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Measuring Patient-Centeredness of Care for Seriously Ill Individuals
High quality care for seriously ill patients could be promoted by developing a nationally endorsed survey instrument that assesses patient and family experiences of serious illness care, an administrative data structure to identify the most knowledgeable respondents for the survey, and a tool kit of quality improvement approaches. (Source: RAND Research Health and Health Care)
Source: RAND Research Health and Health Care - December 14, 2017 Category: Health Management Authors: Rebecca Anhang Price; Marc N. Elliott Source Type: research

Barriers to Speaking Up About Patient Safety Concerns
It would be beneficial to combine training of health-care professionals in how to speak up about patient safety issues with training of supervisors in how to manage concerns raised by employees. (Source: RAND Research Health and Health Care)
Source: RAND Research Health and Health Care - December 14, 2017 Category: Health Management Authors: Jason Michel Etchegaray; Madelene J. Ottosen; Theresa Dancsak; Eric J. Thomas Source Type: research

How Well Is the Medical Home Working for Latino and Black Children?
Medical homes may benefit Black children but not the majority of Latino children. (Source: RAND Research Health and Health Care)
Source: RAND Research Health and Health Care - December 14, 2017 Category: Health Management Authors: Alma D. Guerrero; Xinkai Zhou; Paul J. Chung Source Type: research

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. (Source: RAND Research Health and Health Care)
Source: RAND Research Health and Health Care - December 14, 2017 Category: Health Management Authors: Katherine Hobbs Knutson; Mark J. Meyer; Nisha Thakrar; Bradley D. Stein Source Type: research

Addressing Geographic Confounding Through Spatial Propensity Scores
A spatial " doubly robust " estimator can minimize geographically related risk difference among racial/ethnic groups in health disparities studies. (Source: RAND Research Health and Health Care)
Source: RAND Research Health and Health Care - December 14, 2017 Category: Health Management Authors: Melanie L. Davis; Brian Neelon; Paul J. Nietert; Kelly J. Hunt; Lane F. Burgette; Andrew Lawson; Leonard E. Egede Source Type: research

Barriers to Using Nonpharmacologic Approaches and Reducing Opioid Use in Primary Care
Decreasing the reliance of VA providers on opioid prescribing for chronic pain requires local availability of nonpharmacologic pain therapies (NPTs) as well as provider efficacy in prescribing NPTs. (Source: RAND Research Health and Health Care)
Source: RAND Research Health and Health Care - December 14, 2017 Category: Health Management Authors: Karleen F. Giannitrapani; Sangeeta Ahluwalia; Matthew McCaa; Maura Pisciotta; Steven Dobscha; Karl Lorenz Source Type: research

How Do Communities Use a Participatory Public Health Approach to Build Resilience?
Los Angeles County Community Disaster Resilience (LACCDR) coalitions implemented community resilience by anchoring it in preparedness, embracing diversity, engaging while educating, and building reciprocity in partnerships. (Source: RAND Research Health and Health Care)
Source: RAND Research Health and Health Care - December 14, 2017 Category: Health Management Authors: Elizabeth Bromley; David Eisenman; Aizita Maga & ntilde;a; Malcolm Williams; Biblia Kim; Michael McCreary; Anita Chandra; Kenneth B. Wells Source Type: research

The Intersection Between Sleep Science and Policy
This introduction to a special issue of Sleep Health highlights key themes in the growing literature on sleep and adolescent health. (Source: RAND Research Health and Health Care)
Source: RAND Research Health and Health Care - December 14, 2017 Category: Health Management Authors: Wendy M. Troxel; Amy R. Wolfson Source Type: research

A Cost-Analysis of an Interdisciplinary Pediatric Chronic Pain Clinic
An interdisciplinary approach to management of chronic pediatric pain can reduce costs for hospitals and insurers. (Source: RAND Research Health and Health Care)
Source: RAND Research Health and Health Care - December 14, 2017 Category: Health Management Authors: Nicole E. Mahrer; Jeffrey I. Gold; Michael Luu; Patricia M. Herman Source Type: research

