Institution
RAND Corporation
Nonprofit•Santa Monica, California, United States•
About: RAND Corporation is a nonprofit organization based out in Santa Monica, California, United States. It is known for research contribution in the topics: Population & Health care. The organization has 9602 authors who have published 18570 publications receiving 744658 citations.
Topics: Population, Health care, Poison control, Mental health, Public health
Papers published on a yearly basis
Papers
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TL;DR: The history and development of the CAHPS Hospital Survey (also known as HCAHPS) and its associated protocols are described and potential benefits include increased transparency, improved consumer decision making, and increased incentives for the delivery of high-quality health care.
Abstract: The authors describe the history and development of the CAHPS Hospital Survey (also known as HCAHPS) and its associated protocols. The randomized mode experiment, vendor training, and "dry runs" that set the stage for initial public reporting are described. The rapid linkage of HCAHPS data to annual payment updates ("pay for reporting") is noted, which in turn led to the participation of approximately 3,900 general acute care hospitals (about 90% of all such United States hospitals). The authors highlight the opportunities afforded by this publicly reported data on hospital inpatients' experiences and perceptions of care. These data, reported on www.hospitalcompare.hhs. gov, facilitate the national comparison of patients' perspectives of hospital care and can be used alone or in conjunction with other clinical and outcome measures. Potential benefits include increased transparency, improved consumer decision making, and increased incentives for the delivery of high-quality health care.
403 citations
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TL;DR: Two studies with undergraduate students and representative American adults indicate that the preference for natural is substantial, and stronger for foods than for medicines, suggesting that a substantial part of the motivation for preferring natural is ideational (moral or aesthetic), as opposed to instrumental (healthiness/effectiveness or superior sensory properties).
402 citations
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TL;DR: The limited evidence suggests that younger age, convenience of the ED compared with alternatives, referral to the ED by a physician, and negative perceptions about alternatives such as primary care providers all play a role in driving nonurgent ED use.
Abstract: Background A large proportion of all emergency department (ED) visits in the United States are for nonurgent conditions. Use of the ED for nonurgent conditions may lead to excessive healthcare spending, unnecessary testing and treatment, and weaker patient-primary care provider relationships. Objectives To understand the factors influencing an individual's decision to visit an ED for a nonurgent condition. Methods We conducted a systematic literature review of the US literature. Multiple databases were searched for US studies published after 1990 that assessed factors associated with nonurgent ED use. Based on those results we developed a conceptual framework. Results A total of 26 articles met inclusion criteria. No 2 articles used the same exact definition of nonurgent visits. Across the relevant articles, the average fraction of all ED visits that were judged to be nonurgent (whether prospectively at triage or retrospectively following ED evaluation) was 37% (range 8%-62%). Articles were heterogeneous with respect to study design, population, comparison group, and nonurgent definition. The limited evidence suggests that younger age, convenience of the ED compared with alternatives, referral to the ED by a physician, and negative perceptions about alternatives such as primary care providers all play a role in driving nonurgent ED use. Conclusions Our structured overview of the literature and conceptual framework can help to inform future research and the development of evidence-based interventions to reduce nonurgent ED use.
401 citations
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TL;DR: The original promise of health IT can be met if the systems are redesigned to address flaws by creating more-standardized systems that are easier to use, are truly interoperable, and afford patients more access to and control over their health data.
Abstract: A team of RAND Corporation researchers projected in 2005 that rapid adoption of health information technology (IT) could save the United States more than $81 billion annually. Seven years later the empirical data on the technology’s impact on health care efficiency and safety are mixed, and annual health care expenditures in the United States have grown by $800 billion. In our view, the disappointing performance of health IT to date can be largely attributed to several factors: sluggish adoption of health IT systems, coupled with the choice of systems that are neither interoperable nor easy to use; and the failure of health care providers and institutions to reengineer care processes to reap the full benefits of health IT. We believe that the original promise of health IT can be met if the systems are redesigned to address these flaws by creating more-standardized systems that are easier to use, are truly interoperable, and afford patients more access to and control over their health data. Providers must ...
398 citations
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TL;DR: Clinicians' awareness of depression for patients with current depressive disorder who received care in either a single-specialty solo or small group practice, a large multispecialty grouppractice, or a health maintenance organization in three US sites is estimated.
Abstract: We estimated clinicians' awareness of depression for patients with current depressive disorder (N = 650) who received care in either a single-specialty solo or small group practice, a large multispecialty group practice, or a health maintenance organization in three US sites. Depressive disorder was determined by independent diagnostic assessment shortly after an office visit. Detection and treatment of depression were determined from visit-report forms completed by the treating clinician. Depending on the setting, from 78.2% to 86.9% of depressed patients who visited mental health specialists had their depression detected at the time of the visit, compared with 45.9% to 51.2% of depressed patients who visited medical clinicians, after adjusting for case-mix differences. Among patients of mental health specialists, there were no significant differences by type of payment in the likelihood of depressive disorder being detected or treated. Among patients of medical clinicians, however, those receiving care financed by prepayment were significantly less likely to have their depression detected or treated during the visit than were similar patients receiving fee-for-service care. (JAMA. 1989;262:3298-3302)
397 citations
Authors
Showing all 9660 results
Name | H-index | Papers | Citations |
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Darien Wood | 160 | 2174 | 136596 |
Herbert A. Simon | 157 | 745 | 194597 |
Ron D. Hays | 135 | 781 | 82285 |
Paul G. Shekelle | 132 | 601 | 101639 |
John E. Ware | 121 | 327 | 134031 |
Linda Darling-Hammond | 109 | 374 | 59518 |
Robert H. Brook | 105 | 571 | 43743 |
Clifford Y. Ko | 104 | 514 | 37029 |
Lotfi A. Zadeh | 104 | 331 | 148857 |
Claudio Ronco | 102 | 1312 | 72828 |
Joseph P. Newhouse | 101 | 484 | 47711 |
Kenneth B. Wells | 100 | 484 | 47479 |
Moyses Szklo | 99 | 428 | 47487 |
Alan M. Zaslavsky | 98 | 444 | 58335 |
Graham J. Hutchings | 97 | 995 | 44270 |