Rand health quarterly最新文献_第2页

Assessing Readiness in Service Members Who Receive Private-Sector Behavioral Health Care. 评估接受私营部门行为保健服务的服务人员的准备情况。

Rand health quarterly Pub Date : 2025-03-17 eCollection Date: 2025-03-01

Jessica L Sousa, Kimberly A Hepner, Carol P Roth, Lia Pak, Teague Ruder

{"title":"Assessing Readiness in Service Members Who Receive Private-Sector Behavioral Health Care.","authors":"Jessica L Sousa, Kimberly A Hepner, Carol P Roth, Lia Pak, Teague Ruder","doi":"","DOIUrl":"","url":null,"abstract":"Ensuring that service members who receive behavioral health (BH) care receive routine readiness assessments is critical to maintaining a ready military force. Routine assessments of service members' medical readiness and deployability help identify any acute or chronic health conditions-physical or psychological-that could negatively affect a service member's ability to perform their military duties. Service members may receive BH care from a military treatment facility (MTF) provider (often referred to as direct care) or from a TRICARE-contracted civilian provider in the community (often referred to as private-sector care). While readiness assessments are routinely included in clinical encounters at MTFs, it has been unclear how readiness assessments are being conducted for service members seen in private-sector care. This study presents the findings and integration of two analyses-of administrative treatment data and of qualitative interviews with MTF administrators and clinical staff-that can inform policymaking and planning to improve readiness assessments and command communication for service members receiving private-sector BH care.","PeriodicalId":74637,"journal":{"name":"Rand health quarterly","volume":"12 2","pages":"9"},"PeriodicalIF":0.0,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11916087/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143665656","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Cost Trade-Offs Between Accessing and Retaining Uniformed Mental Health Providers. 获得和保留统一精神卫生服务提供者之间的成本权衡。

Rand health quarterly Pub Date : 2025-03-17 eCollection Date: 2025-03-01

Avery Calkins, Michael G Mattock, Shannon D Donofry, Daniel Schwam, Anthony Lawrence, Kimberly A Hepner

{"title":"Cost Trade-Offs Between Accessing and Retaining Uniformed Mental Health Providers.","authors":"Avery Calkins, Michael G Mattock, Shannon D Donofry, Daniel Schwam, Anthony Lawrence, Kimberly A Hepner","doi":"","DOIUrl":"","url":null,"abstract":"The Military Health System does not have enough military mental health providers to meet demand among active-duty service members, despite efforts in the U.S. Department of Defense (DoD) to leverage special pays to recruit and retain staff. Maintaining adequate military mental health care services is important for maintaining the readiness of the overall force. To expand its mental health workforce and stabilize its care delivery system, DoD needs cost-effective options for increasing the force size of military mental health providers in both the short and long terms. In this study, the authors used the RAND Dynamic Retention Model to simulate how changing retention bonuses for uniformed mental health providers increased active component retention and per capita personnel cost. Using these results, the authors determined the most cost-effective way to increase the force size of the uniformed mental health provider workforce; specifically, accessing more providers or retaining more providers. The authors also compared military compensation for psychiatrists, clinical psychologists, social workers, and mental health nurse practitioners with expected civilian compensation for these types of providers. DoD leaders and personnel managers can use the key findings and recommendations offered to make informed choices among potential strategies for expanding its uniformed mental health workforce.","PeriodicalId":74637,"journal":{"name":"Rand health quarterly","volume":"12 2","pages":"6"},"PeriodicalIF":0.0,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11916088/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143665657","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Estimating the Effects of Further Expanding Health Insurance Coverage to Noncitizen Populations in Connecticut. 估计进一步扩大健康保险覆盖到康涅狄格非公民人口的影响。

Rand health quarterly Pub Date : 2025-03-17 eCollection Date: 2025-03-01

Preethi Rao, Federico Girosi

引用次数: 0

Use of Inpatient Psychiatric Facilities by Medicare Beneficiaries with Dementia. 老年痴呆症医疗保险受益人住院精神病设施的使用。

