WorldCat Identities

RAND Health

Overview
Works: 526 works in 782 publications in 2 languages and 11,105 library holdings
Genres: Prescriptions, formulae, receipts, etc  Rules 
Roles: Publisher
Classifications: RC552.P67, 362.19685212
Publication Timeline
Key
Publications about RAND Health Publications about RAND Health
Publications by RAND Health Publications by RAND Health
Most widely held works about RAND Health
 
Most widely held works by RAND Health
Invisible wounds of war psychological and cognitive injuries, their consequences, and services to assist recovery by Terri L Tanielian ( )
1 edition published in 2008 in English and held by 1,270 WorldCat member libraries worldwide
Since October 2001, approximately 1.64 million U.S. troops have been deployed for Operations Enduring Freedom and Iraqi Freedom (OEF/OIF) in Afghanistan and Iraq. Early evidence suggests that the psychological toll of these deployments -- many involving prolonged exposure to combat-related stress over multiple rotations -- may be disproportionately high compared with the physical injuries of combat. In the face of mounting public concern over post-deployment health care issues confronting OEF/OIF veterans, several task forces, independent review groups, and a Presidential Commission have been convened to examine the care of the war wounded and make recommendations. Concerns have been most recently centered on two combat-related injuries in particular: post-traumatic stress disorder and traumatic brain injury. With the increasing incidence of suicide and suicide attempts among returning veterans, concern about depression is also on the rise. The study discussed in this monograph focuses on post-traumatic stress disorder, major depression, and traumatic brain injury, not only because of current high-level policy interest but also because, unlike the physical wounds of war, these conditions are often invisible to the eye, remaining invisible to other servicemembers, family members, and society in general. All three conditions affect mood, thoughts, and behavior; yet these wounds often go unrecognized and unacknowledged. The effect of traumatic brain injury is still poorly understood, leaving a large gap in knowledge related to how extensive the problem is or how to address it. RAND conducted a comprehensive study of the post-deployment health-related needs associated with these three conditions among OEF/OIF veterans, the health care system in place to meet those needs, gaps in the care system, and the costs associated with these conditions and with providing quality health care to all those in need. This monograph presents the results of our study, which should be of interest to mental health treatment providers; health policymakers, particularly those charged with caring for our nation's veterans; and U.S. service men and women, their families, and the concerned public. All the research products from this study are available at http://veterans.rand.org. Data collection for this study began in April 2007and concluded in January 2008. Specific activities included a critical reviewof the extant literature on the prevalence of post-traumatic stress disorder, major depression, and traumatic brain injury and their short- and long-term consequences; a population-based survey of service members and veterans who served in Afghanistan or Iraq to assess health status and symptoms, as well asutilization of and barriers to care; a review of existing programs to treat service members and veterans with the three conditions; focus groups withmilitary service members and their spouses; and the development of a microsimulation model to forecast the economic costs of these conditions overtime. Among our recommendations is that effective treatments documented in the scientific literature -- evidence-based care -- are available for PTSD and major depression. Delivery of such care to all veterans with PTSD or majordepression would pay for itself within two years, or even save money, by improving productivity and reducing medical and mortality costs. Such care may also be a cost-effective way to retain a ready and healthy military force for the future. However, to ensure that this care is delivered requires system-level changes across the Department of Defense, the Department of Veterans Affairs, and the U.S. health care system
The Collegiate Learning Assessment setting standards for performance at a college or university by Chaitra M Hardison ( )
1 edition published in 2009 in English and held by 1,091 WorldCat member libraries worldwide
"This report describes the application of a technique for setting standards on the Collegiate Learning Assessment (CLA), a measure of critical thinking value-added at higher education institutions. The goal of the report is to illustrate how institutions can set their own standards on the CLA using a method that is appropriate for the unique characteristics of the CLA."--Provided by publisher
El papel de las organizaciones basadas en la fe en la prevención y la atenicón del VIH en América Central ( )
6 editions published in 2010 in Spanish and held by 318 WorldCat member libraries worldwide
