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Health Care Workforce

Journal Article

Primary Care Tasks Associated with Provider Burnout: Findings from a Veterans Health Administration Survey

Sharing responsibility among a PCMH team for behavioral counseling and self-management education may reduce primary care physician burnout.

Dec 7, 2017
Journal Article

Prescribing Patterns of Buprenorphine Waivered Physicians

Most buprenorphine prescribers treat many fewer patients than allowed by the current patient limit. Increasing the limit above 100 would likely improve access only for patients of a few high prescribers.

Nov 7, 2017
Blog

When RAND Applied Weapons Research to Health Care Delivery

In the 1970s, it was assumed that new physicians wouldn't set up practice in America's small towns. RAND economists used software originally designed to estimate damages from a nuclear bomb to calculate the effects of placing doctors in specific locations.

Nov 1, 2017
Research Brief

Strengthening Health Care in the Kurdistan Region of Iraq

Since 2010, RAND researchers have 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.

Oct 25, 2017
Journal Article

Governing Academic Medical Center Systems: Choosing Among Alternative Governance Approaches

This assessment of governance approaches for academic medical centers (AMCs) helped the University of California respond to changes in the funding environment and provides a systematic way for any AMC to weigh the strengths and weaknesses of its governance approaches..

Oct 10, 2017
Report

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

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.

Oct 5, 2017
Report

The Impact of Health Reform on Purchased Care Access: National Health Reform and Modernization of the Military Health System Study

Newly insured patients through the Affordable Care Act coverage expansion may change how civilian providers interact with the TRICARE program. Some physicians may face financial incentives to drop TRICARE patients for newly insured patients.

Sep 27, 2017
Journal Article

An Emergency Medicine-Primary Care Partnership to Improve Rural Population Health: Expanding the Role of Emergency Medicine

Working in partnership, emergency medicine and primary care can address rural populations' most pressing social and medical needs.

Sep 26, 2017
Report

Understanding how organisations ensure that their decision making is fair

The UK General Medical Council commissioned RAND Europe to investigate the tools, practices and processes used by organisations to support fair decision making in a regulatory context.

Sep 20, 2017
Journal Article

Clinicians, Staff at Safety-Net Medical Clinics Report Increasing Dissatisfaction with Workplace

Physicians, nurses and other staff members at medical clinics that care for people from lower-income communities are increasingly dissatisfied with their jobs, adding to evidence that the health care workforce is under stress.

Aug 11, 2017
News Release

Clinicians, Staff at Safety-Net Medical Clinics Report Increasing Dissatisfaction with Workplace

Physicians, nurses and other staff members at medical clinics that care for people from lower-income communities are increasingly dissatisfied with their jobs, adding to evidence that the health care workforce is under stress.

Aug 7, 2017
Journal Article

Utilization of Registered Nurses in Primary Care Teams: A Systematic Review

Embedding registered nurses into primary care teams can increase patient access to primary care services and alleviate organizational workload.

Aug 4, 2017
Journal Article

Trends in Visits to Specialist Physicians Involving Nurse Practitioners and Physician Assistants, 2001 to 2013

While the number of NPs and PAs involved in the care of patients of specialist physicians has increased, visits involving NPs or PAs remain a small proportion of overall specialty visits.

Aug 2, 2017
Journal Article

Provision of Peer Specialist Services in VA Patient Aligned Care Teams: Protocol for Testing a Cluster Randomized Implementation Trial

Assessing the impact of outside assistance on the deployment of peer specialists in Veterans Health Administration Patient Aligned Care Teams will provide critical data to administrators and policy makers.

Jun 7, 2017
Journal Article

Development and Feasibility of a Structured Goals of Care Communication Guide

Studies demonstrate the benefits of discussing goals of care and advance care planning, yet many patients with serious illness do not engage in such discussions with healthcare providers.

May 30, 2017
Journal Article

Partnering to Improve Care: The Case of the Veterans' Health Administration's Quality Enhancement Research Initiative

Understanding the respective experiences and perspectives of researchers and operations partners (i.e., policymakers, managers, clinical leaders) can help improve research partnership success.

May 30, 2017
Journal Article

Speaking Up About Traditional and Professionalism-Related Patient Safety Threats: A National Survey of Interns and Residents

Interns and residents often observe unprofessional behavior, but they are less likely to speak up about it, compared with traditional patient safety threats, even when they see high potential for patient harm.

May 25, 2017
Journal Article

Physician Breast Cancer Screening Recommendations Following Guideline Changes: Results of a National Survey

Physicians' recommendations for when to start and end breast cancer screening vary, depending on their level of trust with the guideline-issuing organization.

May 23, 2017
Journal Article

Lessons Learned from an Integrated MTM Program

A community health center in western Massachusetts offers a model of integrated care, in which pharmacists play key roles in decision making and charting.

May 11, 2017
Journal Article

Organizational Structures and Outcomes of Newly Hired and Experienced Nurse Practitioners in New York State

To fully leverage the growing nurse practitioner workforce, health care organizations will need to address organizational barriers that NPs currently face.

May 9, 2017

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