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Respiratory Diseases and Disorders

Dissertation
Value of Information for Policy Analysis
This dissertation considers the viability of applying Value of Information methods in complex systems for policy analysis, concluding that these methods can be applied, but that different methods are appropriate in different cases.
May 15, 2018
Journal Article
School Practices to Promote Social Distancing in K-12 Schools: Review of Influenza Pandemic Policies and Practices
Little information is available to schools to develop policies and procedures on social distancing during a flu pandemic. Additional research is needed to assess the feasibility and effectiveness of these policies and procedures.
May 4, 2018
Journal Article
Cluster Analysis of Acute Care Use Yields Insights for Tailored Pediatric Asthma Interventions
Care patterns for pediatric asthma can help identify differences between types of patients - and possible ways to reduce avoidable hospitalizations.
Jan 31, 2018
Report
Understanding the Economic Benefit Associated with Research and Services at the National Institute for Occupational Safety and Health: An Approach and Three Case Studies
The National Institute for Occupational Safety and Health (NIOSH) asked the RAND Corporation to develop an approach for estimating the economic benefit of NIOSH research, using three case studies. A new report details findings and recommendations.
Jan 2, 2018
Journal Article
Core Components for a Clinically Integrated mHealth App for Asthma Symptom Monitoring
Smartphone-based health apps - using patient reported outcomes - can help asthma patients monitor symptoms between doctor visits.
Dec 15, 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
Racial/Ethnic Differences in Receipt of Influenza and Pneumococcal Vaccination Among Long-Stay Nursing Home Residents
Despite a 2005 CMS mandate that all nursing home residents be offered the influenza and pneumococcal vaccinations, racial/ethnic disparities persist.
Sep 15, 2017
Journal Article
Association Between Hospitals' Engagement in Value-Based Reforms and Readmission Reduction in the Hospital Readmission Reduction Program
Hospitals participating in one or more voluntary Medicare value-based reform programs were less likely to readmit patients within 30 days of discharge than non-participating hospitals.
May 23, 2017
Journal Article
Health Shocks and Their Long-Lasting Impact on Health Behaviors: Evidence from the 2009 H1N1 Pandemic in Mexico
Hospitalizations of young children in Mexico continued to decline three years after the 2009 H1N1 flu pandemic, showing that disease outbreaks can act as "natural nudges" that spur long-lasting effects on behavior and health outcomes.
May 19, 2017
Commentary
Using Wearable Fitness Devices to Monitor More Than Just Fitness
Manufacturers could reinvigorate the market for personal health devices by incorporating measures of health and well-being beyond step counts. Wearables could gauge a neighborhood's air quality, safety, or its level of social connectedness.
May 14, 2017
Journal Article
Development and Testing of the Pediatric Respiratory Illness Measurement System (PRIMES) Quality Indicators
This project developed and tested the Pediatric Respiratory Illness Measurement System (PRIMES), a set of measures for assessing the quality of hospital-based care for common pediatric respiratory illnesses.
Apr 11, 2017
Journal Article
Antibiotics Prescribed as Often During Telemedicine Appointments as In-Person Visits
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.
Mar 28, 2017
Journal Article
Perceived Risk of Avian Influenza and Urbanization in Northern Vietnam
Backyard poultry raisers in urban, peri-urban, and rural settings in north Vietnam tend to perceive the highest risk of bird flu in settings where they do not live, which may decrease precautions they take to manage and prevent disease.
Mar 16, 2017
Journal Article
The National Adult Immunization Plan: Strengthening Adult Immunization Through Coordinated Action
Addressing persistent structural and policy barriers to adult immunization will benefit all Americans.
Jan 3, 2017
Journal Article
The "Retrofitting" Approach to Adapting Evidence-Based Interventions: A Case Study of Pediatric Asthma Care Coordination, United States, 2010–2014
This case study of pediatric asthma care coordination found preliminary support for the validity of retrofitting concept--adapting evidence-based modifications rather than entirely new interventions.
Sep 14, 2016
Journal Article
Behavioral Interventions to Reduce Inappropriate Antibiotic Prescribing: A Randomized Pilot Trial
This experimental study observed large reductions in inappropriate antibiotic prescribing regardless of whether participants received an intervention.
Sep 13, 2016
Journal Article
Populations and Interventions for Palliative and End-of-Life Care: A Systematic Review
This evidence review found that palliative care improves outcomes for cancer, dementia, congestive heart failure, and chronic obstructive pulmonary disease.
Sep 12, 2016
Journal Article
Factors Associated with Family Reports of Pain, Dyspnea, and Depression in the Last Year of Life
Family reports of patients' experiences with pain, difficult breathing, and depression near the end of life suggest strategies at the clinical and population level for assessing and managing symptoms.
Aug 23, 2016
Commentary
Improving Care and Support for People Living with Breathlessness
Living with COPD puts a huge burden on patients and their informal caregivers. What measures could improve care and support among these groups?
Jun 10, 2016
Report
Agreement with, and feasibility of, the emerging recommendations from the Living with Breathlessness study: Findings from an online stakeholder survey
This report contains the findings from an online survey of stakeholders who work with people living with advanced COPD to explore agreement with, and feasibility of the recommendations from the Living with Breathlessness study.
Jun 6, 2016

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RAND Topic:
Respiratory Diseases and Disorders

Research conducted by

RAND Health Care