Faith-based organizations (FBOs) have historically played an important role in delivering health and social services in developing countries; however, little research has been done on their role in HIV prevention and care, particularly in Latin America. This study describes FBO involvement in HIV/AIDS in three Central American countries hard hit by this epidemic: Belize, Guatemala, and Honduras. Summarizing the results of key informant and stakeholder interviews with health and FBO leaders and site visits to FBO-sponsored HIV/AIDS clinics, hospices, programs, and other activities, the authors describe the range of FBO activities and assess the advantages of FBO involvement in addressing HIV/AIDS, such as churches' diverse presence and extensive reach, and the challenges to such involvement, such as the unwillingness of some FBOs to discuss condom use and their lack of experience in evaluating the impact of programs. The authors conclude with a discussion of possible ways that FBOs can address the HIV epidemic, both independently and in collaboration with other organizations, such as government ministries of health
Patient privacy, consent, and identity management in health information exchange : issues for the military health system by Susan D Hosek ( )
2 editions published in 2013 in English and held by 315 WorldCat member libraries worldwide
The Military Health System (MHS) and the Veterans Health Administration (VHA) have been among the nation⁰́₉s leaders in health information technology (IT), including the development of health IT systems and electronic health records that summarize patients⁰́₉ care from multiple providers. Health IT interoperability within MHS and across MHS partners, including VHA, is one of ten goals in the current MHS Strategic Plan. As a step toward achieving improved interoperability, the MHS is seeking to develop a research roadmap to better coordinate health IT research efforts, address IT capability gaps, and reduce programmatic risk for its enterprise projects. This report contributes to that effort by identifying gaps in research, policy, and practice involving patient privacy, consent, and identity management that need to be addressed to bring about improved quality and efficiency of care through health information exchange. Major challenges include (1) designing a meaningful patient consent procedure, (2) recording patients⁰́₉ consent preferences and designing procedures to implement restrictions on disclosures of protected health information, and (3) advancing knowledge regarding the best technical approaches to performing patient identity matches and how best to monitor results over time. Using a sociotechnical framework, this report suggests steps for overcoming these challenges and topics for future research
Understanding the Public Health Implications of Prisoner Reentry in California State-of-the-State Report by Lois M Davis ( )
2 editions published in 2011 in English and held by 244 WorldCat member libraries worldwide
Examines the health care needs of newly released California prisoners, the communities most affected by reentry, the capacity of their safety nets, and the experiences of released prisoners, service providers, and families of prisoners
Maintaining military medical skills during peacetime outlining and assessing a new approach by Christine Eibner ( )
2 editions published in 2008 in English and held by 243 WorldCat member libraries worldwide
Military medical personnel are tasked with fulfilling both the benefits mission and the readiness mission of the U.S. Department of Defense (DoD). Currently, most military medical personnel are stationed at military treatment facilities (MTFs) during peacetime, where they maintain their clinical skills by treating beneficiaries of TRICARE, the military health care program. However, the medical skills required during deployment are likely to differ significantly from those required at MTFs. Alternative arrangements for maintaining medical skills for deployment may be needed. One alternative would be to station some military medical personnel in nonmilitary settings where the case mix might more closely resemble the expected case mix under deployment, such as emergency rooms or trauma centers. This study explored one model under which active-duty personnel would be assigned to civilian settings during peacetime, focusing on civilian receptiveness to the proposed arrangement and identifying potential barriers and concerns. Findings indicate that civilian medical organizations are generally receptive to the idea of such a model and that DoD could consider conducting a pilot study to assess the effectiveness of the model in improving military medical readiness
The evolving role of emergency departments in the United States by Kristy Gonzalez Morganti ( )
1 edition published in 2013 in English and held by 231 WorldCat member libraries worldwide
The research described in this report was performed to develop a more complete picture of how hospital emergency departments (EDs) contribute to the U.S. health care system, which is currently evolving in response to economic, clinical, and political pressures. Using a mix of quantitative and qualitative methods, it explores the evolving role that EDs and the personnel who staff them play in evaluating and managing complex and high-acuity patients, serving as the key decisionmaker for roughly half of all inpatient hospital admissions, and serving as "the safety net of the safety net" for patients who cannot get care elsewhere. The report also examines the role that EDs may soon play in either contributing to or helping to control the rising costs of health care
Patient self-management support programs an evaluation ( )
1 edition published in 2007 in English and held by 200 WorldCat member libraries worldwide
Building bridges : lessons from a Pittsburgh partnership to strengthen systems of care for maternal depression ( Book )
7 editions published in 2010 in English and held by 199 WorldCat member libraries worldwide
