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RAND Review
This issue highlights recent RAND research on post-9/11 military caregivers; RAND-Lex, a computer program built at RAND that can analyze huge data sets of text; and the implications of climate change on Arctic cooperation. (Source: RAND Research Health and Health Care)
Source: RAND Research Health and Health Care - October 19, 2017 Category: Health Management Authors: RAND Corporation Source Type: research

Efficacy of a Web-based Intervention for Concerned Spouses of Service Members and Veterans with Alcohol Misuse
We found Partners Connect reduced CP anxiety and increased their emotional and tangible social support, factors that have a strong research base in affecting quality of life and health outcomes. (Source: RAND Research Health and Health Care)
Source: RAND Research Health and Health Care - October 18, 2017 Category: Health Management Authors: Karen Chan Osilla; Thomas E. Trail; Eric R. Pedersen; Kristie Gore; Anagha Alka Tolpadi; Lindsey M. Rodriguez Source Type: research

The Effects of Iowa's Proposed Stopgap Measure on Health Insurance Costs and Coverage
This report uses RAND's COMPARE microsimulation model to estimate the effects of a 1332 waiver application from the state of Iowa. The waiver is designed to stabilize Iowa's Affordable Care Act individual market through a series of modifications. (Source: RAND Research Health and Health Care)
Source: RAND Research Health and Health Care - October 17, 2017 Category: Health Management Authors: Sarah A. Nowak; Preethi Rao; Jodi L. Liu; Christine Eibner Source Type: research

Transforming Urgent and Emergency Care and the Vanguard Initiative
Three Urgent and Emergency Care (UEC) vanguards, aiming to improve UEC services, have progressed, driven by funding, status, leadership and support for joint working. Public engagement, workforce and data interoperability challenges need addressing. (Source: RAND Research Health and Health Care)
Source: RAND Research Health and Health Care - October 16, 2017 Category: Health Management Authors: Sonja Marjanovic; Bryn Garrod; Talitha Dubow; Emma Pitchforth; Catherine A. Lichten; Julian Elston; Emma Harte; Jon Sussex; Miaoqing Yang; Fahd Malik; Richard Lewis; Tom Ling Source Type: research

Development of a Canadian Core Clinical Dataset to Support High-quality Care for Canadian Patients with Rheumatoid Arthritis
The core elements in the Canadian Rheumatoid Arthritis Core Clinical Dataset were rated as important and feasible to collect by rheumatology care providers and people living with arthritis from across Canada. (Source: RAND Research Health and Health Care)
Source: RAND Research Health and Health Care - October 13, 2017 Category: Health Management Authors: Claire E. Barber; Dianne Mosher; Vandana Ahluwalia; Michel Zummer; Deborah A. Marshall; Denis Choquette; Diane Lacaille; Claire Bombardier; Anne Lyddiatt; Vinod Chandran; Dmitry Khodyakov; Emily Dao; Cheryl Barnabe Source Type: research

Recruitment and Retention of Homeless Youth in a Substance Use and HIV-risk Reduction Program
Developing a series of strategies and tools to reach homeless youth makes it possible to conduct research with and provide outreach to this at-risk yet hard-to-reach population. (Source: RAND Research Health and Health Care)
Source: RAND Research Health and Health Care - October 13, 2017 Category: Health Management Authors: Rick Garvey; Eric R. Pedersen; Elizabeth J. D ' Amico; Brett Ewing; Joan Tucker Source Type: research

This Is Who We Are
Programs to diffuse safer sex practices and HIV testing norms among young gay men in Beirut must protect confidentiality and security while promoting social ties and safer sex behavior. (Source: RAND Research Health and Health Care)
Source: RAND Research Health and Health Care - October 13, 2017 Category: Health Management Authors: Matt G. Mutchler; Bryce W McDavitt; Tu N. Tran; Cynthia El Khoury; Ellie Ballan; Johnny Tohme; Susan M. Kegeles; Glenn Wagner Source Type: research

