychiatrists per children over the past decade, a shortage remains, particularly in places with lower levels of income and education.

Nov 6, 2019
Commentary

Review of Behavioral Health Technician Training, Policies, and Practice Identifies New Opportunities

Behavioral health technicians are trained to be an essential part of the mental health clinical team, serving as provider extenders who work alongside and support licensed mental health providers. What are the factors that affect these roles? And how can the Military Health System most effectively incorporate them into mental health care settings?

Oct 15, 2019
Research Brief

Military Behavioral Health Technicians: Understanding and Optimizing Their Role

Military behavioral health technicians provide clinical services alongside licensed independent behavioral health providers, but they may not get the training and support they need or opportunities to use their full range of skills.

Oct 7, 2019
Report

Understanding Behavioral Health Technicians Within the Military: A Review of Training, Practice, and Professional Development

Are military behavioral health technicians adequately prepared for their roles? Are their skills being put to the best use? The authors examine selection, training, and responsibilities and offer recommendations to optimize training and roles.

Oct 7, 2019
Commentary

Is Training for NHS Staff to Manage Workplace Violence Effective?

Going to work should not mean being subjected to physical or verbal assault, but this is the reality faced by thousands of frontline NHS staff. De-escalation training may help staff manage patient violence and aggression, but there is not enough research about what works in specific healthcare contexts.

Sep 4, 2019
Journal Article

Medical Practice Consolidation and Physician Shared Patient Network Size, Strength, and Stability

Practice consolidation can increase the stability of physician networks, which may have positive implications for organizational effectiveness.

Aug 20, 2019
News Release

California Rules to Limit Surprise Medical Bills Are Working, but Influence Insurer-Provider Bargaining

A California law that limits the size of bills from out-of-network physicians for care delivered in hospitals appears to be protecting patients' financial liability. But it has shifted bargaining leverage in favor of insurance plans and had potential unintended consequences.

Aug 12, 2019
Report

Reviewing the Evidence Base for De-escalation Training: A Rapid Evidence Assessment

RAND Europe conducted an evidence assessment of the de-escalation training literature and found that training may help staff manage patient violence and aggression but de-escalation training may not reduce the number of violent/aggressive incidents.

Aug 6, 2019
Report

Survey-Based Reporting of Post-Operative Visits for Select Procedures with 10- or 90-Day Global Periods: Final Report

For many surgeries and procedures, Medicare and most other insurers cover a bundle of services, including post-operative visits, during the global period. This survey was designed to capture the level of post-operative visits during this period.

Jul 31, 2019

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