Between January 2007 and June 2010, members of the Allegheny County Maternal and Child Health Care Collaborative designed, implemented, and evaluated the Allegheny County Maternal Depression Initiative, a local systems-change effort focused on increasing identification, referrals, and engagement in treatment as needed and appropriate for women at high risk for maternal depression. The collaborative was successful in improving key organizational and clinical processes related to the achievement of its aims. This report describes how and why the initiative was created, the processes through which it was implemented and evaluated, and the results and lessons learned. It concludes with recommendations in four areas for practice and policy change designed to expand and sustain the initiative's achievements: improve identification of maternal depression, enhance access to available resources and services, increase engagement in behavioral health treatment, and improve overall systems performance
Trends in special medicare payments and service utilization for rural areas in the 1990s ( Book )
3 editions published in 2002 in English and held by 192 WorldCat member libraries worldwide
This report analyzes special payments that Medicare has been making to rural providers. These special payments are intended to support the rural health care infrastructure to help ensure access to care for Medicare beneficiaries. The research provides a comprehensive overview of these payments, including documentation of the supply of providers, trends in payments, and Medicare costs per beneficiary. Four types of special payments were examined: (1) payments to sole community hospitals, Medicare-dependent hospitals, and rural referral centers; (2) reimbursements to rural health clinics and federally qualified health centers; (3) bonus payments to physicians in rural health professional shortage areas; and (4) capitation payments in rural counties
The effectiveness of involuntary outpatient treatment : empirical evidence and the experience of eight states by M. Susan Ridgely ( Book )
3 editions published in 2001 in English and held by 177 WorldCat member libraries worldwide
Many states use civil commitment--a statutorily created and court-ordered form of compulsory treatment--to compel people with mental illness who become gravely disabled or dangerous to themselves or others to undergo treatment. In the last decade, many states have amended or interpreted their existing civil commitment statutes to allow for involuntary outpatient treatment. Such a law has been proposed for California. At the request of the California State Senate, the authors conducted a systematic literature review on involuntary outpatient commitment; examined the experience of eight other states including statutory analysis and in-depth interviews with attorneys, public officials, and psychiatrists; and analyzed California administrative data for all persons served by California's county contract mental health agencies. They found that involuntary outpatient commitment, when combined with intensive mental health services, can be effective in reducing the risk of negative outcomes. But whether a court order in and of itself has any effect is an unanswered question. However, there is clear evidence that intensive community-based voluntary mental health treatment can produce good outcomes. There are no cost effectiveness studies that compare the relative return on investment in developing an involuntary outpatient treatment system or focusing all available resources on developing state-of-the-art treatment systems. Either approach would require a sustained commitment by California policymakers
Quality of care for general medical conditions a review of the literature and quality indicators ( Book )
2 editions published in 2000 in English and held by 167 WorldCat member libraries worldwide
This report is one of five volumes providing detailed information on the QA Tools, RAND's comprehensive, clinically based system for assessing quality of care for children and adults. The QA Tools indicators encompass screening, diagnosis, treatment, and follow-up in 46 clinical areas and cover a variety of modes of providing care, including history, physical examination, laboratory study, medication, and other interventions and contacts. Development of each indicator was based on the ratings of a panel of experts in the relevant fields and on a focused review of the scientific literature, which is clearly documented for each clinical condition. This volume focuses on indicators for care of general medical conditions. Each chapter summarizes the results of the literature review for a particular condition, provides RAND staff's recommended indicators based on that review, and notes the level of scientific evidence supporting each indicator along with the relevant citations. In addition, this work details the process by which the expert panel evaluated the indicators and the final disposition of each indicator. Clinical conditions covered in this volume are: Acne, alcohol dependence, allergic rhinitis, benign prostatic hyperplasia, cataracts, cholelithiasis, dementia, depression, diabetes mellitus, hormone replacement therapy, headache, hip fracture, hysterectomy, inguinal hernia, acute low back pain, orthopedic conditions. Other RAND Health titles on the QA Tools system focus on indicators for children and adolescents, oncology and HIV, cardiopulmonary conditions, and women
Final evaluation report for uniformed services family health plan continuous open enrollment demonstration ( Book )
3 editions published in 2001 in English and held by 158 WorldCat member libraries worldwide