Barriers to Integrating the Continuum of Care for Opioid and Alcohol Use Disorders in Primary Care
Some perceived barriers to implementing the continuum of care for opioid and alcohol use disorders in primary care clinics persist over time, but most barriers decreased. (Source: RAND Research Health and Health Care)
Source: RAND Research Health and Health Care - October 13, 2017 Category: Health Management Authors: Erik D. Storholm; Allison J. Ober; Sarah B. Hunter; Kirsten Becker; Praise O. Iyiewuare; Chau Pham; Katherine E. Watkins Source Type: research

Adolescent Peer Networks and the Moderating Role of Depressive Symptoms on Developmental Trajectories of Cannabis Use
Depression appears to reduce the effect of peer influence on marijuana use among adolescents participating in two separate studies. (Source: RAND Research Health and Health Care)
Source: RAND Research Health and Health Care - October 13, 2017 Category: Health Management Authors: Michael Pollard; Joan Tucker; Harold D. Green; Kayla De La Haye; Dorothy L. Espelage Source Type: research

Cesarean Deliveries and Maternal Weight Retention
Cesarean delivery does not lead to greater maternal weight retention after pregnancy. (Source: RAND Research Health and Health Care)
Source: RAND Research Health and Health Care - October 12, 2017 Category: Health Management Authors: Kandice A. Kapinos; Olga Yakusheva; Marianne Weiss Source Type: research

A World Health Organization Field Trial Assessing a Proposed ICD-11 Framework for Classifying Patient Safety Events
The World Health Organization's proposed framework for classifying patient safety events was useful in classifying the majority of such events. (Source: RAND Research Health and Health Care)
Source: RAND Research Health and Health Care - October 12, 2017 Category: Health Management Authors: Alan J. Forster; Burnand Bernard; Saskia E. Dr & ouml;sler; Yana Gurevich; James Harrison; Jean-Marie Januel; Patrick Romano; Danielle A. Southern; Vijaya Sundararajan; Hude Quan; Saskia E. Vanderloo; Harold Alan Pincus; William A. Ghali Source Type: research

What Matters Most to Whom
Policies to improve patient experience may be more effective if tailored to the patient population at a given practice or hospital. (Source: RAND Research Health and Health Care)
Source: RAND Research Health and Health Care - October 12, 2017 Category: Health Management Authors: Rebecca L. Collins; Ann C. Haas; Amelia Haviland; Marc N. Elliott Source Type: research

" Where It Falls Apart "
Latino immigrants in the United States are disproportionately affected by HIV and often experience interruptions in HIV care. Anticipatory guidance that address cultural barriers such as stigma and trust in providers may improve retention in HIV care for this population. (Source: RAND Research Health and Health Care)
Source: RAND Research Health and Health Care - October 11, 2017 Category: Health Management Authors: Julie H. Levison; Laura M. Bogart; Iman F. Khan; Dianna Mejia; Hortensia Amaro; Margarita Alegria; Steven A. Safren Source Type: research

Change in Externalizing Problems Over Time Among Ethnic Minority Youth Exposed to Violence
Strengthening Families Program, a prevention intervention for youth who are exposed to violence, can help ameliorate problem behaviors over time. (Source: RAND Research Health and Health Care)
Source: RAND Research Health and Health Care - October 10, 2017 Category: Health Management Authors: Lynsay Ayer; Claude Messan Setodji; Dana Schultz; Lisa H. Jaycox; Aaron Kofner Source Type: research

A Qualitative Study of Smoking Cessation Experiences and Perceptions Among Homeless Young Adult
Up to 70% of homeless youth smoke, but there is little information available on their smoking cessation experiences and perceptions to guide cessation intervention efforts. (Source: RAND Research Health and Health Care)
Source: RAND Research Health and Health Care - October 10, 2017 Category: Health Management Authors: Leslie Mullins; Claire E. O ' Hanlon; William Shadel; Joan Tucker Source Type: research