Randomized Controlled Trial of a Coordinated Care Intervention to Improve Risk Factor Control After Stroke or Transient Ischemic Attack in the Safety Net
A multi-disciplinary intervention using a Chronic Care Model framework to prevent a secondary stroke among underserved populations will be tested in a randomized controlled trial. (Source: RAND Research Health and Health Care)
Source: RAND Research Health and Health Care - December 12, 2017 Category: Health Management Authors: Amytis Towfighi; Eric M. Cheng; Monica Ayala-Rivera; Heather McCreath; Nerses Sanossian; Tara Dutta; Bijal Mehta; Robert Bryg; Neal Rao; Shlee Song; Ali Razmara; Magaly Ramirez; Theresa Sivers-Teixeira; Jamie Tran; Elizabeth Mojarro-Huang; Ana Montoya; Ma Source Type: research

Impact of TBI on Caregivers of Veterans with TBI
Programs to support caregivers and families of veterans with traumatic brain injuries will benefit from further research on the specific economic and health needs of these caregivers. (Source: RAND Research Health and Health Care)
Source: RAND Research Health and Health Care - December 7, 2017 Category: Health Management Authors: James F. Malec; Courtney van Houtven; Terri Tanielian; Adrian Atizado; Michael C. Dorn Source Type: research

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. (Source: RAND Research Health and Health Care)
Source: RAND Research Health and Health Care - December 7, 2017 Category: Health Management Authors: Adeyemi Okunogbe; Lisa S. Meredith; Evelyn T. Chang; Alissa Simon; Susan Stockdale; Lisa V. Rubenstein Source Type: research

What Role Does Efficiency Play in Understanding the Relationship Between Cost and Quality in Physician Organizations?
We observed differences among physician organizations (POs) in the efficiency with which they produce quality. The sources of inefficiency should be identified and these areas targeted for improvement. (Source: RAND Research Health and Health Care)
Source: RAND Research Health and Health Care - December 7, 2017 Category: Health Management Authors: Susan M. Paddock; Cheryl L. Damberg; Dolores Yanagihara; John L. Adams; Lane F. Burgette; Jose J. Escarce Source Type: research

Developing a Scale to Assess Health Regulatory Focus
A Health Regulatory Focus Scale to assess what motivates individuals to engage in health behaviors was developed and validated. (Source: RAND Research Health and Health Care)
Source: RAND Research Health and Health Care - December 7, 2017 Category: Health Management Authors: Rebecca A. Ferrer; Isaac Lipkus; Jennifer Cerully; Colleen M. McBride; James A. Shepperd; William MP Klein Source Type: research

Promoting Health from the Pulpit
Clergy who embedded HIV messaging into sermons showed wide variation in their fidelity to communicating key messages. (Source: RAND Research Health and Health Care)
Source: RAND Research Health and Health Care - December 7, 2017 Category: Health Management Authors: Denise Diaz Payan; Karen Roc & iacute;o Fl & oacute;rez; Laura M. Bogart; David E. Kanouse; Michael A. Mata; Clyde W. Oden; Kathryn Pitkin Derose Source Type: research

Association Between Physicians' Experiences With Members of Their Social Network and Efforts to Reduce Breast Cancer Screening
Helping clinicians reflect on how their experiences influence their current screening patterns may be an important approach to improving their adherence to revised breast cancer screening guidelines. (Source: RAND Research Health and Health Care)
Source: RAND Research Health and Health Care - December 7, 2017 Category: Health Management Authors: Craig Pollack; Archana Radhakrishnan; Andrew Parker; Xinwei Chen; Kala Visvanathan; Sarah A. Nowak Source Type: research

Patient-Reported Outcome-Based Performance Measures for Older Adults with Multiple Chronic Conditions
RAND analysts tested performance measures of health-related quality of life to better understand the practical use of patient-reported outcome-based performance measures among elderly primary care patients with multiple chronic conditions. (Source: RAND Research Health and Health Care)
Source: RAND Research Health and Health Care - December 7, 2017 Category: Health Management Authors: Maria Orlando Edelen; Adam J. Rose; Elizabeth Bayliss; Lesley Baseman; Emily Butcher; Rosa-Elena Garcia; David Tabano; Brian D. Stucky Source Type: research

