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Integrated Care

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Essay
There's Help for Veterans with Mental Health and Substance Use Disorders
Many post-9/11 veterans who have PTSD or depression also struggle with substance use. There are clinically proven treatments to help break the cycle of the co-occurring disorders, but the VA and other facilities need guidance on how to expand and enhance treatment opportunities for these veterans.
Nov 4, 2020
Research Brief
How to Transform Mental Health Care in the United States
With scientific advances, Medicaid expansion, and political consensus on the importance of improving mental health, the time is ripe for transforming the U.S. mental health system. This will mean structural reforms that address patients' challenges in finding, accessing, and receiving high-quality and timely care.
Jan 11, 2021

Explore Integrated Care

Testimony
Health Care Consolidation
Health care consolidation reduces competition and contributes to increased health care spending. It also has not yielded improvements in quality or health outcomes for patients. What is the current state of consolidation among U.S. health care providers, insurers, pharmacy benefit managers, and private equity firms?
May 17, 2023
Journal Article
Vertical Integration of GP Practices with Acute Hospitals in England and Wales: Rapid Evaluation
The objectives of this report are to understand the rationale for and early impact of vertical integration in the National Health Service in England and Wales, and to develop a theory of change for vertical integration.
May 15, 2023
Commentary
RAND Experts on Veteran Mental Health Respond to the White House Mental Health Research Priorities
The White House identified eight research priorities to better manage America's current mental health crisis. RAND researchers highlight why each area is critical for veteran mental health and how RAND is contributing to address them.
Feb 20, 2023
Announcement
Novel Project Will Create Open Access to Detailed Information About Health and Well-Being for Older Californians
RAND and the Archstone Foundation will build and make publicly available a wide-ranging collection of data about the health and well-being of nearly six million older Californians. The data will aid providers, policymakers, and philanthropists in making smarter decisions.
Jun 14, 2022
Report
Adult Psychiatric Bed Capacity, Need, and Shortage Estimates in California—2021
California, much like many parts of the United States, is confronting a shortage of psychiatric beds. This report presents an evaluation of California's adult psychiatric bed need for 2021 and the coming years.
Jan 18, 2022
Journal Article
Vertical Integration of Primary Care Practices with Acute Hospitals in England and Wales: Why, How and So What? Findings from a Qualitative, Rapid Evaluation
Qualitative evaluation at two locations in England and one in Wales of where acute hospitals have taken on the running of primary care medical practices.
Jan 12, 2022
Journal Article
Early Development of Primary Care Networks in the NHS in England: A Qualitative Mixed-Methods Evaluation
Primary care networks were introduced to improve care and help address sustainability issues in general practice. The purpose of this study was to collect early evidence on their implementation and development.
Jan 5, 2022
Journal Article
Perceived Care Coordination Among Permanent Supportive Housing Participants: Evidence from a Managed Care Plan in the United States
The study explored patient perceptions of care coordination in a permanent supportive housing program operated by a large health plan in Southern California.
Mar 12, 2021
Essay
Giving Family Caregivers a Voice
One in every five American adults is caring for a loved one in need. Too often, they have to fight to make their voices heard in a health care system that doesn't always see them as the partners in care they can be. More could be done to integrate them into patients' health care teams.
Mar 10, 2021
News Release
Transforming U.S. Mental Health System Is Possible; Broad Changes Will Be Needed to Improve Access and Quality
Conditions are ripe for transforming the U.S. mental health care system, with scientific advances, the growth of Medicaid, and political consensus on the importance of improving mental health creating the possibility that goals once thought out of reach may be possible.
Jan 11, 2021
Report
Transforming the U.S. Mental Health System
The United States is at a time of promise for historic transformation in mental health care. This report describes the landscape of mental health in the United States, identifies opportunities for change, and makes evidence-based recommendations for a path forward.
Jan 11, 2021
Tool
Mental Health Systems Solutions Explorer
This tool is designed by RAND researchers to help connect mental health systems, policy leaders, and decisionmakers with resources and evidence-based solutions that could help transform the complex mental health landscape in the United States.
Jan 11, 2021
Report
Family Caregivers Should Be Integrated into the Health Care Team
The pandemic has produced changes in health care practices, such as shorter hospital stays and more frequent management of chronic illnesses at home. This has shifted the responsibility for many medical tasks to family caregivers. Caregivers have become frontline workers and should be treated as members of the health care team.
Jan 5, 2021
Journal Article
The Importance of Understanding and Measuring Health System Structural, Functional, and Clinical Integration
We explore if there are ways to characterize health systems-not already revealed by secondary data-that could provide new insights into differences in health system performance.
Dec 10, 2020
Journal Article
Care Integration Within and Outside Health System Boundaries
We developed manager and staff surveys to collect data on organizational, social, and clinical process integration, at four organizational levels: practice site, physician organization, health system, and outside health systems.
Dec 10, 2020
Commentary
Can Primary Care Networks and Models of Vertical Integration Coexist in the NHS?
Vertical integration with a hospital helps primary care practices that might otherwise have closed to remain in operation. It thereby creates the opportunity for the continued development and improvement of local primary care for patients.
Dec 7, 2020
Commentary
Primary Care Networks in a Time of Pandemic
Primary care networks in the UK bring together general practices and community providers to develop new services for patients and to provide better integration of health and social care services and sustainability in primary care. While still relatively new, their trajectory is likely to be influenced by COVID-19–related adaptations they have made over the course of the pandemic.
Nov 11, 2020
News Release
Efforts Needed to Expand Ability of Family Members to Integrate into Formal Health Care Teams
Integrating family caregivers into a patient's health care team can help improve care quality and the quality of life for both patients and their families, yet family caregivers face significant barriers coordinating their efforts with the formal health care team.
Nov 10, 2020
Report
Family Caregivers Should Be Included in Health Care Teams
About 53 million family and friends provide care and assistance to loved ones in the United States, but they are often overlooked by health care systems. Integrating them into a patient's health care team can help improve care quality and the quality of life for patients and their families.
Nov 10, 2020

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RAND Topic:
Integrated Care

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