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Behavioral Health Care Delivery Following the Onset of the COVID-19 Pandemic
Utilization, Telehealth, and Quality of Care for Service Members with PTSD, Depression, or Substance Use Disorder
Kimberly A. Hepner
RAND Corporation, 2023
This report examines changes in behavioral health care delivered to service members by the Military Health System following the onset of the COVID-19 pandemic, including patterns of care, use of telehealth, and quality of care. The findings and recommendations are intended to inform improvements to behavioral health care in the Military Health System and provide insights into the implications of its ongoing integration of telehealth.
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Benefits in Medical Care Programs
Avedis Donabedian
Harvard University Press, 1976

”Every social mechanism appears to have a dual potential for good and evil. Prepayment for medical care is no exception. On the one hand, it provides assurance of necessary care as a safeguard to health, economic well-being, and peace of mind. On the other hand, it opens the way to wasteful and harmful care, to price inflation, and to concealed redistributions in socially undesirable directions. The problem is to devise a plan that allows us to reap the most advantages while we incur the fewest drawbacks.”

Benefits in Medical Care Programs is a comprehensive treatment of this problem. Dr. Donabedian begins with a clear and straight forward analysis of his own assumptions about the social mandate for medical care benefits, the objectives of medical care programs, and the magnitude and distribution of the unmet need that these programs are designed to alleviate. The problem of defining and measuring the need for care is considered within the con text of the data yielded by alternative definitions. The analysis then shifts to the impact of benefits on certain key features of the medical care system.

Program benefits are weighed against program objectives, and policy implications are drawn from this comparison. We are shown what can and cannot be accomplished through medical care benefits and what goals are served by specific aspects of existing or proposed plans. Although Dr. Donabedian counsels a fairly thorough reform of existing systems, he remains skeptical about the possibility of designing a perfect system, and he does not hesitate to point out that increased access to care "increases exposure to both what is good and what is bad in our system of medical care. . . The machinery of medical care has a sinister potential for those who fall into it in the wrong place at the wrong time.

Dr. Donabedian's previous book Aspects of Medical Care Administration has been called the "bible" of its field. Benefits in Medical Care Programs should prove equally invaluable.

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Chronic Condition
Why Health Reform Fails
Sherry Glied
Harvard University Press, 1997

Chronic Condition provides a compelling analysis of the causes of the current health care crisis and of the shortcomings of reform proposals. It also offers an ingenious new framework for reform that, while minimizing government interference, would provide a means for financing care for the less affluent.

Sherry Glied shows that rising health care spending is consistent with a rising standard of living. Since we can, as a nation, afford more health care, reform must address not the overall level of health care costs but the distribution of health care spending.

Prior reform proposals, Glied argues, have failed to account for the tension between the clearly manifested desire for improving the quality of health care and the equally widespread interest in assuring that the less fortunate share in these improvements. After careful analysis of the ill-fated Clinton plan, Glied proposes a new solution that would make the willingness to pay for innovation the means of financing health care improvements for the less affluent. While rejecting the idea that the distribution of health care should be perfectly equal, Glied's proposal would enable all Americans to benefit from the dynamics of the free market.

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Currents in American Medicine
A Developmental View of Medical Care and Education
Julius B. Richmond
Harvard University Press
A well-known American doctor and medical educator presents a succinct review of medical care and education in the United States since 1900. The author begins with the revamping of medical education at the turn of the century, then discusses the growing conservatism of the American Medical Association (AMA) during the Depression and World War II. He describes the trend toward specialization, which fostered the growth of professional societies outside the AMA and led to complex government-university research programs, and concludes with a survey of recent health legislation and a look at the future.
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Data Privacy During Pandemics
A Scorecard Approach for Evaluating the Privacy Implications of COVID-19 Mobile Phone Surveillance Programs
Benjamin Boudreaux
RAND Corporation, 2020
As part of the response to the COVID-19 pandemic, governments worldwide have deployed mobile phone surveillance programs to augment public health interventions. However, these programs raise privacy concerns. The authors of this report examine whether two goals can be achieved concurrently: the use of mobile phones as public health surveillance tools to help manage COVID‑19 and future crises, and the protection of privacy and civil liberties.
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Deep
Real Life with Spinal Cord Injury
Marcy Epstein and Travar Pettway, Editors
University of Michigan Press, 2010

