Health, Health Care, and Aging

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RAND advances understanding of health and health behaviors, and examines how the organization and financing of care affect costs, quality, and access. Our body of research includes innovative studies of health insurance, health care reform, and health information technology, as well as obesity, substance abuse, and PTSD. RAND findings also help inform policies that aim to improve the health of seniors and the care they receive.

  • Laura Bogart, photo by Diane Baldwin/RAND Corporation

    Q&A

    Medical Mistrust Could Reduce Vaccine Uptake: Q&A with Laura Bogart

    Dec 23, 2020

    Laura Bogart, a senior behavioral scientist, studies how discrimination feeds medical mistrust and conspiracy beliefs. Her research on how mistrust became a barrier to treatment for Black Americans during the HIV epidemic sheds light on why some might question the safety of a COVID-19 vaccine.

  • A woman from Minnesota holds up her U.S. bottle of NovoLog insulin and a Canadian box of NovoRapid, which she bought at a pharmacy in Ontario, Canada, June 29, 2019, photo by Geoff Robins/The Canadian Press via AP

    Essay

    The Astronomical Price of Insulin Hurts American Families

    Jan 6, 2021

    More than 30 million Americans have diabetes, and nearly a quarter of them use insulin to manage their symptoms and prevent life-threatening complications. The price they have to pay for insulin is more than ten times higher than the average prices in 32 other countries combined.

Explore Health, Health Care, and Aging

  • Journal Article

    Journal Article

    Effects of Women's Weight Changes on Adverse Outcomes in a Second Pregnancy

    This article estimates the effects of women's weight changes in four sequential perinatal periods across first and second pregnancies on adverse maternal and neonatal outcomes in the second pregnancy.

    Nov 13, 2020

  • Journal Article

    Journal Article

    Use of Virtual Breastfeeding Support Among Underserved, Rural Mothers

    To assess predictors of utilization and telelactation visit characteristics, we merged and analyzed data from two sources: visit-level data supplied by the telelactation vendor and longitudinal surveys of women in the intervention group at four timepoints.

    Nov 13, 2020

  • Journal Article

    Journal Article

    Medical Costs for Osteoporosis-Related Fractures in High-Risk Medicare Beneficiaries

    The objective of this study was to estimate the incremental direct medical care costs associated with first fracture observable in high-risk older adults.

    Nov 13, 2020

  • Woman talking to a mental health provider, photo by stefanamer/Getty Images

    Report

    Evaluating Connections to Care

    In 2016, New York City policymakers came together with federal and private funders to support a program, Connections to Care (C2C), intended to provide quality mental health support within high-risk communities. RAND evaluated C2C, examining its implementation, impact on access and use of mental health care, and costs.

    Nov 12, 2020

  • Journal Article

    Journal Article

    Delayed Treatment for People Living with HIV in China, 2004–2016: An Analysis of An Observational Cohort

    This study analyzed the late testing and lag time between HIV diagnosis and initiation of antiretroviral treatment from 2004 to 2016 and identified the risk factors for delayed initiation of ART.

    Nov 12, 2020

  • Journal Article

    Journal Article

    Barriers and Facilitators of Kangaroo Mother Care Adoption in Five Chinese Hospitals: A Qualitative Study

    We provided a comprehensive report on the multi-level KMC barriers and facilitators in China. We recommend policy interventions addressing these barriers and facilitators and increase family and peer support to improve KMC adoption in China.

    Nov 12, 2020

  • Senior woman using digital tablet and having video call with nurse, photo by izusek/Getty Images

    Commentary

    Primary Care Networks in a Time of Pandemic

    Primary care networks in the UK bring together general practices and community providers to develop new services for patients and to provide better integration of health and social care services and sustainability in primary care. While still relatively new, their trajectory is likely to be influenced by COVID-19–related adaptations they have made over the course of the pandemic.

    Nov 11, 2020

  • Members of an Expeditionary Aeromedical Evacuation Squadron monitor patients during an aero-medical evacuation mission from Balad Air Base, Iraq, to Ramstein Air Base, Germany, February 25, 2007, photo by MSgt. Scott Reed/U.S. Air Force

    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

  • Patient communicates with her doctor via a laptop for advice, photo by Henfaes/Getty Images

    Commentary

    What Influences Quality Improvement Processes in Health Care?

    Periods of rapid change offer both opportunities and challenges for health care quality improvement. Understanding the building blocks that need to be in place to support improvement processes may help those seeking to embed improvement capabilities and capacity into their organisations, both as we emerge from the COVID-19 pandemic and beyond.

