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Rand Health Quarterly

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April 2018: Rand Health Quarterly
Michael Dworsky, Carrie M Farmer, Mimi Shen
This article describes the Affordable Care Act's (ACA's) effects on nonelderly veterans' insurance coverage and demand for Department of Veterans Affairs (VA) health care and assesses the coverage and VA utilization changes that could result from repealing the ACA. Although prior research has shown that the number of uninsured veterans fell after the ACA took effect, the implications of ACA repeal for veterans and, especially, for VA have received less attention. Besides providing a new coverage option to veterans who are not enrolled in VA, the ACA also had the potential to affect health care use among VA patients...
April 2018: Rand Health Quarterly
Kimberly A Hepner, Carol P Roth, Elizabeth M Sloss, Susan M Paddock, Praise O Iyiewuare, Martha J Timmer, Harold Alan Pincus
The U.S. Department of Defense (DoD) strives to maintain a physically and psychologically healthy, mission-ready force, and the care provided by the Military Health System (MHS) is critical to meeting this goal. Attention has been directed to ensuring the quality and availability of programs and services for posttraumatic stress disorder (PTSD) and depression. This study is a comprehensive assessment of the quality of care delivered by the MHS in 2013-2014 for over 38,000 active-component service members with PTSD or depression...
April 2018: Rand Health Quarterly
Kimberly A Hepner, Coreen Farris, Carrie M Farmer, Praise O Iyiewuare, Terri Tanielian, Asa Wilks, Michael Robbins, Susan M Paddock, Harold Alan Pincus
Providing accessible, high-quality care for psychological health (PH) conditions, such as posttraumatic stress disorder (PTSD) and major depressive disorder (MDD), is important to maintaining a healthy, mission-ready force. It is unclear whether the current system of care meets the needs of service members with PTSD or MDD, and little is known about the barriers to delivering guideline-concordant care. RAND used existing provider workforce data, a provider survey, and key informant interviews to (1) provide an overview of the PH workforce at military treatment facilities (MTFs), (2) examine the extent to which care for PTSD and MDD in military treatment facilities is consistent with Department of Veterans Affairs/Department of Defense clinical practice guidelines, and (3) identify facilitators and barriers to providing this care...
April 2018: Rand Health Quarterly
Susan Guthrie, Catherine A Lichten, Janna Van Belle, Sarah Ball, Anna Knack, Joanna Hofman
This study aimed to establish what is known about the mental health of researchers based on the existing literature. There is limited published evidence on the prevalence of specific mental health conditions among researchers. The majority of the identified literature on prevalence relates to work-related stress among academic staff and postgraduate students in university settings. Survey data indicate that the majority of university staff find their job stressful. Levels of burnout appear higher among university staff than in general working populations and are comparable to "high-risk" groups such as healthcare workers...
April 2018: Rand Health Quarterly
Jennie Corbett, Camilla d'Angelo, Lorenzo Gangitano, Jon Freeman
This article presents findings from a survey conducted by RAND Europe at the request of the National Institute for Health Research (NIHR) to gather and synthesise stakeholder views on the future of health and healthcare in England in 20 to 30 years' time. The aim of the research was to generate an evidenced-based picture of the future health and healthcare needs, and how it might differ from today, in order to inform strategic discussions about the future priorities of the NIHR and the health and social care research communities more broadly...
April 2018: Rand Health Quarterly
(no author information available yet)
No abstract text is available yet for this article.
January 2018: Rand Health Quarterly
Tanielian Terri, Bouskill Kathryn E, Ramchand Rajeev, Friedman Esther M, Trail Thomas E, Clague Angela
The United States is home to more than 21 million veterans, many of whom deployed to support combat operations around the globe during their military service and sustained service-related conditions or disabilities. Supporting these wounded, ill, and injured warriors once home are millions of informal caregivers-individuals who provide unpaid support with activities that enable the service member or veteran to live in a noninstitutionalized setting. In this study, researchers describe elements of a research blueprint to inform future efforts to improve support for military and veteran caregivers...
January 2018: Rand Health Quarterly
Robson Sean, Lytell Maria C, Sims Carra S, Pezard Stephanie, Manacapilli Thomas, Anderson Amanda, Bohusch Therese, Haddad Abigail
Military occupations can be physically demanding, yet few attempts have been made to determine the physical readiness of today's airmen to perform their jobs. Although the Air Force conducts fitness testing of all its airmen, these tests and standards are not based on validated job requirements. As part of a broader Air Force effort to measure the physical readiness of airmen to perform their jobs, this study describes a methodology for establishing physical fitness standards for four physically demanding Air Force occupational specialties-combat controller, pararescue, special operations weather team, and tactical air control party...
January 2018: Rand Health Quarterly
Sontag-Padilla Lisa, Seelam Rachana, Kase Courtney Ann, Woodbridge Michelle W, Stein Bradley D
Two surveys of California public college students provide insight into the preliminary impact of the California Mental Health Services Authority's activities on college students' receipt of information about mental health issues and support services.
January 2018: Rand Health Quarterly
Hofman Joanna, Garrod Bryn, Stewart Katherine, Stepanek Martin, Belle Janna Van
There is strong and growing evidence that work and health and wellbeing are closely and strongly linked and need to be addressed together. In June 2014, Public Health England (PHE) published a set of national standards for workplace health for the first time-the Workplace Wellbeing Charter (WWC or Charter), which was developed with the charity Health@Work and Liverpool County Council and was based on their scheme and others from around the country. The national standards aimed to introduce a level of coherence and consistency across the country to support local authorities that had different programmes, with their own standards and reporting requirements, or were planning to introduce them...