"This project fits into the larger picture of excellence that we wish to accomplish in all dimensions of our health system: groundbreaking and dedicated research, compassionate clinical care, progressive education, and a welcoming environment that includes community with people with disabilities. In Deep, the writers and editors of this book realize this mission with accuracy and clarity."
---Denise G. Tate, Director of Research at the University of Michigan Model Spinal Cord Injury Care System

People with spinal cord injuries experience life beyond their medical and rehabilitative journeys, but these stories are rarely told. Deep: Real Life with Spinal Cord Injury includes the stories of ten men and women whose lives have been transformed by spinal cord injury. Each essay challenges the stereotypes and misconceptions about SCI---with topics ranging from faith to humility to sex and manhood---offering a multitude of voices that weave together to create a better understanding of the diversity of disability and the uniqueness of those individuals whose lives are changed but not defined by their injuries. Life with SCI can be traumatic and ecstatic, uncharted and thrilling, but it always entails a journey beyond previous expectations. This volume captures this sea change, exploring the profound depths of SCI experience.

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Developing a Research Strategy for Suicide Prevention in the Department of Defense
Status of Current Research, Prioritizing Areas of Need, and Recommendations for Moving Forward
Rajeev Ramchand
RAND Corporation, 2014
To support U.S. Department of Defense (DoD) efforts to create a unified, comprehensive strategic plan for suicide prevention research, a RAND study cataloged studies funded by DoD and other entities, examined whether current research maps to DoD’s strategic research needs, and provided recommendations to encourage better alignment and narrow the research-practice gap when it comes to disseminating findings to programs serving military personnel.
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The Drama Therapy Decision Tree
Connecting Drama Therapy Interventions to Treatment
Edited by Paige Dickinson and Sally Bailey
Intellect Books, 2020

The Drama Therapy Decision Tree provides an integrated model for therapeutic decision-making by deconstructing the processes of choosing drama therapy interventions. The authors strive to provide a common language for communicating what drama therapists do in terms of diagnoses and interventions, especially for students and early career professionals in the field.

The book provides a systematic method for drama therapists and drama therapy students to use to determine the most appropriate therapy technique for clients. Paige Dickinson and Sally Bailey have identified and analyzed their own experiences with the task, and here they explain how to put learned theory into practice. In doing so, they provide early career drama therapy professionals a reliable and effective tool for making clinical decisions and offer practitioners a point of reference in addressing the socio-emotional needs of their clients.

The authors explain the basic tools drama therapists use in therapy situations, identify the core healing concepts of the practice, discuss the basic treatment planning process, and explain how these components are used together to identify an  appropriate type of intervention for the client. They also offer examples of how this system can be applied to a variety of common diagnoses, and the appendices provide resources to connect drama therapy interventions to global treatment outcomes.

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Ethnicity and Medical Care
Alan Harwood
Harvard University Press, 1981

Ethnicity and Medical Care equips health professionals with the ethnographic data they need to deliver better health care within American communities of urban blacks, Chinese, Haitians, Italians, Mexicans, Navajos, and Puerto Ricans. Each chapter, dealing in turn with one of these seven American subcultures, reviews the available demographic and epidemiological data and examines sociocultural influences on each major phase of illness.

Topics range from culture-specific syndromes such as susto or “evil eye,” to concepts of disease based on blood perturbations or God's punishment, to lay-referral networks, consultation of mainstream and non-mainstream sources of medical care, and adherence to treatment regimens. But ethnic behavior often entails general styles of interaction—attitudes toward authority figures, sex-role allocations, and ways of expressing emotion and asking for help—that are carried over into the healthcare setting. Accordingly, Ethnicity and Medical Care also offers general guidelines for providing more personalized, culturally relevant care for any ethnically affiliated patient.