The Moral Hazard Effects of Consumer Responses to Targeted Cost-sharing
A targeted cost-sharing program implemented by the California Public Employees Retirement System led to an increase in the use of low-price colonoscopy providers. (Source: RAND Research Health and Health Care)
Source: RAND Research Health and Health Care - December 7, 2017 Category: Health Management Authors: Christopher Whaley; Chaoran Guo; Timothy T. Brown Source Type: research

Retrospective Review of Comorbid Conditions in a Multidisciplinary Pediatric Weight Management Clinic
Multidisciplinary pediatric obesity clinics can help patients make healthy lifestyle choices. (Source: RAND Research Health and Health Care)
Source: RAND Research Health and Health Care - December 7, 2017 Category: Health Management Authors: Christine Thang; Margaret D. Whitley; Nilufar Izadpanah; Daniel DeUgarte; Wendy Slusser Source Type: research

Accounting for Misclassification in Electronic Health Records-derived Exposures Using Generalized Linear Finite Mixture Models
Exposures derived from EHRs may be misclassified, leading to biased estimates of their association with outcomes of interest: finite mixture models can correct biases with no loss of efficiency. (Source: RAND Research Health and Health Care)
Source: RAND Research Health and Health Care - December 7, 2017 Category: Health Management Authors: Rebecca A. Hubbard; Eric A. Johnson; Jessica Chubak; Karen J. Wernli; Aruna Kamineni; Timothy Bogart; Carolyn M. Rutter Source Type: research

The Impact of Practice Guidelines on Opioid Utilization for Injured Workers
Guidelines designed to reduce the prescription of opioids following an injury did not reduce opioid use. (Source: RAND Research Health and Health Care)
Source: RAND Research Health and Health Care - December 7, 2017 Category: Health Management Authors: Christine Buttorff; Antonio J. Trujillo; Renan Castillo; Andres I. Vecino-Ortiz; Gerard F. Anderson Source Type: research

Primary Care Tasks Associated with Provider Burnout
Sharing responsibility among a PCMH team for behavioral counseling and self-management education may reduce primary care physician burnout. (Source: RAND Research Health and Health Care)
Source: RAND Research Health and Health Care - December 7, 2017 Category: Health Management Authors: Linda Y. Kim; Danielle E Rose; Lynn Soban; Susan Stockdale; Lisa S. Meredith; Samuel T. Edwards; Christian D. Helfrich; Lisa V. Rubenstein Source Type: research

Federal Research and Development for Agricultural Biodefense
Document submitted December 5, 2017, as an addendum to testimony presented before the House Science, Space, andTechnology Committee, Subcommittee on Research and Technology on November 2, 2017. (Source: RAND Research Health and Health Care)
Source: RAND Research Health and Health Care - December 6, 2017 Category: Health Management Authors: Daniel M. Gerstein Source Type: research

The Economic Benefits of Later School Start Times
In the first-ever state-by-state analysis of the economic implications of a shift in school start times, researchers found that within a decade, a nationwide move to 8:30 a.m. could contribute $83 billion to the U.S. economy. (Source: RAND Research Health and Health Care)
Source: RAND Research Health and Health Care - December 6, 2017 Category: Health Management Authors: RAND Corporation Source Type: research

Promising Approaches to Army Institutional Change
The U.S. Army is facing many challenges. These include behavioral health issues, misconduct, and adjustment to changing demographics. Long-term solutions will require changes in Army culture and climate. Such changes are difficult, but promising strategies do exist. (Source: RAND Research Health and Health Care)
Source: RAND Research Health and Health Care - December 5, 2017 Category: Health Management Authors: Lisa S. Meredith; Carra S. Sims; Benjamin Saul Batorsky; Adeyemi Okunogbe; Brittany L. Bannon; Craig A. Myatt Source Type: research