This volume asseses the likely impact of continuous open enrolment for retired military personnel subscribing to the Uniformed Services Family Health Plan (USFHP). This option is under discussion as an alternative to enrolment during a 30-day period each spring
Impact of a uniform formulary on military health system prescribers : baseline survey results ( Book )
2 editions published in 2003 in English and held by 155 WorldCat member libraries worldwide
Pharmaceuticals represent one of the fastest growing components of both U.S. civilian and Department of Defense (DoD) health care expenditures. Both the DoD and U.S. Congress have identified the Military Health System pharmacy benefit as an area for reform. To this end, federal legislation requires the DoD to establish a single uniform formulary (UF) of covered drugs governing beneficiaries' access to pharmaceuticals. The legislation also requires a baseline survey conducted prior to UF implementation and a follow-up post-implementation survey. The baseline survey that is the subject of this study gauged prescribers' experiences with and perceptions of drug formularies. The study assessed their opinions about the impact of formularies on clinical decisions, aggregate cost, and quality and accessibility of health care. Two groups of TRICARE prescribers were sampled-direct-care providers within military treatment facilities and providers at network (purchased-care) facilities. Differences were observed within each sample. For example, most direct-care prescribers reported a high degree familiarity with their respective formularies and formulary management practices and perceived formulary management as contributing toward quality of care, whereas most purchased-care respondents reported less familiarity with formulary lists and the rules governing their use and did not believe that formulary management contributes to quality of care
Outpatient care : a conceptual framework and a form for structured implicit review ( Book )
4 editions published in 2002 in English and held by 155 WorldCat member libraries worldwide
This monograph describes the development of a structured implicit review tool that physicians can use to evaluate the quality of care in the outpatient setting, where most care is now provided. Structured implicit review specifies the key aspects of care and data sources for review while preserving individual reviewer judgments about quality. The work is part of a broader effort to improve the process of Medicare peer review. The authors first conceptualized outpatient care with a single, comprehensive framework developed from a review of existing literature and modified with input from an expert panel. They then used the conceptual framework to develop a structured implicit review form that, along with its associated guidelines and instructions, allows physicians to assess the quality of outpatient medical care. This tool is intended to be used after a formal training session
Evidence based care models for recognizing and treating alcohol problems in primary care settings by Katherine Watkins ( Book )
3 editions published in 2001 in English and held by 150 WorldCat member libraries worldwide
Alcohol-related problems are a significant public health concern in the United States. Effective treatments exist for the entire spectrum of alcohol related problems; however, fewer than half of those who need treatment actually receive it. This report discusses how a chronic disease management model can be adapted to improve the detection, treatment, and management of patients with alcohol-related problems in primary care settings. The report highlights the relevant literature and discusses issues and strategies for consideration in building, implementing, and evaluating a chronic care model for alcohol problems in primary care settings. Within the context of the chronic care model, the authors also review the characteristics of the most widely used alcohol disorder screening instruments suitable for use in primary care settings. Further work is needed to develop and collect the necessary tools and resources to implement the model and to determine its feasibility and potential impact
Self-reported behavior and attitudes of enrollees in capitated and fee-for-service dental benefit plans ( Book )
3 editions published in 2001 in English and held by 149 WorldCat member libraries worldwide
Dental care is not immune to the wave of rising costs that has hit other sectors of the health care industry. In an effort to contain those costs, insurance providers have increasingly turned to capitation plans (CAP), which shift the costs of care to the dentist, rather than fee-for-service plans (FFS), wherein costs are shifted to the patient. How do the two types of plans differ in terms of their effect on patient behavior and perceived level of care? This report gauges how people rate their plans and their oral health through a bivariate and multivariate analysis of the results of a survey submitted by 2,340 respondents; 57.7 percent of them in FFS plans and 42.3 in CAP plans. The authors analyzed several variables, including income, out-of-pocket-costs, and demographic categories, that gave rise to significant differences in perceptions of oral health, satisfaction with plan, and satisfaction with dentist. The authors conclude by noting that a general dissatisfaction exists with CAP plans as compared to FFS plans
Health benefits for medicare-eligible military retirees : rationalizing TRICARE for life ( Book )
5 editions published in 2004 in English and held by 147 WorldCat member libraries worldwide