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The future of anticoagulation management in atrial fibrillation in Europe
An assessment of today's challenges with recommendations for the future
Catherine A. Lichten
RAND Corporation, 2015
As heart arrhythmia atrial fibrillation (AF) is becoming more prevalent, we explored current and future landscapes for AF-related stroke prevention. Our recommendations target awareness, education and maintaining engagement across health services.
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Gender Inequalities in Health
A Swedish Perspective
Piroska Ostlin
Harvard University Press, 2001

This revised volume, originally published in Sweden, consolidates multidisciplinary research on gender inequalities in health. Reviewing previous research and presenting new empirical data from Sweden and elsewhere, the authors examine basic concepts, possible hypotheses, explanatory models, and policy solutions for the biological and social causes of the differences in health between men and women. Along with discussions of reproductive, mental, and occupational health, this book reviews critical issues such as violence and asks important questions, such as why men are dying younger.

The volume also analyzes how Sweden’s labor market, social structure, and health care system have contributed to these gender differences, and what effects these factors will have in the future. Sweden’s experience as a pioneer in health achievement and gender equality provides valuable insights into the health-related challenges remaining for the rest of the world.

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Health and Economic Outcomes Among the Alumni of the Wounded Warrior Project
2013
Jennifer L. Cerully
RAND Corporation, 2014
In this report, the authors use the Wounded Warrior Project’s 2013 survey of its members (alumni) to understand the physical, mental, and economic challenges that Wounded Warriors face. The researchers find that at least half of alumni reported dealing with mental health conditions such as depression and posttraumatic stress disorder, and many of these alumni reported difficulties or delays in seeking mental health care, or not doing so at all.
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Health Services Research
Key to Health Policy
Eli Ginzberg
Harvard University Press
Despite the long and distinguished history of health services research in the United States, this unparalleled work is the first comprehensive account of what health services research aims to do and what the research has actually accomplished. Specially commissioned essays by a roster of leading scholars offer an incisive look at the current potential of the field.
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Humanitarian Crises
The Medical and Public Health Response
Jennifer Leaning M.D.
Harvard University Press, 1999
Since the late 1980s the international relief community has seen its resources and personnel stressed beyond capacity by humanitarian crises--large-scale, man-made catastrophes such as the conflicts in Somalia, Bosnia, Rwanda, Chechnya, Zaire, and elsewhere. Waged within collapsing states, political and ethnic strife targets civilians, causes mass population dislocation and widespread human rights abuses, and impedes the efforts of relief organizations to respond effectively. Covering topics ranging from emergency public health measures to the psychological trauma of relief workers, this volume presents both a seasoned assessment of current practice and proposals for improving operational efforts in the future. The discussion also raises important questions relating to the definition and direction of the overall humanitarian mission.
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Measuring and Modeling Health Care Costs
Edited by Ana Aizcorbe, Colin Baker, Ernst R. Berndt, and David M. Cutler
University of Chicago Press, 2018
Health care costs represent a nearly 18% of U.S. gross domestic product and 20% of government spending. While there is detailed information on where these health care dollars are spent, there is much less evidence on how this spending affects health. 
           
The research in Measuring and Modeling Health Care Costs seeks to connect our knowledge of expenditures with what we are able to measure of results, probing questions of methodology, changes in the pharmaceutical industry, and the shifting landscape of physician practice. The research in this volume investigates, for example, obesity’s effect on health care spending, the effect of generic pharmaceutical releases on the market, and the disparity between disease-based and population-based spending measures. This vast and varied volume applies a range of economic tools to the analysis of health care and health outcomes.

Practical and descriptive, this new volume in the Studies in Income and Wealth series is full of insights relevant to health policy students and specialists alike.
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Redirecting Innovation in U.S. Health Care
Options to Decrease Spending and Increase Value
Steven Garber
RAND Corporation, 2014
New medical technologies are a leading driver of U.S. health care spending. This report identifies promising policy options to change which medical technologies are created, with two related policy goals: (1) Reduce total health care spending with the smallest possible loss of health benefits, and (2) ensure that new medical products that increase spending are accompanied by health benefits that are worth the spending increases.
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