Governing Academic Medical Center Systems
This assessment of governance approaches for academic medical centers (AMCs) helped the University of California respond to changes in the funding environment and provides a systematic way for any AMC to weigh the strengths and weaknesses of its governance approaches.. (Source: RAND Research Health and Health Care)
Source: RAND Research Health and Health Care - October 10, 2017 Category: Health Management Authors: Ramya Chari; Claire E. O ' Hanlon; Peggy G. Chen; Kristin Leuschner; Christopher Nelson Source Type: research

Are Soldiers Getting What They Need?
In addition to typical American household issues, service members and their families deal with challenges like deployments and frequent moves. A survey of more than 7,000 active-duty soldiers provides insight into the problems they face, their needs, and the resources they use. (Source: RAND Research Health and Health Care)
Source: RAND Research Health and Health Care - October 9, 2017 Category: Health Management Authors: Carra S. Sims; Thomas E. Trail; Emily K. Chen; Laura L. Miller Source Type: research

Bridging Gaps in Veterans' Mental Health Care
The Welcome Back Veterans (WBV) Initiative aims to bridge gaps in mental health care for returning veterans and their families. Strategic planning will help ensure WBV's continued effectiveness. (Source: RAND Research Health and Health Care)
Source: RAND Research Health and Health Care - October 9, 2017 Category: Health Management Authors: Terri Tanielian; Caroline Batka; Lisa S. Meredith Source Type: research

Are the Unique Needs of Soldiers and Their Families Being Met?
In addition to the typical day-to-day challenges that all people face, service members and their families experience stressors like deployments and frequent moves. A survey of more than 7,000 active component soldiers provides insight into their problems, needs, and the resources they use. (Source: RAND Research Health and Health Care)
Source: RAND Research Health and Health Care - October 9, 2017 Category: Health Management Authors: Carra S. Sims; Thomas E. Trail; Emily K. Chen; Laura L. Miller Source Type: research

Bridging Gaps in Mental Health Care
This report describes the progress made and challenges faced by Welcome Back Veterans, an initiative that supports organizations that, in turn, provide programs and services to support veterans and their families. (Source: RAND Research Health and Health Care)
Source: RAND Research Health and Health Care - October 9, 2017 Category: Health Management Authors: Terri Tanielian; Caroline Batka; Lisa S. Meredith Source Type: research

The Changing Landscape for Veterans' Mental Health Care
This brief examines the challenges that newly emerging private initiatives must address to succeed and to sustain their efforts in treating the mental health needs of service members, veterans, and their families. (Source: RAND Research Health and Health Care)
Source: RAND Research Health and Health Care - October 9, 2017 Category: Health Management Authors: Terri Tanielian; Caroline Batka; Lisa S. Meredith Source Type: research

A New Way Forward in Veterans' Mental Health Care
This brief provides an overview of the Welcome Back Veterans (WBV) initiative, which provides grants to programs focused on addressing the mental health needs of service members, veterans, and their families. (Source: RAND Research Health and Health Care)
Source: RAND Research Health and Health Care - October 9, 2017 Category: Health Management Authors: Terri Tanielian; Caroline Batka; Lisa S. Meredith Source Type: research

Subjective Mortality Risk and Bequests
The results of this paper show a strong empirical relevance of subjective survival curves, indicating the importance to take into consideration of this dimension of individual heterogeneity in life cycle models. (Source: RAND Research Health and Health Care)
Source: RAND Research Health and Health Care - October 6, 2017 Category: Health Management Authors: Li Gan; Guan Gong; Michael D. Hurd; Daniel McFadden Source Type: research

Evaluation of Telephone First Approach to Demand Management in English General Practice
For clinicians, this study provides clear evidence that a considerable part of patient workload can be dealt with through phone consultations. (Source: RAND Research Health and Health Care)
Source: RAND Research Health and Health Care - October 6, 2017 Category: Health Management Authors: Jennifer Newbould; Gary Abel; Sarah Ball; Jennie Corbett; Marc N. Elliott; Josephine Exley; Adam Martin; Catherine L. Saunders; Ed Wilson; Eleanor Winpenny; Miaoqing Yang; Martin Roland Source Type: research

