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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.

Journal Article

Taking Patients' Narratives About Clinicians from Anecdote to Science

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Aug 28, 2015
Report

Evaluation of CMS's Federally Qualified Health Center (FQHC) Advanced Primary Care Practice (APCP) Demonstration: Final Second Annual Report

This second of three reports follows the progress of a three-year project intended to support the transformation of federally qualified health centers into advanced primary care practices in support of Medicare beneficiaries.

Jul 29, 2015
Report

New organisational models of primary care to meet the future needs of the NHS: A brief overview of recent reports

The NHS in England faces several future challenges for primary care. RAND Europe was commissioned to present a brief overview of reports -- from England and internationally -- that describe new models for delivering primary care.

Jul 21, 2015
Journal Article

Parents' Role in Adolescent Depression Care

Primary care physicians view parental attitudes as a common barrier to treatment for depressed adolescents. Identifying and addressing parental barriers to care may increase treatment engagement.

Jul 14, 2015
Journal Article

Developing Citizen Report Cards for Primary Care: Evidence from Qualitative Research in Rural Tajikistan

Transparency interventions, such as public reporting, have emerged as a potential policy approach to improving the performance of health care providers in resource-constrained settings.

Jun 24, 2015
Commentary

Nature and Nurture: What's Behind the Variation in Recent Medical Home Evaluations?

As demonstrated in Pennsylvania, conveners of medical home pilots are drawing from their early experiences to refine their intervention designs and improve their effectiveness. Such a learning process is likely to be a critical part of successfully implementing any new model of payment and care delivery.

Jun 19, 2015
News Release

Medical Home Intervention with Shared Savings Shows Quality and Utilization Improvements

A medical home intervention that paid bonuses to physician practices based on financial savings showed significant improvements in quality and use of some medical services relative to comparison practices.

Jun 1, 2015
News Release

Antibiotics Prescribed as Often During Telemedicine Appointments as During Face-to-Face Examinations

Patients treated for acute respiratory infections by a doctor on a telephone or live video are as likely to be prescribed an antibiotic as those treated in person. However, patients treated virtually are more often prescribed a broad-spectrum antibiotic, which is concerning because overuse of the drugs increases costs and contributes to antibiotic resistance.

May 27, 2015
Journal Article

An Organizational Readiness Intervention and Randomized Controlled Trial to Test Strategies for Implementing Substance Use Disorder Treatment Into Primary Care: SUMMIT Study Protocol

Millions of people who need treatment for substance use disorders (SUD) do not receive it.

May 21, 2015
Journal Article

The Most Used and Most Helpful Facilitators for Patient-Centered Medical Home Implementation

Like other transformative healthcare initiatives, patient-centered medical home (PCMH) implementation requires substantial investments of time and resources.

May 14, 2015
Journal Article

Beyond Health Equity: Achieving Wellness Within American Indian and Alaska Native Communities

Indigenous peoples across the globe have higher morbidity and mortality rates than their non-Indigenous counterparts.

May 14, 2015
Commentary

More Long-Term Health Conditions, Poorer Health Care Experiences

Patients with multiple long-term health conditions are more likely to report poorer experiences in primary care than those with fewer health problems. A patient-centered model that takes into account the severity of disease — and the impact of combinations of diseases, on patient quality of life and health care experiences — could make a difference.

Apr 23, 2015
Journal Article

Why Do Patients with Multimorbidity in England Report Worse Experiences in Primary Care? Evidence from the General Practice Patient Survey

Authors describe and explain the primary care experiences of people with multiple long-term conditions in England.

Apr 13, 2015
Report

Evaluation of CMS' FQHC APCP Demonstration: Final First Annual Report

RAND was asked to evaluate a demonstration of federally qualified health centers becoming advanced primary care practices for Medicare beneficiaries and to assess the effects on care provided. This is the first report in a series of three.

Apr 9, 2015
Report

Best practice: Medizinische Aus- und Weiterbildung aus internationaler Perspektive

This is a German translation of a report that seeks to inform the further development of medical education and training for primary care in Germany.

Mar 19, 2015
Report

Best practice: Medical training from an international perspective

This report seeks to inform the further development of medical education and training for primary care in Germany. It concludes with a presentation of policy options that arise from comparison with experiences in England, France and the Netherlands.

Mar 19, 2015
Journal Article

Collaborative Care: Mitigating Stigma and Other Barriers to Care Through Mental Health Service Delivery in Primary Care Settings

In this chapter, the authors draw attention to the link between barriers to care (particularly stigma associated with mental health care) and suppressed treatment seeking and service delivery rates.

Mar 5, 2015
Journal Article

Emotional Exhaustion in Primary Care During Early Implementation of the VA's Medical Home Transformation: Patient-Aligned Care Team (PACT)

Transformation of primary care to new patient-centered models requires major changes in healthcare organizations, including interprofessional expectations and organizational policies.

Feb 25, 2015
Journal Article

Categories of Practice Transformation in a Statewide Medical Home Pilot and Their Association with Medical Home Recognition

Healthcare purchasers have created financial incentives for primary care practices to achieve medical home recognition.

Feb 25, 2015
Journal Article

The Impact of Alcohol Use Severity on Anxiety Treatment Outcomes in a Large Effectiveness Trial in Primary Care

The current study examined the impact of alcohol use symptom severity on anxiety disorder treatment outcomes in a multi-site primary care effectiveness study of anxiety disorder treatment.

Jan 23, 2015

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RAND Topic:
Primary Care

Research conducted by

RAND Health Care