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Steps for Effectively Addressing State and Local Pension Crises
To help stakeholders understand what drives state and local public pension funding crises and what solutions exist, RAND Corporation researchers developed a prototype road map for reform that takes a holistic perspective. (Source: RAND Research Health and Health Care)
Source: RAND Research Health and Health Care - June 30, 2023 Category: Health Management Authors: David Knapp; Beth J. Asch; Philip Armour; Zhan Okuda-Lim Source Type: research

Counting LGBTQ+ Lives in England and Wales
Analysis of the census data has identified inequalities among LGBTQ+ people in England and Wales in relation to their general health, daily activities, highest qualifications and employment. (Source: RAND Research Health and Health Care)
Source: RAND Research Health and Health Care - June 30, 2023 Category: Health Management Authors: Robert J. Romanelli; Natalie Picken; Avery Adams Source Type: research

New and Emerging Technology for Adult Social Care
Focusing on decision-making processes and implementation, this study evaluates how one example of a technology using home-based sensors with artificial intelligence capabilities was implemented in three case study sites across England. (Source: RAND Research Health and Health Care)
Source: RAND Research Health and Health Care - June 30, 2023 Category: Health Management Authors: Jon Glasby; Ian Litchfield; Sarah Parkinson; Lucy Hocking; Denise Tanner; Bridget Roe; Jennifer Bousfield Source Type: research

Measurement of Consumer Engagement in HIV Care Quality Improvement
Working with HIV care providers and consumers, RAND researchers identified partner priorities and measures of consumer engagement in HIV care quality improvement work, including the available instruments and measures that address those priorities. (Source: RAND Research Health and Health Care)
Source: RAND Research Health and Health Care - June 29, 2023 Category: Health Management Authors: Thomas W. Concannon; George Timmins Source Type: research

Novel Methods to Assess the Military's Evolving Prevention Capabilities
This report describes the development, pilot test, and validity testing of a set of prevention capability metrics to improve the deterrence of sexual assault, sexual harassment, suicide, and domestic violence among military service members. (Source: RAND Research Health and Health Care)
Source: RAND Research Health and Health Care - June 28, 2023 Category: Health Management Authors: Joie D. Acosta; Matthew Chinman; Samer Atshan; Jack Baker; Charles Barton; Armenda Bialas; Tara Laila Blagg; Mallika Bhandarkar; Ingrid Estrada-Darley; Paul Flaspohler; Belinda Hernandez; Stephanie Brooks Holliday; Pamela Imm; Christine Kistler LaCoste; S Source Type: research

Monitoring and Surveillance of Behavioral Health in the Context of Public Health Emergencies
This toolkit shows how existing data sources (such as unemployment insurance claims, 2-1-1 hotline calls, calls to Poison Control Centers, prescription drug fills, and others) can be used for behavioral health surveillance. (Source: RAND Research Health and Health Care)
Source: RAND Research Health and Health Care - June 28, 2023 Category: Health Management Authors: Joie D. Acosta; Laura J. Faherty; Rachel Landis; Lawrence Baker; Shira H. Fischer; Priya Gandhi; Jonathan S. Levin; Bonnie Ghosh-Dastidar; Margaret M. Weden Source Type: research

Impact of Drug Shortages on Consumer Costs
We identify and describe potential costs to patients from drug shortages, measure the impacts of shortages on available indicators of changes in costs to patients, and examine how shortage effects on patient costs vary by drug and patient characteristics. (Source: RAND Research Health and Health Care)
Source: RAND Research Health and Health Care - June 28, 2023 Category: Health Management Authors: Andrew W. Mulcahy; Jonathan S. Levin; Nabeel Qureshi; Kanaka Shetty; Peggy G. Chen; Erik De Freitas; Asa Wilks; Daniel Schwam Source Type: research

