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Respiratory Diseases and Disorders

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
Commentary

How to Handle the Infectious Diseases Threat

The reactive approach to emerging infectious disease should be augmented with an anticipatory model that accounts for the dramatic changes occurring through globalization, greater interactions between human and zoonotic populations, and changes to the environment and climate patterns.

Jun 3, 2016
Journal Article

Training and Capacity Building in LMIC for Research in Heart and Lung Diseases: The NHLBI-UnitedHealth Global Health Centers of Excellence Program

A public-private partnership created a program to train and mentor early stage researchers who study of heart and lung diseases from 11 Centers of Excellence around the world.

May 25, 2016
Journal Article

Cognitive Reflection and Antibiotic Prescribing for Acute Respiratory Infections

For some clinical decisions, there may be a 'sweet-spot' in which the benefits of intuitive versus reflective clinical decisonmaking are in balance.

Apr 22, 2016

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RAND Topic:
Respiratory Diseases and Disorders

Research conducted by

RAND Health Care