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Access to Health Care

Access to health care usually refers to the ease with which an individual can gain entry to or receive needed medical services. RAND research addresses multiple dimensions of access, including: financial access, usually facilitated through health insurance; potential access, usually aided by having a regular health care provider; and realized access, when an individual actually receives needed medical care. Many RAND studies have also examined disparities in access across different population groups and the effect of disparities on health.

Selected Publications, 2006 to Present

Quality of Care for Breast Cancer for Uninsured Women in California Under the Breast and Cervical Cancer Prevention Treatment Act
(2010)
Malin JL, Diamant AL, Leake B, Liu Y, Thind A, Kahn KL, Schneider EC, Epstein AM, Maly RC

Journal of Clinical Oncology, [Epub June 7 2010]

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Post-Katrina Project Demonstrates a Rapid, Participatory Assessment of Health Care and Develops a Partnership for Post-Disaster Recovery in New Orleans
(2010)
Ben Springgate, Charles Allen, Catherine Jones, Shaula Lovera, Diana Meyers, Larry Campbell, Lawrence Palinkas, Kenneth B. Wells

RAND, RB-9516

Research Brief

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Improving Disaster Mental Health Care in Schools: A Community-Partnered Approach
(2009)
Kataoka SH, Nadeem E, Wong M, Langley AK, Jaycox LH, Stein BD, Young P

American Journal of Preventive Medicine, Vol. 37, No. 6, Supp. 1, Dec 2009, pp. s225-s229. 

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Rapid Community Participatory Assessment of Health Care in Post-Storm New Orleans
(2009)
Springgate BF, Allen C, Jones C, Lovera S, Meyers D, Campbell L, Palinkas LA, Wells KB.

 American Journal of Preventive Medicine, Vol. 37, No. 6, Supp. 1, Dec 2009, pp. s237-s243.

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Children's Health in Washington, D.C.: Access and Health Challenges Despite High Insurance Coverage Rates
(2009)
Chandra A, Gresenz CR, Blanchard JC, Cuellar AE, Ruder T, Chen AY, Gillen EM

RAND Corporation, RB-9482-CNMC, Oct 29 2009. 

Research Brief

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The Geographic Distribution, Ownership, Prices, and Scope of Practice at Retail Clinics
(2009)
Rudavsky R, Pollack CE, Ateev Mehrotra A

Annals of Internal Medicine, 2009;151:315-320

Article Summary
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Immigrants and Health Care Access, Quality, and Cost
(2009)
Derose KP, Bahney BW, Lurie N, Escarce JJ

Medical Care Research and Review, [Epub Jan 29 2009]

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Assessing Parolees’ Health Care Needs and Potential Access to Health Care Services in California
(2009)
Davis LM, Nicosia N, Overton A, Miyashiro L, Derose KP, Fain T, Turner S, Steinberg P, Williams E,

RAND, RB-9458

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Health Care on Aisle 7: The Growing Phenomenon of Retail Clinics
(2009)
Mehrotra A, Liu Hangsheng, Adams John L, Wang MC, Lave J, Thygeson NM, Solberg LI, McGlynn EA, Pollack C, Armstrong K, Rudavsky R.

RAND Corporation, RB-9491, 2009.  

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Retail Clinics, Primary Care Physicians, and Emergency Departments: A Comparison of Patients’ Visits
(2008)
Mehrotra A, Wang MC, Lave JR, Adams JL, McGlynn EA.
Health Affairs, Vol. 27, No. 5, Sept/Oct 2008, pp. 1272-1282
Abstract News Release

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Falling Short: Continued Challenges in Meeting the Mental Health Needs of Children with Special Health Care Needs
(2008)
Chandra A, Lurie N.

HSR: Health Services Research, Vol. 43, No. 3, Jun 2008, [Editorial], pp. 803-809

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The National Health Plan Collaborative to Reduce Disparities and Improve Quality
(2008)
Lurie N, Fremont A, Somers SA, Coltin K, Gelzer A, Johnson R, et al.

