A5063116373- Healthcare Policy and Management
- Primary Care and Health Outcomes
- Patient Satisfaction in Healthcare
- Health Policy Implementation Science
- Emergency and Acute Care Studies
- Child and Adolescent Psychosocial and Emotional Development
- Survey Methodology and Nonresponse
- Suicide and Self-Harm Studies
- Community Health and Development
- Hospital Admissions and Outcomes
- Evaluation and Performance Assessment
- Substance Abuse Treatment and Outcomes
- Health Systems, Economic Evaluations, Quality of Life
- Vaccine Coverage and Hesitancy
- Child and Adolescent Health
- Advanced Causal Inference Techniques
- Patient-Provider Communication in Healthcare
- Healthcare cost, quality, practices
- LGBTQ Health, Identity, and Policy
- HIV/AIDS Research and Interventions
- Geriatric Care and Nursing Homes
- Maternal Mental Health During Pregnancy and Postpartum
- Chronic Disease Management Strategies
- Nursing Roles and Practices
- Childhood Cancer Survivors' Quality of Life
RAND Corporation
2013-2022
The health and healthcare of sexual minorities have recently been identified as priorities for research policy. To compare the experiences with heterosexual people same gender, adjusting age, race/ethnicity, socioeconomic status. Multivariate analyses observational data from 2009/2010 English General Practice Patient Survey. survey was mailed to 5.56 million randomly sampled adults registered a National Health Service general practice (representing 99 % England’s adult population). In all,...
The Medicare Consumer Assessments of Healthcare Providers and Systems (MCAHPS) survey, a primarily English-language mail survey with English Spanish telephone follow-up, is the primary means assessing health care experiences American seniors. We examine unit (whole survey) item nonresponse for this to explore issues regarding surveying seniors about their care.We describe overall rates analyze predictors 695,197 beneficiaries selected 2007 MCAHPS (335,249 respondents, 49% response...
BACKGROUND: Transitions between sites of care are inherent to all hospitalizations, yet we lack pediatric-specific transitions-of-care quality measures. We describe the development and validation new measures obtained from medical record data. METHODS: After an evidence review, a multistakeholder panel prioritized by using RAND/University California, Los Angeles modified Delphi method. Three were endorsed, operationalized, field-tested at 3 children’s hospitals 2 community hospitals:...
Objective. To assess the extent to which racial/ethnic differences in ratings of patient experiences with health care represent true versus expectations, how scales are used, or identical physician–patient interactions perceived by members different groups. Study Setting. Primary data collection from a nationally representative online panel (n=567), including white, African American, and Latino respondents. Design. We administered questions on expectations care, series written vignettes,...
Patients with a primary mental health condition account for nearly 10% of pediatric hospitalizations nationally, but little is known about the quality care provided them in hospital settings. Our objective was to develop and test medical record-based measures used assess emergency department (ED) inpatient
Objectives. To compare health care experiences of Medicare beneficiaries with and without symptoms depression investigate the role patient confidence in shaping these experiences. Data Sources. came from 2009 CAHPS 4.0 Fee‐for‐Service (FFS) Survey, which was fielded to a national probability sample 298,492 FFS beneficiaries. Study Design. Linear regression used model associations four global ratings three composite measures test whether beneficiaries' their ability recognize need for...
Community practitioners can face difficulty in achieving outcomes demonstrated by prevention science. Building a community practitioner's capacity-the knowledge and skills needed to conduct critical practices-could improve the quality of its outcomes. The purpose this article is to: (1) describe how an intervention called Assets-Getting To Outcomes (AGTO) was used establish key functions ISF present early lessons learned from that intervention's first 6 months (2) examine whether there...
Although Medicare provides beneficiaries with primary access to the health care system, racial/ethnic disparities in experiences and preventive are well documented population.To investigate disease burden its possible impact on for measures of secondary tertiary care, such as plan information, obtaining recommended a timely manner, immunization.A total 355,874 over age 64 years who responded 2008 Consumer Assessment Healthcare Providers Systems (CAHPS) survey.We fit series linear, case-mix...
To compare patient experiences and disparities for older adults with depressive symptoms in managed care (Medicare Advantage [MA]) versus Medicare Fee-for-Service (FFS).Data came from the 2010 CAHPS survey, to which 220,040 MA 135,874 FFS enrollees aged 65 responded.Multivariate linear regression was used test whether case-mix-adjusted associations between experience differed beneficiaries FFS. Dependent measures included four of beneficiaries' doctors (e.g., reports doctor communication)...
We assess the association between survey layout and response rates (RRs) in 2017 Medicare Advantage Consumer Assessment of Healthcare Providers Systems mail survey. Among 438 plans surveyed by six vendors, there was latitude layout, could add up to 12 supplemental items. Regression models predicted from characteristics (page count, number items, attractiveness), beneficiary sociodemographics. Beneficiary-age-by-survey-characteristic interactions assessed whether were more strongly related...
To evaluate the ability of structure and code sets specified in National Council for Prescription Drug Programs Structured Codified Sig Format to represent ambulatory electronic prescriptions.We parsed strings from a sample 20,161 de-identified e-prescriptions into variables representing fields Format. A stratified random these representations was then reviewed by group experts. For codified fields, we attempted map actual words used prescribers equivalent terms designated...
Health care organizations strive to improve patient experiences. Some use one-on-one provider counseling (shadow coaching) identify and target modifiable behaviors.
Background.Seniors who live alone are a large, growing population with poorer health outcomes.We examine the little-studied care experiences and immunizations of older adults alone.Methods.We use regression-based case-mix adjustment to compare 325,649 aged 65 lived those did not, overall by gender status, using nationally representative data from Medicare Consumer Assessment Healthcare Providers Systems (MCAHPS) surveys.Outcomes were five global ratings (health plan, drug doctor,...
Assessing and improving the quality of transitions to home from emergency department (ED) or hospital is critical for patient safety. Our objective was validate 8 newly developed caregiver-reported measures transition quality.This prospective observational study included 1086 caregiver survey respondents whose children had an ED visit (n = 523) hospitalization 563) at Seattle Children's Hospital in 2014. Caregivers were contacted complete 2 surveys. The first multiple validation including...
Previous studies found lower hospitalization rates for enrollees in Medicare Advantage (MA) plans than beneficiaries with fee-for-service (FFS) coverage. MA enrollment is increasing, especially those newly eligible Medicare, but little known about how service use FFS or differs new beneficiaries.To compare differences of between and FFS.A retrospective study among respondents to the Consumer Assessment Healthcare Providers Systems (MCAHPS) survey. Differences were assessed using...