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Health Care Workforce

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
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

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