Health Sector Reform in the Kurdistan Region - Iraq
Since 2010, RAND has worked with the Kurdistan Regional Government to improve its health care system. This phase focused on a primary care management information system, physician dual practice reform, and patient safety training. (Source: RAND Research Health and Health Care)
Source: RAND Research Health and Health Care - October 5, 2017 Category: Health Management Authors: C. Ross Anthony; Melinda Moore; Lee H. Hilborne; Anne Rooney; Scot Hickey; Youngbok Ryu; Laura Botwinick Source Type: research

The Effect of Job Loss on Health
Our results suggest that layoffs and business closure have truly distinct effects on health.. (Source: RAND Research Health and Health Care)
Source: RAND Research Health and Health Care - October 4, 2017 Category: Health Management Authors: Pierre-Carl Michaud; Eileen Crimmins; Michael D. Hurd Source Type: research

Disease Incidence and Mortality Among Older Americans and Europeans
Overall, the origin of the higher prevalence of health conditions in the United States results from a higher incidence of diseases and prevalence earlier in the life course. (Source: RAND Research Health and Health Care)
Source: RAND Research Health and Health Care - October 4, 2017 Category: Health Management Authors: A ï da Sol é -Aur ó ; Pierre-Carl Michaud; Michael D. Hurd; Eileen Crimmins Source Type: research

Future Monetary Costs of Dementia in the United States Under Alternative Dementia Prevalence Scenarios
In the present paper we modified the age-specific prevalence rates according to two scenarios. (Source: RAND Research Health and Health Care)
Source: RAND Research Health and Health Care - October 4, 2017 Category: Health Management Authors: Michael D. Hurd; Paco Martorell; Kenneth M Langa Source Type: research

U.S. Obesity Epidemic: A Look at the Data
Obesity in America has reached epidemic proportions. The forces driving this trend include marketing practices at grocery stores, friends'junk-food preferences, and nutritional messages that parents send their kids. (Source: RAND Research Health and Health Care)
Source: RAND Research Health and Health Care - October 3, 2017 Category: Health Management Authors: RAND Corporation Source Type: research

Breaking Down the Data on Obesity
Obesity has reached epidemic proportions in the United States. RAND Health leads comprehensive research efforts to better understand all sides of this epidemic. (Source: RAND Research Health and Health Care)
Source: RAND Research Health and Health Care - October 3, 2017 Category: Health Management Authors: RAND Corporation Source Type: research

Public Cord Blood Banks Provide Benefits Despite Drop in Use
U.S. umbilical cord blood banks are a valuable resource for patients and the research community. Their benefits far outweigh their costs and they should continue to receive federal support. Stakeholders could work together to strengthen the industry and improve the genetic diversity and quality of the national inventory. (Source: RAND Research Health and Health Care)
Source: RAND Research Health and Health Care - September 29, 2017 Category: Health Management Authors: Kandice A. Kapinos; Brian Briscombe; Tadeja Gracner; Aaron Strong; Christopher Whaley; Emily Hoch; Jakub P. Hlavka; Spencer R. Case; Peggy G. Chen Source Type: research

Public Cord Blood Banks
RAND studied trends affecting public cord blood banks and considered changes to the program to buttress banks'financial stability. Researchers found a system worthy of investment, especially if it helps improve the quality of the national inventory. (Source: RAND Research Health and Health Care)
Source: RAND Research Health and Health Care - September 29, 2017 Category: Health Management Authors: Kandice A. Kapinos; Brian Briscombe; Tadeja Gracner; Aaron Strong; Christopher Whaley; Emily Hoch; Jakub P. Hlavka; Spencer R. Case; Peggy G. Chen Source Type: research

Personalizing Antipsychotic Treatment of Schizophrenia
Uncertainty in the pharmacological management of schizophrenia remains a challenge for prescribers, and this Perspective describes the rationale and opportunity for using a point-of-care diagnostic technology to improve health outcomes. (Source: RAND Research Health and Health Care)
Source: RAND Research Health and Health Care - September 28, 2017 Category: Health Management Authors: Marcela Horvitz-Lennon; Zachary Predmore; Soeren Mattke Source Type: research

