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Health, Health Care, and Aging

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RAND advances understanding of health and health behaviors, and examines how the organization and financing of care affect costs, quality, and access. Our body of research includes innovative studies of health insurance, health care reform, and health information technology, as well as obesity, substance abuse, and PTSD. RAND findings also help inform policies that aim to improve the health of seniors and the care they receive.

News Release
State Policies During COVID Associated with Increase in Tele-Mental Health; Disparities in Access to Care Persist Despite Expansion
Four state policies introduced during the COVID-19 pandemic to spur expansion of telehealth were associated with expansion of such services by mental health facilities, but growth of telehealth was lower among facilities in counties with the greatest proportion of Black residents.
Jun 13, 2023
News Release
State Policies Requiring Education for Buprenorphine Prescribers Boosts Use of Opioid Use Disorder Treatment
States that want to increase access to buprenorphine, a lifesaving medication used to treat opioid use disorder, should consider efforts to enhance professional education and clinician knowledge.
May 26, 2023

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Tool
Heart Disease Data Portal
The Heart Disease Data Portal is designed to inform and support decisionmaking for public health by facilitating exploring of hypertension prevalence rates in each of the 26 health districts in Los Angeles County.
Jun 23, 2023
Journal Article
Artificial Intelligence in the COVID-19 Response: Volume 2, Strategies to Improve the Impact of AI on Health Equity
This report examines the use of artificial intelligence (AI) in the COVID-19 pandemic response and describes 66 AI applications — specific products or tools — used in clinical care and 54 AI applications used to inform public health decision-making.
Jun 22, 2023
Journal Article
Neighborhood Walkability, Neighborhood Social Health, and Self-Selection Among U.S. Adults
Neighborhood walkability may promote specific aspects of neighborhood social health, which together are beneficial for physical and mental health. These findings provide additional impetus for enhancing walkability of US communities.
Jun 22, 2023
Journal Article
Barriers to the Engagement of Complementary and Integrative Health Providers in Public Health Responses to COVID-19: Recommendations From a Multidisciplinary Expert Panel
This project explored barriers to the involvement of complementary and integrative health providers in the public health response to COVID-19 and potential solutions for their future involvement in public health crises.
Jun 22, 2023
Journal Article
Trends in 2-1-1 Calls During Public Health Emergencies, Overall and By Gender: Hurricane Irma and COVID-19 in Broward County, Florida
The study examined how changes in 2-1-1 call volume after two public health emergencies in Broward County, Florida, varied by emergency type and whether variations differed by gender and over time.
Jun 22, 2023
Journal Article
Association Between Insurance Type and Fluoride Varnish Application During Well-Child Visits in Massachusetts
We compare rates of fluoride varnish (FV) applications during well-child visits for children covered by Medicaid and private medical insurance in Massachusetts.
Jun 22, 2023
Journal Article
Rural Disparities in the Quality of Clinical Care Are Notable and Larger for Males
This study extends evidence of pronounced rural-urban differences in clinical care. It shows that quality gaps in clinical care for rural MA enrollees are often larger for males than females.
Jun 22, 2023
Commentary
Treating Mental Health Within Jails Should Start Beyond Jails
In the United States, people with mental health concerns are disproportionately jailed at a staggering rate. It is essential that people have access to the health care they need while incarcerated. But efforts to build up community-based alternatives are essential, too.
Jun 22, 2023
Report
American Teacher Well-Being and Intentions to Leave
Teachers reported better well-being in January 2023 than in 2021 and 2022, and rates of job-related stress have returned to pre-pandemic levels. But teachers continue to report worse well-being than other working adults. Twenty-three percent said that they were likely to leave their jobs.
Jun 21, 2023
Report
State of the American Teacher Survey: 2023 Technical Documentation and Survey Results
This technical report presents detail about the data, samples, and methodology for the 2023 State of the American Teacher survey and American Life Panel companion survey, including survey results.