    Nov 10, 2020

  • Psilocybin mushrooms being placed into a pill box, photo by microgen/Getty Images

    Commentary

    Being Mindful About Changing Psychedelic Policy in California

    The question for California isn't really if psychedelic policy will change, but more likely how—and how quickly. Now is the time for the California State Legislature to consider holding hearings on psychedelics and creating a commission to assess regulatory options.

    Nov 10, 2020

  • News Release

    News Release

    Efforts Needed to Expand Ability of Family Members to Integrate into Formal Health Care Teams

    Integrating family caregivers into a patient's health care team can help improve care quality and the quality of life for both patients and their families, yet family caregivers face significant barriers coordinating their efforts with the formal health care team.

    Nov 10, 2020

  • The 1st Battalion, 82nd Field Artillery Regiment, 1st Armored Brigade Combat Team, 1st Cavalry Division, color guard marches off Tower Barracks parade field after a battalion reenlistment ceremony at Grafenwoehr Training Area, Germany, Dec. 28, 2018, photo by Sgt. Jamar Marcel Pugh/U.S. Army National Guard

    Brochure

    RAND Arroyo Center Annual Report 2020

    This Annual Report illustrates the depth, breadth, and responsiveness of the studies that RAND Arroyo Center conducted for the Army in fiscal year 2020.

    Nov 10, 2020

  • A person holds a credit card and types on a laptop while online shopping, photo by Ngampol/Adobe Stock

    Report

    How Is COVID-19 Changing Online Shopping Habits?

    Americans' online shopping habits have continued to shift during the pandemic. By August 2020, more people were shopping online, and 39 percent reported spending more money on their purchases. People who spent less were likely to have lost employment.

    Nov 10, 2020

  • Journal Article

    Journal Article

    Health Effects of Heat Vulnerability in Rio De Janeiro: A Validation Model for Policy Applications

    Here we investigate how to construct and validate a heat vulnerability index given uncertainty ranges in data for the city of Rio de Janeiro. We find that we can validate the heat vulnerability index against excess deaths during heat waves.

    Nov 10, 2020

  • A woman dressing her sick mother, photo by Phynart Studio/Getty Images

    Report

    Family Caregivers Should Be Included in Health Care Teams

    About 53 million family and friends provide care and assistance to loved ones in the United States, but they are often overlooked by health care systems. Integrating them into a patient's health care team can help improve care quality and the quality of life for patients and their families.

    Nov 9, 2020

  • Blog

    'Internet of Bodies,' COVID-19 as a Preexisting Condition, Preventive Health Care: RAND Weekly Recap

    This weekly recap focuses on the potential risks and benefits of the 'Internet of Bodies,' what might happen if the ACA is struck down and COVID-19 is considered a preexisting condition, a drop in the use of preventive care, and more.

    Nov 6, 2020

  • Terri Tanielian waits for a House Committee on Veterans' Affairs hearing to begin in the U.S. Capitol Visitor Center, photo by Grace Evans/RAND Corporation

    Q&A

    A Voice for Veterans on Capitol Hill: Q&A with Terri Tanielian

    Terri Tanielian, a senior behavioral scientist at RAND and an internationally recognized expert on military and veteran health, spent six months as a fellow with the House Committee on Veterans' Affairs. She helped the committee develop a comprehensive suicide prevention strategy.

    Nov 6, 2020

  • Older woman wakling on a trail in the woods, photo by Maurian Soares Salvador/Getty Images

    Commentary

    When In Doubt, Do What Doesn't Come Naturally

    When we are feeling anxious or depressed or otherwise bad, we experience a variety of urges toward things that we think will make us feel better, but ultimately make us feel worse. Connecting with a friend, exercising, accomplishing a task, and helping others are some things that can actually help.

    Nov 5, 2020

  • Empty medical office waiting room, photo by creativeneko/Getty Images

    News Release

    Preventive Health Care Dropped Significantly During First Two Months of Pandemic Lockdown; Study Finds Disparities in Switch to Telemedicine

    During the first two months of the pandemic lockdown, Americans dramatically reduced their use of preventive and elective health care, while increasing use of telemedicine—but the switch was not enough to offset reductions in in-person care.

    Nov 5, 2020

  • A nurse prepares to inject a potential COVID-19 vaccine into a human patient, photo by PordeeStudio/Adobe Stock.

    Research Brief

    Unequal Access to COVID-19 Vaccines Would Further Damage the Global Economy

    As long as the coronavirus is not under control in all regions of the world there will continue to be a global economic cost associated with COVID-19. Vaccine nationalism could cost up to $1.2 trillion a year in GDP. If the poorest countries cannot access vaccines, the loss would be between $60 and $340 billion a year.

    Nov 5, 2020