Longitudinal Effects of Social Network Changes on Drinking Outcomes for Individuals with a First-Time DUI
Individuals with a first DUI were surveyed about pre- and post-DUI social networks. Participants reduced risky network members and increased supportive network members. Reducing drinking partners was associated with improved drinking outcomes. (Source: RAND Research Health and Health Care)
Source: RAND Research Health and Health Care - June 27, 2023 Category: Health Management Authors: Mauri Matsuda; Karen Chan Osilla; David P. Kennedy; Susan M. Paddock Source Type: research

Impact of Recreational Cannabis Legalization on Opioid Prescribing and Opioid-Related Hospital Visits in Colorado
Our mixed findings suggest that further increases in cannabis beyond medical access may not always reduce opioid prescribing or opioid-related hospital visits at a population level. (Source: RAND Research Health and Health Care)
Source: RAND Research Health and Health Care - June 27, 2023 Category: Health Management Authors: Christine Buttorff; George Sam Wang; Asa Wilks; Gregory J. Tung; Amii M. Kress; Daniel Schwam; Rosalie Liccardo Pacula Source Type: research

Spending Trajectories After Age 65 Variation by Initial Wealth
Financial planning requires information about how spending needs evolve with age. Spending declines after age 65, also among wealthy households, suggesting that the decline is due to changes in the desire to spend, not tightening economic circumstances. (Source: RAND Research Health and Health Care)
Source: RAND Research Health and Health Care - June 27, 2023 Category: Health Management Authors: Michael D. Hurd; Susann Rohwedder Source Type: research

Cultural Dynamics, Substance Use, and Resilience Among American Indian/Alaska Native Emerging Adults in Urban Areas
We conducted 13 focus groups with urban AI/AN emerging adults, parents, and providers. We found risks of substance use from cultural isolation and that culture provided a source of strength and resilience for urban AI/AN emerging adults. (Source: RAND Research Health and Health Care)
Source: RAND Research Health and Health Care - June 27, 2023 Category: Health Management Authors: Ryan Andrew Brown; Alina I. Palimaru; Daniel Dickerson; Kathy Etz; David P. Kennedy; Benjamin Hale; Carrie L. Johnson; Elizabeth J. D ' Amico Source Type: research

A New Taxonomy Is Proposed for Defining the Interests of Stakeholders' Representatives in Health Research
This article distinguishes between the non-conflicting interests of stakeholder groups relating to the inherent rights of that group from the conflicting interests relating to the interests of the representatives or the organization they represent. (Source: RAND Research Health and Health Care)
Source: RAND Research Health and Health Care - June 27, 2023 Category: Health Management Authors: Elie A. Akl; Joanne Khabsa; Holger J. Sch ü nemann; Eve Tomlinson; Roses Parker; Peter Tugwell; Thomas W. Concannon Source Type: research

Home and Community-Based Services Help Aging Veterans and Provide Cost Savings
Home and community-based services allow veterans to“age in place” while receiving the care and support they need. They also cost less than institutional care facilities. As these VA programs expand, it will be important to make them available to all veterans who would benefit from them. (Source: RAND Research Health and Health Care)
Source: RAND Research Health and Health Care - June 26, 2023 Category: Health Management Authors: Jordan M. Harrison Source Type: research

Home and Community-Based Services
As VA expands its home and community-based services for aging veterans and those living with disabilities, it is important to ensure that these services meet the needs of veterans and caregivers and are available to all veterans who would benefit. (Source: RAND Research Health and Health Care)
Source: RAND Research Health and Health Care - June 26, 2023 Category: Health Management Authors: Jordan M. Harrison Source Type: research

Heart Disease Data Portal
The Heart Disease Data Portal is designed to inform and support decisionmaking for public health by facilitating exploring of hypertension prevalence rates in each of the 26 health districts in Los Angeles County. (Source: RAND Research Health and Health Care)
Source: RAND Research Health and Health Care - June 23, 2023 Category: Health Management Authors: Adam Scherling; Roland Sturm; Claudia Nau Source Type: research