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Preventive Health Care

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The Impact of the Opioid Crisis on Children

RAND adjunct physician policy researcher Stephen W. Patrick gives testimony at a Senate Health, Education, Labor and Pensions Committee hearing on the impact of the opioid epidemic on children and families.

Feb 8, 2018
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

Structural Factors Affecting Asians and Pacific Islanders in Community-Based Substance Use Treatment: Treatment Provider Perspectives

Asians and Pacific Islanders are most likely to enter substance use treatment through court mandates, underscoring the need for preventive outreach before they are involved with the criminal justice system.

Jan 16, 2018
Commentary

Evidence-Based Treatments May Be Casualties of War on Drugs

U.S. schools and community organizations face a difficult battle to keep kids safe and drug-free. They need tools to help them choose programs that will work best for youth. The National Registry of Evidence-based Programs and Practices is such a tool, but its future is uncertain.

Jan 15, 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

Randomized Controlled Trial of a Coordinated Care Intervention to Improve Risk Factor Control After Stroke or Transient Ischemic Attack in the Safety Net: Secondary Stroke Prevention by Uniting Community and Chronic Care Model Teams Early to End Disparities (SUCCEED)

A multi-disciplinary intervention using a Chronic Care Model framework to prevent a secondary stroke among underserved populations will be tested in a randomized controlled trial.

Dec 12, 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
Report

Assigning Responsibility Following a Catastrophe: Alternatives to Relying Solely on Traditional Civil Litigation

This report reviews various alternatives to relying exclusively on traditional civil litigation to assign responsibility for the human causes of a catastrophe and to determine the types of losses that a designated responsible party must reimburse.

Nov 28, 2017
Commentary

Can Vaping Help Smokers Quit? The Real Story from a Real Story

Evidence doesn't support using electronic cigarettes to quit smoking. In fact, doing so could even lead to reduced chances of quitting. Evidence does show that other options work, such as nicotine replacement patches or gum combined with counseling strategies.

Nov 16, 2017
Journal Article

Unequal Interactions: Examining the Role of Patient-Centered Care in the Inequitable Diffusion of a Medical Innovation, the Human Papillomavirus (HPV) Vaccine

This study found significant association between low ratings of providers' patient-centeredness and racial/ethnic disparities in providers' recommendations to vaccinate for HPV and likelihood of parents deciding to vaccinate.

Nov 2, 2017
Report

Costs of Implementing a Large-Scale Opioid and Alcohol Treatment Program

Researchers assessed the costs of implementing the substance use motivation and medication integrated treatment (SUMMIT) program in Los Angeles, using methods that may apply to other large facilities.

Oct 30, 2017
Journal Article

Barriers to Integrating the Continuum of Care for Opioid and Alcohol Use Disorders in Primary Care: A Qualitative Longitudinal Study

Some perceived barriers to implementing the continuum of care for opioid and alcohol use disorders in primary care clinics persist over time, but most barriers decreased.

Oct 13, 2017
Journal Article

Recruitment and Retention of Homeless Youth in a Substance Use and HIV-risk Reduction Program

Developing a series of strategies and tools to reach homeless youth makes it possible to conduct research with and provide outreach to this at-risk yet hard-to-reach population.

Oct 13, 2017
Commentary

Why ACA Enrollees Need Support After They Sign Up

Providing support for Affordable Care Act enrollees to connect with care they are happy with can help minimize the risk that they will stop seeking routine health care.

Oct 11, 2017
Journal Article

A Qualitative Study of Smoking Cessation Experiences and Perceptions Among Homeless Young Adult

Up to 70% of homeless youth smoke, but there is little information available on their smoking cessation experiences and perceptions to guide cessation intervention efforts.

Oct 10, 2017
Commentary

Doing More with Less: Lessons from Cuba's Health Care System

High U.S. health care costs do not yield corresponding health outcomes for its citizens. But Cuba, for less than a tenth of U.S. costs, has attained comparable outcomes on many indicators, such as life expectancy and infant mortality. Cuba prioritizes primary care and prevention and addresses social determinants of health.

Oct 6, 2017
Journal Article

Well-Child Care Redesign: A Mixed Methods Analysis of Parent Experiences in the PARENT Trial

Parents built trusting relationships with a parent coach who provided preventative services during an intervention to improve well child care in a low-income urban population.

Sep 28, 2017
Journal Article

Zonnic®: A New Player in an Old Field

Zonnic marks the tobacco industry's entry into nicotine-replacement therapy products, which may warrant new research and policy priorities.

Sep 19, 2017
Journal Article

Treatment for Opioid or Alcohol Abuse Can Be Successful in Primary Care Settings

Combining substance abuse treatment with regular medical care can successfully treat people with opioid or alcohol addiction, providing an option that might expand treatment and lower the cost of caring for people caught up in the nation's opioid epidemic.

Sep 15, 2017

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