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Patient Evaluation

Report
A Scoping Review of Guidelines and Quality Measures to Screen for Social and Caregiver Support and Cognitive Impairment in Primary Care
The authors conduct a review to identify measures, guidelines, and tools that (1) assess social support, the need for caregiver support, and the need for referral to social services and (2) screen for cognitive impairment among high-risk patients.
Nov 2, 2022
Journal Article
Cost Effectiveness of Mailed Outreach Programs for Colorectal Cancer Screening: Analysis of a Pragmatic, Randomized Trial
Clinical guidelines for colorectal cancer (CRC) screening suggest use of either stool-based tests or colonoscopy. We conducted a cost-effectiveness analysis to compare 2 mailed outreach strategies to increase CRC screening.
Sep 15, 2022
Journal Article
Too Good to Be True? Evaluation of Colonoscopy Sensitivity Assumptions Used in Policy Models
This paper examines the validity of the CRC-SPIN model and colonoscopy sensitivity assumptions. We find that colonoscopy may be less accurate than currently assumed, especially for diminutive adenomas.
Aug 17, 2022
Journal Article
Cost-Effectiveness of Community-to-Clinic Tailored Navigation for Colorectal Cancer Screening in an Underserved Population: Economic Evaluation Alongside a Group-Randomized Trial
Adding community-to-clinic tailored navigation to a community-based colorectal cancer screening promotion program may be highly cost-effective.
May 13, 2022
Research Brief
Assessing the potential impact of developments in genetic testing on the British insurance industry
Predictive genetic testing provides individuals with information about their future risk of developing health conditions. Determining whether a genetic test could affect the insurance industry is complex and needs to be evaluated on a per-test basis.
Apr 8, 2022
Journal Article
Standardized Assessment of Depression Symptoms in Post-Acute Care: A Screening Threshold Approach
The present study tested a gateway version of a depression screening protocol (PHQ-2 to 9). Findings suggest the feasibility of a gateway scoring approach to standardized assessment of depression symptoms among PAC patients.
Mar 8, 2022
Report
Assessing the impact of developments in genetic testing on insurers' risk exposure
Predictive genetic testing provides individuals with information about their future risk of developing health conditions. Determining whether a genetic test could affect the insurance industry is complex and needs to be evaluated on a per-test basis.
Feb 3, 2022
Blog
Supporting Asian Americans, U.S. Gun Policy, Climate Migrants: RAND Weekly Recap
This weekly recap focuses on how to support Asian Americans, the U.S. gun policy debate, the education “arms race,” and more.
Mar 26, 2021
News Release
Use of Common Cancer Screenings Rebounded Quickly After Dropping at Start of the Pandemic
Screenings for breast cancer and colon cancer dropped dramatically during the early months of the coronavirus pandemic, but use of the procedures returned to near-normal levels by the end of July 2020.
Mar 22, 2021
Journal Article
Project SLIP: Implementation of a PrEP Screening and Linkage Intervention in Primary Care
The study developed and pilot-tested a PrEP screener for use in primary care clinics to help facilitate PrEP uptake. Findings suggest that brief HIV risk screening in primary care is acceptable, feasible, and shows preliminary effects in increasing PrEP referral rates.
Mar 5, 2021
Journal Article
Association of Primary and Specialty Care Integration on Physician Communication and Cancer Screening in Safety-Net Clinics
This study aimed to describe strategies CHCs use to integrate care with specialists and examine whether more strongly integrated CHCs have higher rates of screening for colorectal and cervical cancers and report better communication with specialists.
Feb 12, 2021
Multimedia
Benefits of Mental Health Task Sharing
Lynsay Ayer, senior behavioral scientist with the RAND Corporation, describes how task sharing helps fill the need for more mental health care providers.
Jun 8, 2020
Report
Improving U.S. Military Accession Medical Screening Systems
The project team outlined advantages and disadvantages of the two main systems for medically screening applicants to the U.S. armed forces and recommended a hybrid model as potentially more effective and efficient.
Oct 24, 2019
Report
Identifying Safety-Net Resources at Health Centers to Prevent Infectious Disease Transmission Resulting from the Opioid Epidemic
This study highlights factors that affect Community Health Centers' ability to reduce infectious disease transmission related to the opioid epidemic.
Jun 18, 2019
Journal Article
Randomized Controlled Dissemination Study of Community-to-Clinic Navigation to Promote CRC Screening: Study Design and Implications
The purpose of this study is to extend the pilot study in a group-randomized controlled trial to test the effectiveness of tailored messaging delivered by Community Health Navigators to guide individuals from especially hard-to-reach, multicultural, and underinsured communities into primary care clinics for referral for CRC screening (Phase I) and to continue navigation after referral to track effects of the intervention on completion of CRC screening (Phase II).
Jun 11, 2019
Journal Article
Effect of Time to Diagnostic Testing for Breast, Cervical, and Colorectal Cancer Screening Abnormalities on Screening Efficacy: A Modeling Study
Even relatively small delays in diagnostic testing after an abnormal cancer screening test can reduce screening effectiveness, though the impact varies by cancer type.
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
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
When Guidelines Conflict: A Case Study of Mammography Screening Initiation in the 1990s
Analyzing the history of age-mammography patterns in the US may help us better understand and address current guideline conflicts.
Dec 5, 2017
Journal Article
Primary Care Providers with More Experience and Stronger Self-Efficacy Beliefs Regarding Women Veterans Screen More Frequently for Interpersonal Violence
Some primary care provider experiences and beliefs regarding women's health care influence rates of screening for military sexual trauma (MST) and/or intimate partner violence (IPV) .
Sep 6, 2017

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RAND Topic:
Health Screening

Topic Synonyms:
Patient Evaluation

Research conducted by

RAND Health Care