Exposure to Alcohol Advertising and Adolescents' Drinking Beliefs
Recent research revealed momentary associations between exposure to alcohol advertising and positive beliefs about alcohol among adolescents (Martino et al., 2016). We reanalyzed those data to determine whether associations depend on adolescents'appraisal of ads. (Source: RAND Research Health and Health Care)
Source: RAND Research Health and Health Care - September 28, 2017 Category: Health Management Authors: Rebecca L. Collins; Steven Martino; Stephanie Kovalchik; Elizabeth J. D ' Amico; William Shadel; Kirsten Becker; Anagha Alka Tolpadi Source Type: research

Association of Reference Pricing with Drug Selection and Spending
Over an 18 month period, reference pricing for drugs was associated with a reduction in employer spending of $1.34 million but an out-of-pocket spending increase of $0.12 million for employees. (Source: RAND Research Health and Health Care)
Source: RAND Research Health and Health Care - September 28, 2017 Category: Health Management Authors: James C. Robinson; Christopher Whaley; Timothy T. Brown Source Type: research

Attitudes and Barriers to Healthy Diet and Physical Activity
Psychosocial interventions for diet and physical activity could be more effective if they specifically target the unique profile of influences on an individual's diet and physical activity. (Source: RAND Research Health and Health Care)
Source: RAND Research Health and Health Care - September 28, 2017 Category: Health Management Authors: Christine Anne Vaughan; Madhumita Ghosh Dastidar; Tamara Dubowitz Source Type: research

Well-Child Care Redesign
Parents built trusting relationships with a parent coach who provided preventative services during an intervention to improve well child care in a low-income urban population. (Source: RAND Research Health and Health Care)
Source: RAND Research Health and Health Care - September 28, 2017 Category: Health Management Authors: Naomi A. Mimila; Paul J. Chung; Marc N. Elliott; Christina Bethell; Sandra Chacon; Christopher Biely; Sandra Contreras; Toni Chavis; Yovana Bruno; Tanesha Moss; Tumaini Coker Source Type: research

Using Ambulance Data for Violence Prevention
This study is a'proof of concept'evaluation of the utility of using ambulance data for violence prevention activities, in partnership with the West Midlands Police and the West Midlands Ambulance Service. (Source: RAND Research Health and Health Care)
Source: RAND Research Health and Health Care - September 28, 2017 Category: Health Management Authors: Alex Sutherland; Lucy Strang; Martin Stepanek; Chris Giacomantonio; Adrian Boyle Source Type: research

Individual, Peer, and Family Factor Modification of Neighborhood-Level Effects on Adolescent Alcohol, Cigarette, E-Cigarette, and Marijuana Use
Supporting more social connections between neighbors and monitoring of adolescent deviant behaviors by neighbors may be effective in reducing cigarette, e-cigarette, and marijuana use. (Source: RAND Research Health and Health Care)
Source: RAND Research Health and Health Care - September 28, 2017 Category: Health Management Authors: Regina A. Shih; Layla Parast; Eric R. Pedersen; Wendy M. Troxel; Joan Tucker; Jeremy N. V. Miles; Lisa Kraus; Elizabeth J. D ' Amico Source Type: research

Simulated Effects of Policies to Reduce Diabetes Risk Among Adults With Schizophrenia Receiving Antipsychotics
Policies to promote early diabetes detection among Medicaid patients receiving antipsychotic medication could reduce the rate of diabetes over ten years, but would likely require higher spending. (Source: RAND Research Health and Health Care)
Source: RAND Research Health and Health Care - September 28, 2017 Category: Health Management Authors: Andrew W. Mulcahy; Sharon-Lise T. Normand; John W. Newcomer; Benjamin Colaiaco; Julie M Donohue; Judith Lave; Emmett B. Keeler; Mark J. Sorbero; Marcela Horvitz-Lennon Source Type: research