The 2001 National Defense Authorization Act expanded eligibility for coverage under TRICARE, the Department of Defense (DoD) health program, to Medicare-eligible military retirees age 65 and over. Medicare-eligible military retirees enrolled in Medicare Part B became entitled to both Medicare and TRICARE health care benefits--coverage referred to as TRICARE for Life (TFL). Under TFL, Medicare is the primary payer and TRICARE the secondary payer for Medicare-covered services. In addition, TRICARE covers all cost sharing by patients, including Medicare deductibles and coinsurance. This report examines the TFL benefit design and TFL's potential benefits and costs for the DoD, Medicare, beneficiaries, and taxpayers. The authors summarize issues and policy options that were discussed in several briefings presented to the DoD for its consideration for improving TFL in the future. The authors offer policy options to rationalize benefits by considering changes in the TFL benefit structure, promote ease of operations by improving compatibility with Medicare benefits, improve efficiency by promoting optimal use of direct-care services, and improve the overall benefit package for Medicare-eligible military retirees. The 2001 National Defense Authorization Act expanded eligibility for coverage under TRICARE, the Department of Defense (DoD) health program, to Medicare-eligible military retirees age 65 and over. Medicare-eligible military retirees enrolled in Medicare Part B became entitled to both Medicare and TRICARE health care benefits--coverage referred to as TRICARE for Life (TFL). Under TFL, Medicare is the primary payer and TRICARE the secondary payer for Medicare-covered services. In addition, TRICARE covers all cost sharing by patients, including Medicare deductibles and coinsurance. This report examines the TFL benefit design and TFL's potential benefits and costs for the DoD, Medicare, beneficiaries, and taxpayers. The authors summarize issues and policy options that were discussed in several briefings presented to the DoD for its consideration for improving TFL in the future. The authors offer policy options to rationalize benefits by considering changes in the TFL benefit structure, promote ease of operations by improving compatibility with Medicare benefits, improve efficiency by promoting optimal use of direct-care services, and improve the overall benefit package for Medicare-eligible military retirees
Pharmaceutical technology assessment for managed care : current practice and suggestions for improvement by Samuel A Bozzette ( Book )
3 editions published in 2001 in English and held by 144 WorldCat member libraries worldwide
"Powerful pharmaceuticals are of increasing clinical and economic importance to managed care organizations, which are often responsible for managing and paying for the increasing costs of pharmaceuticals. This creates an incentive for them to go beyond a focus on clinical effectiveness and safety to evaluate the cost-effectiveness of new drugs. This report describes the processes by which managed care organizations evaluate pharmaceutical technologies and suggests pathways for organizing improvement. It reviews current evaluation procedures, provides a framework for future evaluations, introduces evaluation approaches, and annotates resources for further research on each topic covered. The report finds that most managed care organizations have internal procedures for assessing new pharmaceutical technologies, but their medical directors commonly believe these procedures to be less rigorous and less systematic than are desirable. The decisionmaking framework outlined in the report and the techniques it incorporates describe an objective, reproducible process for assessing pharmaceutical technology in the managed care setting. It provides a "road map" that can help an organization expose hidden biases in current processes, build on its experiences with evaluation, and reduce the risk of illogical or poorly thought-through decisions."--Rand abstracts
Evaluation of the Arkansas tobacco settlement program : progress through 2011 by John Engberg ( Book )
3 editions published in 2012 in English and held by 143 WorldCat member libraries worldwide
The Tobacco Settlement Proceeds Act, a referendum passed by Arkansans in the November 2000 election, invests Arkansas' share of the tobacco Master Settlement Agreement funds in seven health-related programs. RAND was contracted to perform a comprehensive evaluation of the progress of the seven programs in fulfilling their missions, as well as the effects of the programs on smoking and other health-related outcomes. This report discusses the Arkansas Tobacco Settlement Commission's activities and its responses to recommendations by RAND in the earlier evaluation reports and documents continued activity and progress by the seven funded programs for 2011. This report is the fifth and final biennial report from RAND. It evaluates the progress of each of the funded programs, including assessing progress in achieving programmatic goals and tracking the programs' activities and indicators. It also updates trends in outcome measures developed to monitor the effects of the funded programs on smoking and other health-related outcomes. Finally, it provides both program-specific and statewide recommendations for future program activities and funding, including ongoing strategic planning, developing evaluation measures, collaboration with other programs, and sustaining funding and growth
 
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