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Preventive Health Care

Journal Article
Patient Predictors of Substance Use Disorder Treatment Initiation in Primary Care
Primary care clinics are opportune settings for the delivery of substance use disorder treatment, but little is known about which patients initiate treatment in these settings.
Jun 28, 2018
Journal Article
Tobacco Power Wall Exposure Increases Adolescents' Willingness to Try E-Cigarettes
Exposure to the tobacco “power wall” in convenience stores and other retail settings may increase adolescents' willingness to try e-cigarettes, much like other tobacco products.
Jun 28, 2018
Journal Article
Use of Medication Therapy to Treat Opioid Abuse Among Medicaid Recipients Increased After Approval of New Drug
The number of Medicaid recipients receiving medication to treat opioid abuse increased sharply in the years after approval of buprenorphine, but the increase was smaller in poorer counties and areas with larger populations of black and Hispanic residents.
Jun 27, 2018
News Release
Use of Medication Therapy to Treat Opioid Abuse Among Medicaid Recipients Increased After Approval of New Drug
The number of Medicaid recipients receiving medication to treat opioid abuse increased sharply in the years after approval of buprenorphine, but the increase was smaller in poorer counties and areas with larger populations of black and Hispanic residents.
Jun 25, 2018
Report
A Social Network Analysis and Qualitative Assessment of Partnerships for Million Hearts®
This report examines the partnerships developed in Million Hearts, defines the practices and approaches to cardiovascular disease prevention that occurred as a result of the program, and provides suggestions for future Million Hearts activities.
Jun 20, 2018
Research Brief
Understanding How the Million Hearts Initiative Is Working to Address Cardiovascular Disease
The Million Hearts initiative has been successful at the national level in bringing stakeholders together to address cardiovascular disease, but the network could be enhanced and the level of membership commitment and activity could be strengthened.
Jun 20, 2018
Dissertation
Three Essays on Value in Health Care: Workplace Wellness Program Return on Investment, Effectiveness of Monetary Penalties for Tobacco Cessation Non-Participation, and Physician Perceptions of Their Use of Time and Appropriateness of Care Provided
This dissertation, in a three paper format, examines three policy levers for improving health care value.
Jun 12, 2018
Journal Article
Effects of Medication Assisted Treatment (MAT) for Opioid Use Disorder on Functional Outcomes: A Systematic Review
A weak evidence base prevents strong conclusions about the effects of Medication Assisted Treatment for opioid use disorder on functional outcomes.
May 30, 2018
Article
How to Increase Immunity to Truth Decay
Americans have always held differing views about policy issues. But more and more, they disagree about basic facts. This is a symptom of what RAND calls “Truth Decay,” and it's doing severe damage to democracy in the United States.
May 16, 2018
Journal Article
Standards of Evidence for Conducting and Reporting Economic Evaluations in Prevention Science
This article reports the findings of Society for Prevention Research's deliberations, proposes standards for economic analyses, and identifies opportunities for future prevention science.
Apr 26, 2018
Journal Article
Addressing the Opioid Epidemic in the United States: Lessons from the Department of Veterans Affairs
Reflecting a comprehensive VA effort to improve pain management, in 2007 fewer veterans received high doses of opioids and more veterans received non-opioid pain therapies, naloxone, and treatment for substance use disorders.
Apr 26, 2018
Journal Article
Facilitators and Barriers to Pre-Exposure Prophylaxis (PrEP) Use Among Black Individuals in the United States: Results from the National Survey on HIV in the Black Community (NSHBC)
Among a nationally representative sample of Black individuals, few high risk individuals were willing to use Pre-Exposure Prophylaxis (PrEP), a preventive treatment for the HIV virus.
Apr 17, 2018
Journal Article
Effects of Motivational Interviewing Fidelity on Substance Use Treatment Engagement in Primary Care
Motivational interviewing is used extensively to improve health and substance use-related outcomes, but therapists may need more training in strategic use of the approach.
Apr 3, 2018
Journal Article
Implementing the Chronic Care Model for Opioid and Alcohol Use Disorders in Primary Care
This paper describes the process of planning and developing an intervention for delivering treatment for opioid and alcohol use disorders in primary care.
Feb 14, 2018
Journal Article
Influence of Mental Health and Alcohol or Other Drug Use Risk on Adolescent Reported Care Received in Primary Care Settings
Adolescents at risk for alcohol or other drug use and poor mental health are most likely to benefit from a brief intervention delivered in primary care.
Feb 14, 2018
Journal Article
Assessing and Improving Organizational Readiness to Implement Substance Use Disorder Treatment in Primary Care: Findings from the SUMMIT Study
An organizational readiness intervention improved some implementation outcomes related to integrating treatment for opioid and alcohol use disorders in primary care, but not all.
Feb 13, 2018
Multimedia
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

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