Rand health quarterly最新文献_第9页

Birth-Centered Outcomes Research Engagement (B-CORE) in Medi-Cal: Community-Generated Recommendations to Decrease Maternal Mortality and Severe Maternal Morbidity. Medi-Cal 中以出生为中心的结果研究参与 (B-CORE)：社区提出的降低产妇死亡率和严重产妇发病率的建议。

Rand health quarterly Pub Date : 2023-12-20 eCollection Date: 2023-12-01

Priya Batra, Gabriela Alvarado, Chloe E Bird

引用次数: 0

Improving Pain Care for Service Members: Administrator, Provider, and Patient Perspectives on Treatment, Policies, and Opportunities for Change. 改善现役军人的疼痛护理：管理者、提供者和患者对治疗、政策和变革机会的看法。

Rand health quarterly Pub Date : 2023-12-20 eCollection Date: 2023-12-01

Kimberly A Hepner, Jessica L Sousa, Carol P Roth, Shreya S Huilgol, Chester Jean, Lucy B Schulson, Priya Gandhi, Nipher Malika, Charles C Engel

{"title":"Improving Pain Care for Service Members: Administrator, Provider, and Patient Perspectives on Treatment, Policies, and Opportunities for Change.","authors":"Kimberly A Hepner, Jessica L Sousa, Carol P Roth, Shreya S Huilgol, Chester Jean, Lucy B Schulson, Priya Gandhi, Nipher Malika, Charles C Engel","doi":"","DOIUrl":"","url":null,"abstract":"Acute and chronic pain are common among service members, with musculoskeletal pain and injuries being the leading cause of nondeployability among active-duty service members. Given the significant implications for individual health and force readiness, providing high-quality pain care to service members is a priority of the Military Health System (MHS). Prior RAND research used administrative data to assess the quality and safety of pain care and opioid prescribing in the MHS, generated a set of quality measures that the MHS could adopt going forward, and identified strengths and opportunities for improvement in care provided to service members with pain conditions. In this study, authors document findings from interviews with MHS administrators, providers, and patients, providing valuable detail and context for those findings, along with on-the-ground perspectives on MHS pain care policies and guidance in practice. Staff and patients recommended prioritizing increases in treatment access and availability to improve pain care, and patients emphasized effective treatment and patient-centered care as the most important facilitators of high-quality pain care.","PeriodicalId":74637,"journal":{"name":"Rand health quarterly","volume":"11 1","pages":"3"},"PeriodicalIF":0.0,"publicationDate":"2023-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10732241/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139543262","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 : 2023-12-20 eCollection Date: 2023-12-01

引用次数: 0

Syndromic Surveillance 2.0: Emerging Global Surveillance Strategies for Infectious Disease Epidemics. 综合监控 2.0：针对传染病流行的新兴全球监测战略》（Emerging Global Surveillance Strategies for Infectious Disease Epidemics）。

Rand health quarterly Pub Date : 2023-12-20 eCollection Date: 2023-12-01

Rajeev Ramchand, Sangeeta C Ahluwalia, Mary Avriette, Gary Cecchine, Monika Cooper, Christy Foran, Daniel Hicks, Natasha Lander, Sarita D Lee

引用次数: 0

A Needs Assessment of Women Veterans in Western Pennsylvania: Final Report to Adagio Health. 宾夕法尼亚州西部女性退伍军人需求评估:对慢板健康的最终报告。

Rand health quarterly Pub Date : 2023-09-01

Dana Schultz, Susan L Lovejoy, Kayla M Williams, Kerry Lindquist, Teague Ruder

{"title":"A Needs Assessment of Women Veterans in Western Pennsylvania: Final Report to Adagio Health.","authors":"Dana Schultz, Susan L Lovejoy, Kayla M Williams, Kerry Lindquist, Teague Ruder","doi":"","DOIUrl":"","url":null,"abstract":"Women make up an increasingly large share of the U.S. veteran population, and their numbers continue to grow while the overall number of veterans is on the decline. Yet programs designed to support veterans' health and well-being have largely focused on men. Women's military experiences and postservice needs often differ from those of men, and women veterans also differ in significant ways from their nonveteran counterparts. Few studies have explored these variations, and this has translated to potentially missed opportunities to improve support for women during and after their transition from military to civilian life. Adagio Health, a provider of health, wellness, and nutrition services based in Western Pennsylvania, has taken steps to improve care for women veterans in its service area. To identify opportunities to further expand and enhance Adagio Health's efforts to support women veterans' health and wellness, the authors quantitatively and qualitatively assessed the needs of women veterans in the Adagio Health service area. The assessment provides a clearer picture of this often-underserved population, available services and resources, gaps in support, barriers to access, and areas to prioritize to provide the best support possible for the health and well-being of women who served. With the approaches recommended in this assessment, Adagio Health can continue increasing its capacities and capabilities for supporting its women veteran patients and making progress toward its goal of advancing their health and well-being.","PeriodicalId":74637,"journal":{"name":"Rand health quarterly","volume":"10 4","pages":"7"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10501824/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10311488","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