The Impact of Health Reform on Purchased Care Access
Newly insured patients through the Affordable Care Act coverage expansion may change how civilian providers interact with the TRICARE program. Some physicians may face financial incentives to drop TRICARE patients for newly insured patients. (Source: RAND Research Health and Health Care)
Source: RAND Research Health and Health Care - September 27, 2017 Category: Health Management Authors: Andrew W. Mulcahy; Italo A. Gutierrez; Tadeja Gracner; Teague Ruder; George E. Hart; Melony E. Sorbero Source Type: research

Process Evaluation of a Peer-Driven, HIV Stigma Reduction and HIV Testing Intervention in Latino and African American Churches
Faith-based organizations may be effective in addressing HIV-related disparities, but few interventions have been implemented across diverse churches. (Source: RAND Research Health and Health Care)
Source: RAND Research Health and Health Care - September 26, 2017 Category: Health Management Authors: Karen Roc & iacute;o Fl & oacute;rez; Denise Diaz Payan; Kathryn Pitkin Derose; Frances Aunon; Laura M. Bogart Source Type: research

An Emergency Medicine-Primary Care Partnership to Improve Rural Population Health
Working in partnership, emergency medicine and primary care can address rural populations'most pressing social and medical needs. (Source: RAND Research Health and Health Care)
Source: RAND Research Health and Health Care - September 26, 2017 Category: Health Management Authors: Margaret B. Greenwood-Ericksen; Renuka Tipirneni; Mahshid Abir Source Type: research

Improving Care for PTSD and Depression in the Military
Mental health care in the military is excellent in some areas but could improve in others. A recent RAND study provides recommendations to improve care for servicemembers with PTSD and depression. (Source: RAND Research Health and Health Care)
Source: RAND Research Health and Health Care - September 26, 2017 Category: Health Management Authors: RAND Corporation Source Type: research

Contextual Effects and Child Health and Cognition
This dissertation examines how the local environment contexts contribute to children's health and cognition. (Source: RAND Research Health and Health Care)
Source: RAND Research Health and Health Care - September 25, 2017 Category: Health Management Authors: Victoria Shier Source Type: research

Injury and Illness Surveillance of U.S. Agricultural Workers
This report provides the National Institute for Occupational Safety and Health with an assessment of the feasibility and desirability of carrying out specific actions recommended by an independent panel regarding program relevance and impact. (Source: RAND Research Health and Health Care)
Source: RAND Research Health and Health Care - September 25, 2017 Category: Health Management Authors: Ramya Chari; Amii Kress; Jaime Madrigano Source Type: research

Perspective on Nuclear Energy
This perspective on the dangers of destruction promises no quick and final solution. It involves discriminating acts of choice in both the military and civilian fields of nuclear energy for the indefinite future. And it does not minimize the dangers. (Source: RAND Research Health and Health Care)
Source: RAND Research Health and Health Care - September 25, 2017 Category: Health Management Authors: Albert Wohlstetter Source Type: research

U.S. Religious Congregations Offer Mental Health Support
Nearly a quarter of congregations in the United States provide mental health programming. Greater coordination between those congregations and mental health providers could foster more integrated and holistic care, which may lead to improved recovery outcomes. (Source: RAND Research Health and Health Care)
Source: RAND Research Health and Health Care - September 21, 2017 Category: Health Management Authors: Eunice C. Wong; Brad Fulton; Kathryn Pitkin Derose Source Type: research

Transforming Employment Support for Those with Mental Health Problems
In this essay, we look at what the evidence base around interventions is and see what types of options that policymakers could consider. (Source: RAND Research Health and Health Care)
Source: RAND Research Health and Health Care - September 21, 2017 Category: Health Management Authors: Christian Van Stolk; Joanna Hofman Source Type: research

Future of Health
The report presents findings from a survey conducted by RAND Europe at the request of the National Institute for Health Research to gather and synthesise stakeholder views on the future of health and healthcare in England in 20 to 30 years'time. (Source: RAND Research Health and Health Care)
Source: RAND Research Health and Health Care - September 21, 2017 Category: Health Management Authors: Jennie Corbett; Camilla d ' Angelo; Lorenzo Gangitano; Jon Freeman Source Type: research