Views of Commissioners, Managers and Healthcare Professionals on the NHS Health Check Programme
This is the first study to systematically synthesise data concerning the views of commissioners, managers and healthcare professionals on the National Health Service Health Check programme. (Source: RAND Research Health and Health Care)
Source: RAND Research Health and Health Care - December 5, 2017 Category: Health Management Authors: Katie Mills; Emma Harte; Adam Martin; Calum MacLure; Simon Griffin; J. Mant; Catherine Meads; Catherine L. Saunders; Fiona Walter; Juliet A. Usher-Smith Source Type: research

When Guidelines Conflict
Analyzing the history of age-mammography patterns in the US may help us better understand and address current guideline conflicts. (Source: RAND Research Health and Health Care)
Source: RAND Research Health and Health Care - December 5, 2017 Category: Health Management Authors: Mireille Jacobson; Srikanth Kadiyala Source Type: research

A Cluster-Randomized Trial of Getting To Outcomes' Impact on Sexual Health Outcomes in Community-Based Settings
Getting to Outcomes, an implementation support intervention, can strengthen evidence-based teen pregnancy prevention programs. (Source: RAND Research Health and Health Care)
Source: RAND Research Health and Health Care - December 5, 2017 Category: Health Management Authors: Matthew Chinman; Joie D. Acosta; Patricia A. Ebener; Patrick S Malone; Mary Ellen Slaughter Source Type: research

Weight Resilience and Fruit and Vegetable Intake Among African-American Women in an Obesogenic Environment
Improving access to affordable and desirable fruits and vegetables may be the best way to help residents of food deserts maintain a healthy BMI. (Source: RAND Research Health and Health Care)
Source: RAND Research Health and Health Care - December 5, 2017 Category: Health Management Authors: Sara M. Parisi; Lisa M. Bodnar; Tamara Dubowitz Source Type: research

Evaluation of Housing for Health Permanent Supportive Housing Program
This report assesses program structure and goals and effects on service use and expenditures. (Source: RAND Research Health and Health Care)
Source: RAND Research Health and Health Care - December 5, 2017 Category: Health Management Authors: Sarah B. Hunter; Melody Harvey; Brian Briscombe; Matthew Cefalu Source Type: research

Housing People Experiencing Homelessness May Save Money
Housing for Health provides permanent supportive housing to people in Los Angeles County with complex medical and behavioral health issues. Evaluation after one year revealed dramatic reductions in their use of public services, such as emergency medical care, resulting in a net cost savings of 20 percent. (Source: RAND Research Health and Health Care)
Source: RAND Research Health and Health Care - December 5, 2017 Category: Health Management Authors: Sarah B. Hunter; Melody Harvey; Brian Briscombe; Matthew Cefalu Source Type: research

Barriers to Gender Transition-Related Healthcare
Age, income, education, insurance coverage, and healthcare discrimination were key factors associated with being unable to access transition-related care among transgender adults in Massachusetts. (Source: RAND Research Health and Health Care)
Source: RAND Research Health and Health Care - November 30, 2017 Category: Health Management Authors: Jaclyn Jaclyn White Hughto; Adam J. Rose; John E. Pachankis; Sari L. Reisner Source Type: research

Perceived Cost Advantages and Disadvantages of Purchasing HIV Self-Testing Kits Among Urban Tanzanian Men
Different strategies may be needed to increase male uptake of HIV testing across economic strata. (Source: RAND Research Health and Health Care)
Source: RAND Research Health and Health Care - November 30, 2017 Category: Health Management Authors: Larissa Jennings; Donaldson F. Conserve; Jamison Merrill; Lusajo Kajula; Juliet Iwelunmor; Sebastian Linnemayr; Suzanne Maman Source Type: research

Assigning Responsibility Following a Catastrophe
This report reviews various alternatives to relying exclusively on traditional civil litigation to assign responsibility for the human causes of a catastrophe and to determine the types of losses that a designated responsible party must reimburse. (Source: RAND Research Health and Health Care)
Source: RAND Research Health and Health Care - November 28, 2017 Category: Health Management Authors: Nicholas M. Pace; Lloyd Dixon Source Type: research