Interventions for People Who Have Attempted Suicide and Their Family Members: A Systematic Review. 自杀未遂者及其家庭成员的干预措施:系统回顾。

Rand health quarterly Pub Date : 2023-09-01

Kristie L Gore, Christine Chen, Ning Fu, Jody Larkin, Aneesa Motala, Susanne Hempel

{"title":"Interventions for People Who Have Attempted Suicide and Their Family Members: A Systematic Review.","authors":"Kristie L Gore, Christine Chen, Ning Fu, Jody Larkin, Aneesa Motala, Susanne Hempel","doi":"","DOIUrl":"","url":null,"abstract":"Following a suicide attempt, components of aftercare can include efforts to reduce suicidal behavior (i.e., suicide, attempt, or ideation) of a person who has attempted suicide and facilitate the psychosocial adjustment of the patient and their family members. The purpose of this systematic review and meta-analysis of key outcomes was to synthesize the existing evidence on interventions for people who have attempted suicide and their family members. The authors found that aftercare interventions show a statistically significant reduction in further suicide attempts for intervention participants. Studies also reported a reduction in suicide deaths, depression, and hopelessness, but the results are based on limited quality of evidence. The uptake of interventions and treatment retention varied widely by aftercare intervention. The authors could not explore the effects of the intervention target (e.g., participants who attempted suicide versus family members or both) or populations because of the homogeneity of the sample and the lack of studies measuring family member responses. The identified studies did not meaningfully address the effects of interventions on family members because these were rarely included in existing research studies.","PeriodicalId":74637,"journal":{"name":"Rand health quarterly","volume":"10 4","pages":"5"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10501827/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10289839","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

Toward a Unified Multiscale Computational Model of the Human Body's Immediate Responses to Blast-Related Trauma: Proceedings and Expert Findings from a U.S. Department of Defense International State-of-the-Science Meeting. 人体对爆炸相关创伤的即时反应的统一多尺度计算模型:美国国防部国际科学会议的会议记录和专家发现。

Rand health quarterly Pub Date : 2023-09-01

Samantha McBirney, Emily Hoch

引用次数: 0

Neurodiversity and National Security: How to Tackle National Security Challenges with a Wider Range of Cognitive Talents. 神经多样性与国家安全:如何用更广泛的认知人才应对国家安全挑战。

Rand health quarterly Pub Date : 2023-09-01

Cortney Weinbaum, Omair Khan, Teresa D Thomas, Bradley D Stein

{"title":"Neurodiversity and National Security: How to Tackle National Security Challenges with a Wider Range of Cognitive Talents.","authors":"Cortney Weinbaum, Omair Khan, Teresa D Thomas, Bradley D Stein","doi":"","DOIUrl":"","url":null,"abstract":"National security organizations need highly skilled and intellectually creative individuals who are eager to apply their talents to address the nation's most pressing challenges. In public and private discussions, officials and experts addressed the need for neurodiversity in the national security community. They described missions that are too important and too difficult to be left to those who use their brains only in typical ways. Neurodivergent is an umbrella term that covers a variety of cognitive diagnoses, including (but not exclusive to) autism spectrum disorder, attention deficit disorder (ADD) and attention-deficit/hyperactivity disorder (ADHD), dyslexia, dyscalculia, and Tourette's syndrome. Neurodivergent individuals are already part of the national security workforce. The purpose of this study is to understand the benefits that people with neurodivergence bring to national security; the challenges in recruiting, working with, and managing a neurodiverse workforce; and the barriers in national security workplaces that prevent agencies from realizing the full benefits of neurodiversity. To carry out this research, the authors conducted a review of primary, secondary, and commercial literature; they conducted semistructured interviews and held discussions with government officials, researchers and advocates for the interests of neurodivergent populations, and representatives from large organizations that have neurodiversity employment programs; and they synthesized findings from across these tasks to describe the complex landscape for neurodiversity in large organizations in general and in national security specifically.","PeriodicalId":74637,"journal":{"name":"Rand health quarterly","volume":"10 4","pages":"9"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10501819/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10290826","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