Joint Commission Journal on Quality and Patient Safety, Vol. 34, No. 5, May 2008, pp. 256-265

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Immigrants and Health Care: A Complex Picture
(2008)
Derose KP, Escarce JJ, Lurie N

Santa Monica, CA: RAND Corporation, RB-9317, Jan 21 2008

Research Brief

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State Insurance Mandates and Consumer-Directed Health Plans: Are They Helping Small Business Provide Health Insurance to Employees?
(2007)
Gates SM, Leuschner KJ

Santa Monica, CA: RAND Corporation, RB-9305, Dec. 10, 2007

Research Brief

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Social Networks and Access to Health Care Among Mexican-Americans
(2007)
Gresenz CR, Rogowski J, Escarce JJ.
Cambridge, MA: National Bureau of Economic Research, NBER Working Paper No. 13460, Oct 2007
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Immigrants and Health Care: Sources of Vulnerability
(2007)
Derose KP, Escarce JJ, Lurie N.

Health Affairs, Vol. 26, No. 5, Sept-Oct 2007, pp. 1258-1268

Abstract News Release

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The Effects of Health Sector Market Factors and Vulnerable Group Membership on Access to Alcohol, Drug, and Mental Health Care
(2007)
Stockdale SE, Tang L, Zhang L, Belin TR, Wells KB.

HSR: Health Services Research, [Epub Sept 19 2006], Vol. 42, No. 3p1, Jun 2007, pp. 1020-1041

Abstract

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Health Disparities and Access to Health
(2007)
Lurie N, Dubowitz T.

Journal of the American Medical Association, Vol. 297, No. 10, Mar 2007, [Commentary], pp. 1118-1121

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Outcomes in Men Denied Access to a California Public Assistance Program for Prostate Cancer
(2007)
Anger JT, Maliski SL, Krupski TL, Kwan L, Gore JL, Fink A, et al.
Public Health Reports, Vol. 122, Vol. 2, Mar/Apr 2007, pp. 217-223
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Health Care Markets: The Safety Net and Access to Care Among the Uninsured
(2007)
Gresenz CR, Rogowski JA, Escarce JJ.

HSR: Health Services Research, [Epub July 19, 2006], Vol. 42, No. 1p1, Feb 2007, pp. 239-264

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The Impact of Realized Access to Care on Health-Related Quality of Life: A Two-Year Prospective Cohort Study of Children in the California State Children’s Health Insurance Program
(2006)
Seid M, Varni JW, Cummings L, Schonlau M.

Journal of Pediatrics, Vol. 149, No. 3, Sep 2006, pp. 354-361

Abstract News Release Research Brief

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Linguistic Disparities in Health Care Access and Health Status Among Older Adults
(2006)
Ponce NA, Hays RD, Cunningham WE.

Journal of General Internal Medicine, Vol. 21, No. 7, Jul 2006, pp. 786-791

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The Effects of State Parity Laws on the Use of Mental Health Care
(2006)
Harris K, Carpenter C, Bao Y.

Medical Care, Vol. 44, No. 6, Jun 2006, pp. 499-505

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Disparities in Care for HIV Patients: Results of the HCSUS Study
(2006)
Andersen R, Bozzette SA, Shapiro M

St. Clair PA, Morton SC, Crystal S, et al. Santa Monica, CA: RAND Corporation, RB-9171, April 2006

Research Brief

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Disparities in Primary Care for Vulnerable Children: The Influence of Multiple Risk Factors
(2006)
Stevens GD, Seid M, Mistry R, Halfon N.

HSR: Health Services Research, [Epub Jan 4 2006], Vol. 41, No. 2, Apr 2006, pp. 507-531

Abstract Research Brief

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Enrolling Vulnerable, Uninsured but Eligible Children in Public Health Insurance: Association with Health Status and Primary Care Access
(2006)
Stevens GD, Seid M, Halfon N.

Pediatrics, Vol. 117, No. 4, Apr 2006, pp. e751-e759

Abstract Research Brief

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Preventive Care for Children in the United States: Quality and Barriers
(2006)
Chung PJ, Lee TC, Morrison JL, Schuster MA.

Annual Review of Public Health [Epub Sept 8, 2005], Vol. 27, Apr 2006, pp. 491-515

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Dimensions of the Local Health Care Environment and Use of Care by Uninsured Children in Rural and Urban Areas
(2006)
Gresenz CR, Rogowski J, Escarce JJ.

Pediatrics, Vol. 117, No. 3, Mar 2006, pp. e509-e517

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Parent-Identified Barriers to Pediatric Health Care: A Process-Oriented Model
(2006)
Sobo EJ, Seid M, Gelhard LR.
HSR: Health Services Research [Epub Sep 2005], Vol. 41, No. 1, Feb 2006, pp. 148-172
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Quality Primary Care Requires More Than Insurance
(2006)
Seid M, Stevens GD

Santa Monica, CA: RAND Corporation, RB-9170, Jan 2006

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