How to Reduce Mortality in Correctional Facilities
Inmates disproportionately suffer from a variety of health conditions, compared with the general population. Some in-custody deaths are inevitable; for example, elderly inmates may die of old age. But certain types of death are highly preventable. (Source: RAND Research Health and Health Care)
Source: RAND Research Health and Health Care - November 27, 2017 Category: Health Management Authors: Joe Russo; Dulani Woods; John S. Shaffer; Brian A. Jackson Source Type: research

Differential Response to Contact-based Stigma Reduction Programs
Contact-based mental illness stigma-reduction programs -- in which patients interact socially with a person who has a mental illness - were more effective for those without a prior personal or family history of mental illness. (Source: RAND Research Health and Health Care)
Source: RAND Research Health and Health Care - November 22, 2017 Category: Health Management Authors: Jennifer Cerully; Rebecca L. Collins; Eunice C. Wong; Rachana Seelam; Jennifer Yu Source Type: research

Understanding Rates of Marijuana Use and Consequences Among Adolescents in a Changing Legal Landscape
Evidence suggests some health benefits for medical marijuana; however, initiation of marijuana use during adolescence is a risk factor for problem marijuana use later in life.  (Source: RAND Research Health and Health Care)
Source: RAND Research Health and Health Care - November 22, 2017 Category: Health Management Authors: Elizabeth J. D ' Amico; Joan Tucker; Eric R. Pedersen; Regina A. Shih Source Type: research

Demographic and Mental Health Characteristics of Individuals Who Present to Community Health Clinics With Substance Misuse
Patients of community health clinics who screen positive for alcohol or opioid misuse have a high probability of an alcohol- or substance-use disorder and a slightly higher prevalence of mental illness than the overall clinic population.  (Source: RAND Research Health and Health Care)
Source: RAND Research Health and Health Care - November 22, 2017 Category: Health Management Authors: Praise O. Iyiewuare; Colleen M. McCullough; Allison J. Ober; Kirsten Becker; Katherine E. Watkins Source Type: research

Developing Citizen Report Cards for Primary Health Care in Low and Middle-income Countries
This assessment of alternative patient " report cards, " conducted in rural Tajikistan, yielded insights about design benefits and challenges. (Source: RAND Research Health and Health Care)
Source: RAND Research Health and Health Care - November 22, 2017 Category: Health Management Authors: Sebastian Bauhoff; Lila Rabinovich; Lauren A. Mayer Source Type: research

Exploring the Perils of Cross-national Comparisons of Drug Prevalence
The methods of contacting respondents and the technology for questioning respondents in household surveys complicate cross-country comparisons of drug prevalence. (Source: RAND Research Health and Health Care)
Source: RAND Research Health and Health Care - November 21, 2017 Category: Health Management Authors: Luca Giommoni; Peter H. Reuter; Beau Kilmer Source Type: research

Decades of Evidence Demonstrate That Early Childhood Programs Can Benefit Children and Provide Economic Returns
An updated comprehensive review of rigorous evaluations of early childhood programs confirms and strengthens RAND researchers'findings from previous syntheses showing that many early childhood programs can improve a range of outcomes for children. (Source: RAND Research Health and Health Care)
Source: RAND Research Health and Health Care - November 16, 2017 Category: Health Management Authors: Jill S. Cannon; M. Rebecca Kilburn; Lynn A. Karoly; Teryn Mattox; Ashley N. Muchow; Maya Buenaventura Source Type: research

Early Childhood Programs Can Improve Outcomes and Outweigh Costs
A review of 115 early childhood interventions— including preschool, home visiting, parent education, and other approaches— finds that most programs have favorable effects on at least one child outcome. And most of the programs with benefit – cost analyses show positive returns. (Source: RAND Research Health and Health Care)
Source: RAND Research Health and Health Care - November 16, 2017 Category: Health Management Authors: Jill S. Cannon; M. Rebecca Kilburn; Lynn A. Karoly; Teryn Mattox; Ashley N. Muchow; Maya Buenaventura Source Type: research