January 2018: Rand Health Quarterly
Martin Laurie T, May Linnea Warren, Weilant Sarah, Acosta Joie D, Chandra Anita
In 2013, the Robert Wood Johnson Foundation embarked on a pioneering effort to advance a Culture of Health. This report focuses on two questions that are central to understanding how individuals and sectors think about health and are motivated to promote it: How can the commonly understood concepts of cultural identity (e.g., ethnic or religious; lesbian, gay, bisexual, transgender plus; military) and organizational culture be harnessed to develop a Culture of Health? How can incentives be used to promote individual health and engage investors and leaders within organizations or governments to promote health and well-being broadly? This study draws on 43 one-hour semistructured interviews that RAND researchers conducted with stakeholders whose work focused on cultural alignment, incentives, or both to learn how organizations are addressing and leveraging culture and incentives to promote health and well-being, as well as to identify facilitators, barriers, potential best practices, and lessons learned...
January 2018: Rand Health Quarterly
Balbirnie Emilie, Davies Matthew, Disley Emma, Monsalve Cristina Gonzalez, Hartka Stephen, Hoorens Stijn, Kruithof Kristy, Sacher Martin, Taylor Jirka
The aim of the EU Drugs Strategy 2013-2020 is to contribute to a reduction in drug demand and drug supply within the EU. The Strategy has so far been implemented by an Action Plan covering the period 2013-2016. This article sets out the findings of an evaluation that assesses the degree of implementation of the Strategy and the Action Plan in terms of outputs and, where possible, impacts. It looks at the extent to which the objectives of the Strategy have been achieved. The evaluation aims to provide evidence to support the European Commission's decision about whether to propose a new Action Plan for the period 2017-2020 and, if so, what changes would be needed compared to the current plan...
January 2018: Rand Health Quarterly
Marjanovic Sonja, Ghiga Ioana, Yang Miaoqing, Knack Anna
The potential of health data to improve the efficiency and effectiveness of health research and development, healthcare delivery, and health systems more widely is substantial. There are many initiatives across the EU that are experimenting with ways to capture value and address the nexus of technical, legal, ethics-related, governance and data protection-related, and cultural challenges to delivering potential benefits for society and the economy. The field of health data research and policy is highly dynamic and there is a need for further reflection, thematic learning and evaluation to better understand how to create and connect receptive places, to inform future interventions and to identify transferable lessons...
January 2018: Rand Health Quarterly
Martsolf Grant, Mason Diana J, Sloan Jennifer, Sullivan Cheryl G, Villarruel Antonia M
The Robert Wood Johnson Foundation (RWJF) recently made a commitment to advancing a national culture of health (COH)-an action framework developed by RWJF that focuses on well-being and equity with the goal of empowering and supporting people to lead healthier lives where they live, learn, work, and play, now and in generations to come. Nurses are well positioned to provide care that is consistent with, and contributes to, a COH in their communities. RWJF contracted with the American Academy of Nursing (the Academy) with a subcontract to the RAND Corporation to explore the ways that innovative nurse-designed models of care are currently advancing a COH...
January 2018: Rand Health Quarterly
Edelen Maria Orlando, Gage Barbara J, Rose Adam J, Ahluwalia Sangeeta, DeSantis Amy Soo Jin, Dunbar Michael Stephen, Fischer Shira H, Huang Wenjing, Klein David J, Martino Steven, Pillemer Francesca, Piquado Tepring, Shier Victoria, Shih Regina A, Sherbourne Cathy D, Stucky Brian D
The Centers for Medicare & Medicaid Services (CMS) contracted with the RAND Corporation to identify and/or develop standardized items to include in the post-acute care patient assessment instruments. RAND was tasked by CMS with developing and testing items to measure seven areas of health status for Medicare beneficiaries: (1) vision and hearing; (2) cognitive status; (3) depressed mood; (4) pain; (5) care preferences; (6) medication reconciliation; and (7) bladder and bowel continence. This article presents results of the first Alpha 1 feasibility test of a proposed set of items for measuring each of these health status areas...
January 2018: Rand Health Quarterly
(no author information available yet)
No abstract text is available yet for this article.
June 2017: Rand Health Quarterly
Rajeev Ramchand, Lisa H Jaycox, Patricia A Ebener
This article evaluates the landscape in which suicide prevention hotlines operate, focusing on California but with nationwide implications, and provides recommendations to ensure that callers at risk of suicide seek and receive the help they need.
June 2017: Rand Health Quarterly
Joshua Breslau, J Scott Ashwood, Courtney Ann Kase, Harold Alan Pincus, Susan L Lovejoy
This article provides information and recommendations regarding the evaluation design of the Certified Community Behavioral Health Clinic (CCBHC) demonstration. Mandated by Congress in Section 223 of the Protecting Access to Medicare Act of 2014, the CCBHC is a new model of specialty behavioral health clinic, designed to provide comprehensive and integrated care for adults with mental health or substance-use disorders and children with serious emotional distress. Certification criteria for the CCBHCs have been specified by Substance Abuse and Mental Health Services Administration covering six core areas: staffing; accessibility; care coordination; scope of services; quality and other reporting; and organizational authority, governance, and accreditation...
June 2017: Rand Health Quarterly
Joie D Acosta, Margaret D Whitley, Linnea Warren May, Tamara Dubowitz, Malcolm V Williams, Anita Chandra
Since 2013, the Robert Wood Johnson Foundation (RWJF) has embarked on a pioneering effort to advance a Culture of Health. The Culture of Health action framework is founded on a vision in which "everyone in our diverse society leads healthier lives now and for generations to come." To put the Culture of Health vision into action, RWJF asked RAND Health to support the development of an action framework and measurement strategy. This article summarizes the stakeholder engagement efforts that RAND used to inform this work...
June 2017: Rand Health Quarterly
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