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Primary Care

Primary care providers are often the first point of contact for patients attempting to navigate a complex health care delivery system and seeking referrals to specialists. RAND has explored the increasing use of emergency departments as a primary care setting, the influence of primary care on health care spending, shared decisionmaking between patients and primary care providers, the emergence of retail health clinics, and more.

Report

Report

Health Sector Reform in the Kurdistan Region — Iraq: Primary Care Management Information System, Physician Dual Practice Finance Reform, and Quality of Care Training (Kurdish-language version)

Since 2010, RAND has worked with the Kurdistan Regional Government to improve its health care system. This phase focused on a primary care management information system, physician dual practice reform, and patient safety training.

Apr 19, 2018
Journal Article

Journal Article

Care Experiences Among Medicare Beneficiaries With and Without a Personal Physician

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.

Apr 12, 2018
Journal Article

Journal Article

"It Encourages Them to Complain": A Qualitative Study of the Unintended Consequences of Assessing Patient-Reported Pain

This article describes potential unintended consequences of implementing routine pain screening in primary care.

Apr 11, 2018
Journal Article

Journal Article

Impact of a Mental Health Based Primary Care Program on Emergency Department Visits and Inpatient Stays

Introducing primary care services into mental health clinics may increase utilization of inpatient services, perhaps due to newly identified unmet medical need.

Apr 10, 2018
Journal Article

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

Journal Article

Integrating Behavioral Health and Primary Care Services for People with Serious Mental Illness: A Qualitative Systems Analysis of Integration in New York

Effective integration of behavioral and physical health care does not advance along a single continuum from minimally to fully integrated care but along several, parallel pathways.

Mar 22, 2018
Journal Article

Journal Article

Impact of Issuing Longer- Versus Shorter- Duration Prescriptions: A Systematic Review

UK recommendations to provide shorter prescriptions are not substantiated by the current evidence base.

Mar 14, 2018
Report

Report

Health Sector Reform in the Kurdistan Region — Iraq: Primary Care Management Information System, Physician Dual Practice Finance Reform, and Quality of Care Training (Arabic-language version)

Since 2010, RAND has worked with the Kurdistan Regional Government to improve its health care system. This phase focused on a primary care management information system, physician dual practice reform, and patient safety training.

Mar 14, 2018
Journal Article

Journal Article

Utilization of Health Care Services Among Medicare Beneficiaries Who Visit Federally Qualified Health Centers

Fee-for-service Medicare beneficiaries who received their care at federally qualified health centers had fewer ambulatory visits and more visits to the ED compared to a matched comparison group of beneficiaries who received primary care from another source.

Mar 1, 2018
Journal Article

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
Dissertation

Dissertation

The Impact of Nurse Practitioner Scope-of-Practice Regulations in Primary Care

The dissertation assesses the impact of nurse practitioner scope-of-practice regulations in primary care.

Feb 14, 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

Journal Article

Integrating Physical Health: What Were the Costs to Behavioral Health Care Clinics?

Delivering physical health care in specialty mental health clinics was a promising strategy for improving the care that adults with SMI receive for their physical health conditions, but financial feasibility remains a major challenge.

Feb 13, 2018
Journal Article

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
Journal Article

Journal Article

Primary Care-Mental Health Integration in the VA: Shifting Mental Health Services for Common Mental Illnesses to Primary Care

As assessed in 29 Southern California Veterans Affairs clinics, primary care—mental health integration programs can help ensure that primary care is providing evidence-based stepped care and that patients with more intensive mental health concerns (e.g., psychosis) are appropriately referred to specialty services.

Jan 16, 2018
Journal Article

Journal Article

Validity of Self-Rated Memory Among Middle-Aged and Older Chinese Adults: Results From the China Health and Retirement Longitudinal Study (CHARLS)

A self-rated memory survey item on the China Health and Retirement Longitudinal Study (CHARLS) performed poorly in comparison to objective measures of memory, signaling the need for caution in its use in survey research or primary care practice.

Dec 15, 2017
Journal Article

Journal Article

Care Coordination for Youth With Mental Health Disorders in Primary Care

More frequent contact with the mental health system, educational system, and Child Protective Services after a behavioral health evaluation may inform development of integrated care systems for children.

Dec 14, 2017
Journal Article

Journal Article

Care Coordination and Provider Stress in Primary Care Management of High-risk Patients

Providing adequate support to PCPs and nurses may help reduce the stress they experience when coordinating care for high-risk patients.

Dec 7, 2017
Journal Article

Journal Article

Primary Care Tasks Associated with Provider Burnout: Findings from a Veterans Health Administration Survey

Sharing responsibility among a PCMH team for behavioral counseling and self-management education may reduce primary care physician burnout.

Dec 7, 2017
Research Brief

Strengthening Health Care in the Kurdistan Region of Iraq

Since 2010, RAND researchers have worked with the Kurdistan Regional Government to improve its health care system. This phase focused on a primary care management information system, physician dual practice reform, and patient safety training.

Oct 25, 2017

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RAND Topic:
Primary Care

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