When Alzheimer's Drugs Arrive, How Prepared Will We Be to Meet Demand?
Drugs to halt the progression of Alzheimer's disease may be available by 2020, but millions of U.S. patients might have to wait more than 14 months for initial appointments in the multistep process unless health care system capacity is increased. (Source: RAND Research Health and Health Care)
Source: RAND Research Health and Health Care - November 15, 2017 Category: Health Management Authors: Jodi L. Liu; Jakub P. Hlavka; Richard Hillestad; Soeren Mattke Source Type: research

U.S. Health System Should Prepare for Future Alzheimer's Treatments
Advanced clinical trials are underway for at least 10 promising therapies for Alzheimer's disease. But the U.S. health care system lacks the capacity to rapidly move a treatment from approval into wide clinical use. Millions of people could miss out on transformative care if such a breakthrough occurs. (Source: RAND Research Health and Health Care)
Source: RAND Research Health and Health Care - November 15, 2017 Category: Health Management Authors: Jodi L. Liu; Jakub P. Hlavka; Richard Hillestad; Soeren Mattke Source Type: research

Cleaning Up Medical Research
Book review of " Rigor Mortis: How Sloppy Science Creates Worthless Cures, Crushes Hope, and Wastes Billions " by Richard Harris. (Source: RAND Research Health and Health Care)
Source: RAND Research Health and Health Care - November 10, 2017 Category: Health Management Authors: Jakub P. Hlavka Source Type: research

Recreational Marijuana Sales Begin in California Jan. 1; Experts Available to Discuss Markets, Taxes, Health Impacts
As California prepares for legal recreational marijuana sales to begin Jan. 1, drug policy experts from the RAND Corporation are available to discuss issues such as whether legalization will increase consumption and whether black markets will disappear. (Source: RAND Research Health and Health Care)
Source: RAND Research Health and Health Care - November 9, 2017 Category: Health Management Authors: RAND Corporation Source Type: research

How Many Americans Will Need Nursing Home Care and At What Cost?
More than half of Americans will need a nursing home during their lifetime. For most people, these stays will be short and relatively affordable. But a small portion of people will have longer stays and significantly higher out-of-pocket spending. (Source: RAND Research Health and Health Care)
Source: RAND Research Health and Health Care - November 8, 2017 Category: Health Management Authors: RAND Corporation Source Type: research

Prescribing Patterns of Buprenorphine Waivered Physicians
Most buprenorphine prescribers treat many fewer patients than allowed by the current patient limit. Increasing the limit above 100 would likely improve access only for patients of a few high prescribers. (Source: RAND Research Health and Health Care)
Source: RAND Research Health and Health Care - November 7, 2017 Category: Health Management Authors: Cindy Parks Thomas; Erin Doyle; Peter W. Kreiner; Christopher M. Jones; Joel Dubenitz; Alexis Horan; Bradley D. Stein Source Type: research

Unequal Interactions
This study found significant association between low ratings of providers'patient-centeredness and racial/ethnic disparities in providers'recommendations to vaccinate for HPV and likelihood of parents deciding to vaccinate. (Source: RAND Research Health and Health Care)
Source: RAND Research Health and Health Care - November 2, 2017 Category: Health Management Authors: Anny Fenton; Marc N. Elliott; David C Schwebel; Zahava Berkowitz; Nicole C. Liddon; Susan R. Tortolero; Paula Cuccaro; Susan L. Davies; Mark A. Schuster Source Type: research

Text Messaging for Improving Antiretroviral Therapy Adherence
Short text reminders to HIV-positive young adults in Uganda did not improve their adherence to antiretroviral therapy regimens, in contrast to prior interventions that used reminder messages. (Source: RAND Research Health and Health Care)
Source: RAND Research Health and Health Care - November 2, 2017 Category: Health Management Authors: Sebastian Linnemayr; Haijing Crystal Huang; Jill Luoto; Andrew Kambugu; Harsha Thirumurthy; Jessica Haberer; Glenn Wagner; Barbara Mukasa Source Type: research