Strengthening Integration of Health Services and Systems November 28, 2016
Integrating medical care, public health, and social services will increase access to care and improve health and well-being for all individuals.
Student-Authored Publications
Pardee RAND Graduate School students participate in many RAND research projects through their On-the-Job Training. These projects provide students with tremendous opportunities to publish their work in RAND reports and peer-reviewed journals. In fact, many of our students develop an impressive publications record during their tenure at Pardee RAND, which enables them to compete successfully for positions at universities and other research institutions.
Below is a list of publications that our students have recently authored or co-authored. The list provides an excellent illustration of the range of publications that our students have had a hand in developing.
2016
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How Does Expanding Health Insurance Coverage Affect Workers' Compensation Costs? November 22, 2016
The Affordable Care Act's expansion of coverage for people under age 26 led to a 1-percent reduction in uninsurance, equating to a 0.8-percent decrease in workers' compensation claim frequency, and a roughly 1-percent decrease in overall claim costs.
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Toward a Sustainable Blood Supply in the United States: An Analysis of the Current System and Alternatives for the Future November 21, 2016
This report describes the status quo in the U.S. blood system, explores a set of six specific research questions related to the sustainability of this system through analysis and discussion, and presents policy alternatives and recommendations that aim to improve blood system is sustainability. We employed a mixed-methods approach, blending insight from analyses of available data and from interviews and other interactions with stakeholders.
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Evaluation of Policy Options for Increasing the Availability of Primary Care Services in Rural Washington State November 15, 2016
The Washington State legislature has recently considered several policy options to address a perceived shortage of primary care physicians in rural Washington. RAND Corporation researchers projected the effects that various policy options could have on Washington State's rural primary care workforce through 2025. This report presents background information, the researchers' methods, and their findings.
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Evaluation of an Intervention to Prevent Falls October 26, 2016
Researchers followed up on a previously published report of a randomized controlled trial of a fall-prevention intervention. Linking trial data to Medicare claims, they considered whether the intervention reduced health care costs or the frequency of emergency department visits for fall-related injuries. They used these objectively measured outcomes to provide an overall assessment of the intervention's effectiveness.
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A Collaborative Approach to Behavioral Health Care for Veterans and Their Families October 26, 2016
RAND evaluated the Unified Behavioral Health Center for Military Veterans and Their Families, a new model of behavioral health care that provides colocated and coordinated care for veterans and their families.
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The Unified Behavioral Health Center for Military Veterans and Their Families: Documenting Structure, Process, and Outcomes of Care October 26, 2016
Many veterans and their families struggle with behavioral health, family reintegration, and relationship problems. However, unlike many veterans, family members are generally not eligible to receive care at Department of Veterans Affairs facilities. The Unified Behavioral Health Center is offering a new model of care by providing colocated and coordinated care for veterans and their families. This report presents an evaluation of this model.
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A Structured Protocol Model of Depression Care Versus Clinical Acumen: A Cluster Randomized Trial of the Effects on Depression Screening, Diagnostic Evaluation, and Treatment Uptake in Ugandan HIV Clinics October 18, 2016
Trained lay workers and medical providers in Uganda were able to successfully implement depression screening, diagnosis, and treatment prescription when given training and ongoing supervision from mental health specialists.
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Investing in the Fight: Assessing the Use of the Commander's Emergency Response Program in Afghanistan October 13, 2016
This report examines the use of the Commander's Emergency Response Program (CERP) in Afghanistan. It explores the effectiveness of CERP in supporting tactical operations in Afghanistan during the counterinsurgency-focused 2010–2013 time frame using both qualitative and quantitative methods and describes CERP's origins, history, and existing research on the effectiveness of CERP in Iraq and Afghanistan.
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Meditation for Posttraumatic Stress: Systematic Review and Meta-Analysis October 7, 2016
RAND researchers conducted a systematic review that synthesized evidence from trials of meditation interventions to provide estimates of their efficacy and safety in treating adults diagnosed with posttraumatic stress disorder.
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Mindfulness Meditation for Chronic Pain: Systematic Review and Meta-Analysis October 7, 2016
Chronic pain patients increasingly seek treatment through mindfulness meditation. This study aims to synthesize evidence on efficacy and safety of mindfulness meditation interventions for the treatment of chronic pain in adults.
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Security Sector Reform in Ukraine October 5, 2016
The Maidan Revolution in Ukraine created an opportunity for change and reforms in a system that had resisted them for 25 years. This report examines Ukraine's security sector — assessing what different institutions need to do and where gaps exist — and offers recommendations for the reform of Ukraine's security and defense institutions that meet Ukraine's security needs and align with Euro-Atlantic standards and approaches.
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Mindfulness Meditation for Chronic Pain: A Systematic Review October 4, 2016
RAND researchers conducted a systematic review that synthesized evidence from randomized controlled trials of mindfulness meditation interventions — used adjunctively or as monotherapy — to provide estimates of their efficacy and safety in alleviating chronic pain in adults.
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Strengthening Prior Service–Civil Life Gains and Continuum of Service Accessions into the Army's Reserve Components September 27, 2016
Many service members join (affiliate with) the Reserve Component (RC) after leaving the Regular Army (RA). Attracting prior service personnel to the RC allows the Army to retain valuable military experience. This report combines quantitative and qualitative methods to understand service member decisions upon exiting the RA: to join the RC or not; to join the U.S. Army Reserve versus the Army National Guard; and the timing of their affiliation.
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Benefits and Earnings Losses for Permanently Disabled Workers in California: Trends Through the Great Recession and Effects of Recent Reforms September 27, 2016
Following California's 2012 bill to enact major reforms to the state workers' compensation system, RAND researchers assess trends in earnings loss and permanent partial disability benefits between 2005 and 2012, including analysis of the Great Recession's impact on outcomes for injured workers, and examine how the reforms might affect injury compensation going forward.
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California's 2012 Workers' Compensation Reforms Helped Replace Wages and Offset Earnings Losses After the Great Recession September 27, 2016
Workers' compensation reforms (Senate Bill 863) have likely increased wage replacement rates for permanently disabled Californians by 21.4 percentage points since 2012. The bill is helping to offset the recession's lasting effects on earnings losses.
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Who Are the Men Caring for Maltreated Youth? Male Primary Caregivers in the Child Welfare System September 21, 2016
Men who are the primary caregivers of youth in the child welfare system tend to be more similar than different from their female counterparts.
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Feasibility of a Computer-Assisted Social Network Motivational Interviewing Intervention for Substance Use and HIV Risk Behaviors for Housing First Residents September 19, 2016
A motivational interviewing approach that targets social networks to reduce risky behavior was found to be helpful in a focus group of residents and staff of Housing First, a permanent supportive housing organization for formerly homeless people.
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Comparing VA and Non-Va Quality of Care: A Systematic Review September 14, 2016
The VA often performs better than or similarly to other systems of care with regard to the safety and effectiveness of care.
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Populations and Interventions for Palliative and End-of-Life Care: A Systematic Review September 12, 2016
This evidence review found that palliative care improves outcomes for cancer, dementia, congestive heart failure, and chronic obstructive pulmonary disease.