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Health Care Workforce

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

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

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

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

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

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

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

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

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

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

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
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

Specialty Societies and Breast Cancer Screening Recommendations--Reply

Gynecologists order twice as many mammograms as family medicine and/or general practice physicians; physician specialty society guidelines may account for this wide variation.

Jan 24, 2018
Report

Physician Reporting Requirements for Injured Workers in California: A Review of Reporting Processes and Payment Policies

This report assesses California workers' compensation-required reports -- including the structure and content, level of effort, and allowances -- and compares the elements and processes with other systems to inform potential improvements.

Dec 19, 2017
Journal Article

Linking Reminders and Physician Breast Cancer Screening Recommendations: Results From a National Survey

Physicians are more likely to recommend mammograms when they are reminded to do so, despite variation in how much they trust mammogram guidelines.

Dec 18, 2017
Journal Article

Barriers to Using Nonpharmacologic Approaches and Reducing Opioid Use in Primary Care

Decreasing the reliance of VA providers on opioid prescribing for chronic pain requires local availability of nonpharmacologic pain therapies (NPTs) as well as provider efficacy in prescribing NPTs.

Dec 14, 2017
Journal Article

Barriers to Speaking Up About Patient Safety Concerns

It would be beneficial to combine training of health-care professionals in how to speak up about patient safety issues with training of supervisors in how to manage concerns raised by employees.

Dec 14, 2017
Journal Article

Care Coordination and Provider Stress in Primary Care Management of High-risk Patients

Providing adequate support to PCPs and nurses may help reduce the stress they experience when coordinating care for high-risk patients.

Dec 7, 2017
Journal Article

Association Between Physicians' Experiences With Members of Their Social Network and Efforts to Reduce Breast Cancer Screening

Helping clinicians reflect on how their experiences influence their current screening patterns may be an important approach to improving their adherence to revised breast cancer screening guidelines.

Dec 7, 2017

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