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2023 National Survey of Health Attitudes: Description and Top-Line Summary Data. 2023 年全国健康态度调查：说明和顶线汇总数据。
Rand health quarterly Pub Date : 2024-09-25 eCollection Date: 2024-09-01
Anita Chandra, Delia Bugliari, Linnea Warren May, Sarah Weilant, Christopher Nelson, Laurie T Martin, Douglas Yeung, Carolyn Miller
{"title":"2023 National Survey of Health Attitudes: Description and Top-Line Summary Data.","authors":"Anita Chandra, Delia Bugliari, Linnea Warren May, Sarah Weilant, Christopher Nelson, Laurie T Martin, Douglas Yeung, Carolyn Miller","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>RAND is supporting the Robert Wood Johnson Foundation in advancing understanding of U.S. public mindsets and attitudes toward health and well-being. This study describes the design and fielding of the 2023 National Survey of Health Attitudes, the third iteration of this survey, on how people in the United States think about, value, and prioritize health and consider issues of health equity.</p>","PeriodicalId":74637,"journal":{"name":"Rand health quarterly","volume":"11 4","pages":"7"},"PeriodicalIF":0.0,"publicationDate":"2024-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11425931/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142334017","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 North Carolina. 了解影响堕胎护理管理、获取和提供的州和地方政策：北卡罗来纳州案例研究》。
Rand health quarterly Pub Date : 2024-09-25 eCollection Date: 2024-09-01
Julia Rollison, Skye Miner, Maya Buenaventura, Maya Rabinowitz
{"title":"Understanding the State and Local Policies Affecting Abortion Care Administration, Access, and Delivery: A Case Study in North Carolina.","authors":"Julia Rollison, Skye Miner, Maya Buenaventura, Maya Rabinowitz","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The implementation and enforcement of state and local abortion policy can vary significantly between medical clinics and depend on the context and the individual decisionmakers involved. Research conducted prior to the U.S. Supreme Court decision in <i>Dobbs v. Jackson Women's Health Organization</i> showed that, when providers are unclear about potentially conflicting or changing local and state policies (formal and informal) or enforcement, many err on the side of caution and become more restrictive in their practices. However, it is unknown whether and to what extent state and local policies and practices adapted in the wake of Dobbs have influenced providers' practices. The authors conducted an initial study of laws and policies post-Dobbs in one state, North Carolina, to better understand the policy landscape and gather perspectives from staff in facilities or organizations that provide or support abortion care. This study served as a unique opportunity to explore laws and policies, as well as implementation experiences, given North Carolina's Senate Bill 20, which instituted a gestational limit of 12 weeks and 6 days, as well as other provisions, including a 72-hour in-person consent requirement. The findings highlight the reported impacts of Senate Bill 20 on facilities, providers, and patients, as well as other local and institutional policies on abortion care access. This work highlights the importance of understanding legislation and its underlying provisions to ensure a complete picture of implementation factors and potential impacts.</p>","PeriodicalId":74637,"journal":{"name":"Rand health quarterly","volume":"11 4","pages":"2"},"PeriodicalIF":0.0,"publicationDate":"2024-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11425927/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142336725","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
Letter from the Editor. 编辑来信
Rand health quarterly Pub Date : 2024-09-25 eCollection Date: 2024-09-01
{"title":"Letter from the Editor.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":74637,"journal":{"name":"Rand health quarterly","volume":"11 4","pages":"letter"},"PeriodicalIF":0.0,"publicationDate":"2024-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11425924/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142334020","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
Lessons from 9/11 for Supporting Veterans Exposed to Military Environmental Hazards: Veterans' Issues in Focus. 从 9/11 事件中吸取教训，为受到军事环境危害的退伍军人提供支持：聚焦退伍军人问题。
Rand health quarterly Pub Date : 2024-09-25 eCollection Date: 2024-09-01
Ramya Chari, Heather Marie Salazar, Lauren Skrabala
{"title":"Lessons from 9/11 for Supporting Veterans Exposed to Military Environmental Hazards: Veterans' Issues in Focus.","authors":"Ramya Chari, Heather Marie Salazar, Lauren Skrabala","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Exposure to environmental hazards exacerbates the risks inherent in military service, but many veterans do not experience the health consequences until many years later. The 2022 Sergeant First Class Heath Robinson Honoring Our Promise to Address Comprehensive Toxics (PACT) Act tasked the U.S. Department of Veterans Affairs with streamlining benefits and health care eligibility for certain veterans who have been exposed to military hazards. However, questions and concerns remain about the equitability, scientific robustness, and timeliness of the associated decisionmaking processes. There are opportunities to use structures from existing programs-specifically, the World Trade Center Health Program-as a template to improve engagement with veterans and their families, caregivers, providers, and advocates to ensure that their experiences and needs are heard, understood, and an integral part of the PACT Act's implementation.</p>","PeriodicalId":74637,"journal":{"name":"Rand health quarterly","volume":"11 4","pages":"4"},"PeriodicalIF":0.0,"publicationDate":"2024-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11425928/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142334019","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
