This study describes the characteristics of a large sample of chronic low back pain and chronic neck pain patients in the United States who use chiropractic care for their chronic low back pain and chronic neck pain.
Researchers have developed a more effective and reliable way for patients to provide narrative feedback about the care they receive. When the right questions are asked, patients' answers can help health care providers better understand the patient experience and learn how they could improve.
This issue describes RAND research efforts to help schoolkids suffering from trauma; to help health care providers get better, more meaningful feedback; and to use technology to improve the lives of displaced people throughout the world.
This article describes preferences for survey instruments on health-related quality of life and subjective well-being among adults with spinal cord injury, and compares perspectives on the instruments between the United States and the United Kingdom.
Massachusetts residents will soon vote on the Patient Safety Act, a mandate to increase nurse-to-patient ratios in acute care facilities. Evaluating existing data on the impact of a similar nurse staffing law implemented in California in 2004 may help inform voters as they head to the polls.
Each annual release of hospital ratings captivates journalists, hospital leaders, and health care consumers in the United States. These ratings aggregate many measures into a single score for each hospital. But why should the opinions of report creators hold sway, if the intent is to inform patient choice? Why not ask patients instead?
Publicly available hospital ratings and rankings should be modified to allow quality measures to be prioritized according to the needs and preferences of individual patients. RAND researchers propose a new way of rating hospitals by creating tools that allow patients to decide which performance measures to prioritize.
The Personalized Hospital Performance Report Card allows users to review, customize, and compare hospitals across the United States based on an overall star rating system developed by the Centers for Medicare and Medicaid Services.
Older, less educated, and lower-income Medicare beneficiaries are less likely to disagree with or change doctors; to help prevent disparities, doctors and advocates should encourage vulnerable populations to express their concerns and perspectives.
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.