Jun 21, 2023
Journal Article
Advance Care Planning Among Sexual Minority Men: Sociodemographic, Health Care, and Health Status Predictors
There is a dearth of contemporary information about advance care planning among sexual minority men, a population with disparities in health care and health status. We sought to address some of these gaps in a large, longitudinal cohort.
Jun 21, 2023
Journal Article
Through Our Eyes: Exploring African-American Men's Perspective on Factors Affecting Transition to Manhood
CBPR and photovoice were used to engage African-American men about their transition to manhood. Four dominant themes emerged: 1) Struggles, 2) Sources of social support, 3) Role of sports, and 4) Views on Los Angeles lifestyle.
Jun 21, 2023
Journal Article
Traditions and Connections for Urban Native Americans (TACUNA): Utilizing Community-Based Input to Develop an Opioid Prevention Intervention for Urban American Indian/Alaska Native Emerging Adults
Very few opioid prevention programs exist for urban Native American emerging adults. Community participation enhances opioid prevention programs for urban Native Americans. Engaging in Native American traditional practices promotes healthy behaviors.
Jun 21, 2023
Journal Article
Integrating Traditional Practices and Social Network Visualization to Prevent Substance Use: Study Protocol for a Randomized Controlled Trial Among Urban Native American Emerging Adults
A community-informed and culturally grounded opioid prevention intervention can be developed for urban AI/AN emerging adults and can help to build resilience and hopefully decrease opioid use among this underserved population.
Jun 21, 2023
Journal Article
Adolescents' Contraceptive Use with School-Discordant Partners: Exploring Individual- and Relationship-Level Characteristics
Characteristics of romantic relationships and contraceptive use were examined among 1,043 female and 961 male Add Health respondents. Females (but not males) were less likely to use condom with partners not from their schools or older partners.
Jun 20, 2023
Journal Article
Risk and Protective Factors of Social Networks on Alcohol, Cannabis, and Opioid Use Among Urban American Indian/Alaska Native Emerging Adults
A higher proportion of network members engaging in traditional practices but not heavy substance use was associated with lower intentions to use cannabis or drink alcohol. Traditional practices may be an important part of prevention.
Jun 16, 2023
Blog
Reconstructing Ukraine, Wildfires, Telehealth: RAND Weekly Recap
This weekly recap focuses on reconstructing Ukraine, what to do about wildfires, virtual mental health care services, and more.
Jun 16, 2023
Testimony
Addressing the Needs of Older Adults and People with Disabilities During Disasters
Disasters and public health emergencies disproportionately affect older adults and people with disabilities—especially those with complex medical conditions. Best practices and policies are needed that consider the specific challenges to preparedness, response, and recovery related to these populations.
Jun 15, 2023
Journal Article
Motivational Network Intervention to Reduce Substance Use and Increase Supportive Connections Among Formerly Homeless Emerging Adults Transitioning to Housing: Study Protocol for a Pilot Randomized Controlled Trial
This article describes a pilot test of a brief motivational network intervention for youth experiencing homelessness transitioning to a housing program reduce their substance use and strengthen their prosocial supportive connections.
Jun 15, 2023
Journal Article
Social Networks of Clients in First-Time DUI Programs
Individuals convicted of driving under the influence (DUI) having networks with more substance use individuals had greater substance use and drinking and driving behaviors. Network support was associated with lower drinking and driving.
Jun 15, 2023

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RAND Topic:
Health, Health Care, and Aging

Research conducted by

Researcher Spotlight

Jody Larkin

Manager, Library Research Services

Jody Larkin is a research librarian and the manager of Knowledge Services' Library Research Services (LRS) Group at the RAND Corporation. Before joining RAND, Larkin was a senior information specialist at ECRI and a reference librarian at the University of Pittsburgh Health Sciences Library…
Sarah Zelazny

Policy Analyst

Sarah Zelazny (she/her) is a policy analyst at the RAND Corporation. Her background includes: patient experience; racial equity; community-level and clinical-level injury and violence prevention program development, implementation, and evaluation; gender-based violence research; harm reduction;…

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