How Working Conditions in Civilian Jobs Can Affect Veterans' Health and Well-Being: Veterans' Issues in Focus. 文职工作的工作条件如何影响退伍军人的健康和福祉：退伍军人问题聚焦》。
Rand health quarterly Pub Date : 2024-09-25 eCollection Date: 2024-09-01
Margaret D Whitley, Eric Apaydin
{"title":"How Working Conditions in Civilian Jobs Can Affect Veterans' Health and Well-Being: Veterans' Issues in Focus.","authors":"Margaret D Whitley, Eric Apaydin","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Too often, policy discussions focus on employment rates over the quality of the jobs that are available to veterans. Ensuring safe and healthy working conditions for veterans should be a priority of policies and programs to improve employment opportunities for this population. Veterans have already put their lives and health on the line for their country, sometimes with long-term effects that make them vulnerable to additional hazards on the job. Understanding why veterans choose the occupations they do and the risks they are exposed to could lead to policies that improve veteran health and support for all workers.</p>","PeriodicalId":74637,"journal":{"name":"Rand health quarterly","volume":"11 4","pages":"3"},"PeriodicalIF":0.0,"publicationDate":"2024-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11425930/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142334018","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
The State of Health and Health Care for LGBTQ+ Veterans: Differences Among Sexual and Gender Minority Veterans, by Identity and State Policy Climate, 2015-2021. LGBTQ+ 退伍军人的健康和医疗状况：2015-2021 年按身份和州政策环境划分的性少数群体和性别少数群体退伍军人的差异。
Rand health quarterly Pub Date : 2024-09-25 eCollection Date: 2024-09-01
Megan S Schuler, Michael S Dunbar, Elizabeth Roth, Joshua Breslau
{"title":"The State of Health and Health Care for LGBTQ+ Veterans: Differences Among Sexual and Gender Minority Veterans, by Identity and State Policy Climate, 2015-2021.","authors":"Megan S Schuler, Michael S Dunbar, Elizabeth Roth, Joshua Breslau","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The U.S. government has affirmed commitments to improving health and well-being for lesbian, gay, bisexual, transgender, queer, and other sexual and gender minority (LGBTQ+) veterans, who may have distinct needs and challenges when accessing timely and appropriate health care. To date, there are limited data about potential health disparities among LGBTQ+ veterans that examine differences by both sexual identity and gender identity. Understanding the nature and magnitude of disparities among LGBTQ+ veterans is critical for targeted efforts to improve their health and well-being. The authors of this study use nationally representative data from 2015-2021 from the Behavioral Risk Factor Surveillance System to compare the age-adjusted prevalence of health-related outcomes across multiple domains (health care access and affordability, general health, substance use, and chronic conditions) for sexual and gender minority veterans with that of their heterosexual and cisgender veteran peers. LGBTQ+ veterans showed poorer health-related outcomes in multiple domains than their heterosexual and cisgender peers, including in terms of healthcare affordability, mental health, chronic cardiovascular conditions, and chronic respiratory conditions. The authors also examine associations between state LGBTQ+ policy climates and health-related outcomes among LGBTQ+ veterans. Among LGBTQ+ veterans, living in a state with a more favorable (versus negative) LGBTQ+ policy climate was associated with several health indicators (e.g., having health insurance, lower smoking rates). The authors then discuss implications for ongoing efforts to improve health and well-being for LGBTQ+ veterans, including sustained actions to ensure that all LGBTQ+ veterans are able to access necessary care and use the full scope of benefits for which they are eligible.</p>","PeriodicalId":74637,"journal":{"name":"Rand health quarterly","volume":"11 4","pages":"6"},"PeriodicalIF":0.0,"publicationDate":"2024-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11425932/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142336724","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
Evaluation Design for the Department of the Air Force's True North Program: Development of a Logic Model and Program Measures. 空军部 "真正北方 "计划的评估设计：开发逻辑模型和计划措施。
Rand health quarterly Pub Date : 2024-06-03 eCollection Date: 2024-06-01
Miriam Matthews, Thomas E Trail, Samantha E DiNicola, Coreen Farris, Jenna W Kramer, Isabelle González