Psychological Harms and Treatment of Sexual Assault and Sexual Harassment in Adults: Systematic and Scoping Reviews to Inform Improved Care for Military Populations. 成人性侵犯和性骚扰的心理伤害和治疗:系统和范围审查，以告知改善照顾军人人口。

Rand health quarterly Pub Date : 2023-09-01

Julia Rollison, Joachim O Hero, Katie Feistel, Armenda Bialas, Owen Hall, Rosemary Li, Sarah Weilant, Jody Larkin, Coreen Farris, Kristie L Gore

{"title":"Psychological Harms and Treatment of Sexual Assault and Sexual Harassment in Adults: Systematic and Scoping Reviews to Inform Improved Care for Military Populations.","authors":"Julia Rollison, Joachim O Hero, Katie Feistel, Armenda Bialas, Owen Hall, Rosemary Li, Sarah Weilant, Jody Larkin, Coreen Farris, Kristie L Gore","doi":"","DOIUrl":"","url":null,"abstract":"Victims of sexual assault and sexual harassment often experience a variety of psychological outcomes and mental health symptoms related to posttraumatic stress disorder (PTSD), depression, anxiety, substance abuse, suicidal ideation, and self-harm. Sexual trauma also might affect careers. Despite a need to address these harms, some service members have reported that connecting to health care or mental health services following sexual assault or sexual harassment can be difficult-in part because of a lack of leadership support. Given these persistent challenges, the Psychological Health Center of Excellence identified an urgent need to better understand research that is pertinent to sexual assault and sexual harassment during military service so that the U.S. Department of Defense and the military services can improve the health care response for service members. RAND researchers investigated and synthesized relevant research in three topic areas: (1) the effectiveness of psychotherapy treatments designed for adult victims of sexual assault or sexual harassment in military settings; (2) barriers faced by U.S. military members to accessing and remaining in mental health care settings; and (3) associations between sexual assault or sexual harassment and mental health conditions.","PeriodicalId":74637,"journal":{"name":"Rand health quarterly","volume":"10 4","pages":"10"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10501825/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10360393","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

Considerations Around the Use of Intensive Outpatient Programs for Service Members Who Experienced Sexual Trauma in the U.S. Military. 关于在美国军队中经历过性创伤的服务成员使用强化门诊项目的考虑。

Rand health quarterly Pub Date : 2023-09-01

Kristie L Gore, Samantha Cherney, Sarah Weilant, Justin Hummer, Linda Cottrell, Coreen Farris

{"title":"Considerations Around the Use of Intensive Outpatient Programs for Service Members Who Experienced Sexual Trauma in the U.S. Military.","authors":"Kristie L Gore, Samantha Cherney, Sarah Weilant, Justin Hummer, Linda Cottrell, Coreen Farris","doi":"","DOIUrl":"","url":null,"abstract":"Section 702 of the fiscal year 2019 National Defense Authorization Act directed the U.S. Department of Defense (DoD) to conduct a pilot study to assess the feasibility and advisability of using intensive outpatient treatment programs to address posttraumatic stress disorder (PTSD) and associated mental health problems among service members who have experienced sexual harassment or sexual assault while in the military. RAND researchers conducted a programmatic review of four intensive outpatient programs (IOPs)-two in the private sector and two in DoD-to understand different program components available to active-duty service members who have suffered sexual trauma and other trauma. A review of policies to understand TRICARE authorization procedures and other regulations governing IOPs and an analysis of data from the 2014 RAND Military Workplace Study survey on the prevalence of sexual trauma among personnel with mental health conditions helped obtain contextual information to inform the Psychological Health Center of Excellence's response to Congress. The review identified evidence-based approaches that IOPs have successfully used in programs designed for military service members and barriers to using this type of care to treat members of the military community. While examining the IOP model of care, the research team identified knowledge gaps surrounding the experiences, treatment needs, and effectiveness of different treatment components and models of care for active-duty service members affected by the mental health consequences of sexual harassment and sexual assault in the military.","PeriodicalId":74637,"journal":{"name":"Rand health quarterly","volume":"10 4","pages":"8"},"PeriodicalIF":0.0,"publicationDate":"2023-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10501828/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10290825","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