Rand health quarterly Pub Date : 2025-03-17 eCollection Date: 2025-03-01

Mark J Sorbero, Yaou Flora Sheng, Swad Komanduri, Jodi L Liu

{"title":"Use of Inpatient Psychiatric Facilities by Medicare Beneficiaries with Dementia.","authors":"Mark J Sorbero, Yaou Flora Sheng, Swad Komanduri, Jodi L Liu","doi":"","DOIUrl":"","url":null,"abstract":"Alzheimer's dementia, the most common type of dementia, afflicts more than 6 million Americans. More than 80 percent of people living with dementia (PLWD) live in the community, either with caregivers or alone. As cognitive impairment becomes more severe, behavioral and psychological symptoms of dementia (BPSD) become more difficult to manage, and those with severe or dangerous BPSD may need to be treated in an inpatient psychiatric facility (IPF). The immediate goal of an IPF stay is to stabilize patients in a psychiatric crisis. IPFs primarily serve people with serious mental illness and substance use disorders, whose care needs may overlap with but also differ from the needs of PLWD. Little is known about PLWD who use IPFs. The goal of this research was to conduct exploratory analyses focused on PLWD who use IPFs to (1) characterize the population and compare them with IPF users without dementia, (2) examine characteristics and utilization patterns for different services and settings that may be associated with IPF stays, and (3) analyze outcomes following IPF stays. The authors used Medicare fee-for-service data to conduct descriptive analyses characterizing beneficiaries with dementia who experienced an IPF stay in 2018 and compare them with beneficiaries without dementia. The research team used regression analyses to explore predictors of IPF use and service use and outcomes after IPF discharge.","PeriodicalId":74637,"journal":{"name":"Rand health quarterly","volume":"12 2","pages":"8"},"PeriodicalIF":0.0,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11916080/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143665668","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Annual Trends Among the Unsheltered in Three Los Angeles Neighborhoods: The Los Angeles Longitudinal Enumeration and Demographic Survey (LA LEADS) 2023 Annual Report. 洛杉矶三个社区无庇护者的年度趋势：洛杉矶纵向枚举和人口调查（LA LEADS） 2023年度报告。

Rand health quarterly Pub Date : 2024-12-30 eCollection Date: 2024-12-01

Jason M Ward, Rick Garvey, Sarah B Hunter

{"title":"Annual Trends Among the Unsheltered in Three Los Angeles Neighborhoods: The Los Angeles Longitudinal Enumeration and Demographic Survey (LA LEADS) 2023 Annual Report.","authors":"Jason M Ward, Rick Garvey, Sarah B Hunter","doi":"","DOIUrl":"","url":null,"abstract":"Since fall 2021, the authors of this study have conducted regular enumerations of the unsheltered populations in three Los Angeles neighborhoods known for having high concentrations of people experiencing unsheltered homelessness: Hollywood, Skid Row, and Venice. In addition to counts, the authors have conducted surveys of unsheltered residents in these same neighborhoods to better understand the characteristics, experiences, and needs of these populations. The results of the first year of this study, known as the Los Angeles Longitudinal Enumeration and Demographic Survey (LA LEADS), were presented in a report published by RAND in 2023. The authors continued their enumeration and survey efforts in these three neighborhoods throughout 2023 using an updated survey instrument that includes new questions about employment, income, experiences with service providers, health conditions, and substance use. This study presents their findings from the 2023 data collection period and includes comparisons with the previous year's effort and new information about unsheltered populations' experiences and needs across the same three Los Angeles neighborhoods.","PeriodicalId":74637,"journal":{"name":"Rand health quarterly","volume":"12 1","pages":"11"},"PeriodicalIF":0.0,"publicationDate":"2024-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11630103/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142908081","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Understanding the State and Local Policies Affecting Abortion Care Administration, Access, and Delivery: A Case Study in Virginia. 了解影响堕胎护理管理、获取和交付的州和地方政策：弗吉尼亚州的案例研究。