{"title":"Evaluation Design for the Department of the Air Force's True North Program: Development of a Logic Model and Program Measures.","authors":"Miriam Matthews, Thomas E Trail, Samantha E DiNicola, Coreen Farris, Jenna W Kramer, Isabelle González","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Developing strong resiliency and care solutions for airmen and guardians is key to human capital development and force readiness. The True North program is one of the Department of the Air Force's (DAF's) most significant recent investments in promoting the resiliency of its people. Assessing the program's level of success, justifying funding, and informing decisions about the program's future will require a rigorous evaluation. The authors of this study (1) identify desired outcomes for members participating in the program, (2) define appropriate measures of effectiveness that could be used in evaluating the True North program, and (3) make recommendations for ongoing internal evaluation of the program. The True North program encompasses selected installation welcome centers, embedded religious support teams (RSTs), and embedded mental health (EMH) teams. To determine how DAF might evaluate this program and its components, the authors reviewed relevant policies and procedures and literature relevant to the program components and conducted interviews with 17 True North program personnel and 21 group and squadron commanders. They present a program logic model to determine potential evaluation measures.</p>","PeriodicalId":74637,"journal":{"name":"Rand health quarterly","volume":"11 3","pages":"7"},"PeriodicalIF":0.0,"publicationDate":"2024-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11147640/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141297514","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
Letter from the Editor. 编辑来信
Rand health quarterly Pub Date : 2024-06-03 eCollection Date: 2024-06-01
{"title":"Letter from the Editor.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":74637,"journal":{"name":"Rand health quarterly","volume":"11 3","pages":"letter"},"PeriodicalIF":0.0,"publicationDate":"2024-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11147636/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141297517","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
Comparing New Prescription Drug Availability and Launch Timing in the United States and Other OECD Countries. 比较美国和其他经合组织国家的新处方药供应和上市时间。
Rand health quarterly Pub Date : 2024-06-03 eCollection Date: 2024-06-01
Andrew W Mulcahy
{"title":"Comparing New Prescription Drug Availability and Launch Timing in the United States and Other OECD Countries.","authors":"Andrew W Mulcahy","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Prescription drug research and development is, particularly in its most expensive later stages, an increasingly global endeavor undertaken by large, multinational firms. However, the availability of the resulting new drugs in individual countries and the timing of their launch can vary because of regulatory differences, business decisions, and other factors. The now-enacted Inflation Reduction Act of 2022 and other policy proposals aim to lower U.S. prices for brand-name drugs that are between three and four times as expensive as in other higher-income countries. Some stakeholders assert that lower U.S. prices will prevent U.S. patients from accessing some drugs sold in other countries or delay the launch of new drugs in the United States. To address these concerns, the author uses 2018 to 2022 data to compare the availability and timing of entry of new prescription drugs between the United States and other high-income countries.</p>","PeriodicalId":74637,"journal":{"name":"Rand health quarterly","volume":"11 3","pages":"4"},"PeriodicalIF":0.0,"publicationDate":"2024-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11147638/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141297513","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
Assessing the Impact of Individual Market Reforms in Minnesota. 评估明尼苏达州个人市场改革的影响。
Rand health quarterly Pub Date : 2024-06-03 eCollection Date: 2024-06-01
Preethi Rao, Federico Girosi, Christine Eibner
{"title":"Assessing the Impact of Individual Market Reforms in Minnesota.","authors":"Preethi Rao, Federico Girosi, Christine Eibner","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Starting in 2026, Minnesota could experience disruptions to its health insurance marketplace caused by the anticipated sunset of federal premium subsidy enhancements, made available through the Inflation Reduction Act of 2022, as well as the expiration of state funding for its reinsurance program. With reduced premium subsidies, fewer people might enroll in marketplace plans, which could lead to higher premiums and market instability. The expiration of reinsurance, which partially offsets insurers' claims costs for people with high expenditures, could exacerbate these issues. In this study, researchers estimate the effects of implementing state-funded subsidies to bolster Minnesota's marketplace given these anticipated changes. They also study the impact of replacing the state's Basic Health Program with a similarly structured marketplace plan. The policy reforms that researchers consider were developed by the Minnesota Council of Health Plans and share similar goals with legislation recently proposed by Minnesota policymakers, such as HF 96, a bill authorizing study of a public option that also proposed to temporarily enhance marketplace subsidies.</p>","PeriodicalId":74637,"journal":{"name":"Rand health quarterly","volume":"11 3","pages":"2"},"PeriodicalIF":0.0,"publicationDate":"2024-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11147644/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141297512","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
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