title: Using the Knowledge Base of Health Services Research to Redefine Health Care Systems.
abstract: This Perspective discusses 12 key facts derived from 50 years of health services research and argues that this knowledge base can stimulate innovative thinking about how to make health care systems safer, more efficient, more cost effective, and more patient centered, even as they respond to the needs of diverse communities.
authors.affiliation: RAND Corporation, Santa Monica, CA, USA. brook@rand.org.|David Geffen UCLA School of Medicine, UCLA Fielding School of Public Health, Los Angeles, CA, USA. brook@rand.org.
authors.forename: Robert H
authors.initials: RH
authors.lastname: Brook
authors.affiliation: RAND Corporation, Santa Monica, CA, USA.
authors.forename: Mary E
authors.initials: ME
authors.lastname: Vaiana
mesh_terms: D003695:Delivery of Health Care / Q000191:economics / Q000379:methods*; D006302:Health Services Research / Q000191:economics / Q000379:methods*; D006304:Health Status; D054625:Healthcare Disparities / Q000191:economics; D006801:Humans; D051188:Knowledge Bases
keywords: RAND Health Insurance Experiment; health services research; health status; quality of care; social determinants of health
references.citation: Milbank Mem Fund Q Health Soc. 1975 Fall;53(4):549-81
references.pmid: 1044425
references.citation: Ann N Y Acad Sci. 1999;896:281-93
references.pmid: 10681904
references.citation: JAMA. 2009 Sep 2;302(9):997-8
references.pmid: 19724048
references.citation: N Engl J Med. 1984 May 17;310(20):1273-8
references.pmid: 6371525
references.citation: JAMA. 1989 Dec 15;262(23):3298-302
references.pmid: 2585674
references.citation: JAMA. 1993 May 12;269(18):2398-402
references.pmid: 8479066
references.citation: N Engl J Med. 2003 Jun 26;348(26):2635-45
references.pmid: 12826639
references.citation: N Engl J Med. 1973 Jun 21;288(25):1323-9
references.pmid: 4706275
references.citation: JAMA. 1990 Feb 2;263(5):669-72
references.pmid: 2404147
references.citation: Lancet. 2013 Nov 9;382(9904):1575-86
references.pmid: 23993280
references.citation: N Engl J Med. 1986 Jan 30;314(5):285-90
references.pmid: 3510394
references.citation: Psychiatr Serv. 1999 Nov;50(11):1407
references.pmid: 10543847
references.citation: Arch Gen Psychiatry. 2004 Apr;61(4):378-86
references.pmid: 15066896
references.citation: Am J Psychiatry. 1993 Apr;150(4):632-8
references.pmid: 8465882
references.citation: Health Aff (Millwood). 2005;24 Suppl 2:W5R67-76
references.pmid: 16186152
references.citation: Am J Psychiatry. 2002 Sep;159(9):1548-55
references.pmid: 12202276
references.citation: JAMA. 1994 Apr 20;271(15):1169-74
references.pmid: 8151874
references.citation: Arch Intern Med. 2009 Apr 27;169(8):740-8; discussion 748-9
references.pmid: 19398684
references.citation: Qual Life Res. 1994 Oct;3(5):329-38
references.pmid: 7841967
references.citation: N Engl J Med. 2015 Mar 5;372(10):897-9
references.pmid: 25622024
references.citation: Int J Technol Assess Health Care. 1986;2(1):53-63
references.pmid: 10300718
references.citation: N Engl J Med. 1990 Oct 25;323(17):1173-7
references.pmid: 2215595
references.citation: Lancet. 1990 Jun 2;335(8701):1317-20
references.pmid: 1971385
references.citation: Soc Sci Med. 2011 May;72(10):1728-37
references.pmid: 21555176
references.citation: Science. 1973 Dec 14;182(4117):1102-8
references.pmid: 4750608
references.citation: JAMA. 1994 Sep 28;272(12):934-40
references.pmid: 8084060
references.citation: J Epidemiol Community Health. 2010 Oct;64(10):860-5
references.pmid: 19759056
references.citation: JAMA. 2015 Feb 3;313(5):520-2
references.pmid: 25647210
references.citation: N Engl J Med. 1988 Mar 24;318(12):721-7
references.pmid: 3279313
references.citation: Am J Psychiatry. 1993 Dec;150(12):1799-805
references.pmid: 8238633
references.citation: JAMA. 1987 Nov 13;258(18):2533-7
references.pmid: 3312655
references.citation: Arch Gen Psychiatry. 1999 Oct;56(10):897-904
references.pmid: 10530631
references.citation: J Child Adolesc Psychopharmacol. 2012 Feb;22(1):80-90
references.pmid: 22251025
references.citation: J Gen Intern Med. 2000 Jun;15(6):381-8
references.pmid: 10886472
references.citation: JAMA. 1993 Apr 7;269(13):1661-6
references.pmid: 8455299
references.citation: Rand Health Q. 2014 Dec 30;4(3):9
references.pmid: 28083347
references.citation: N Engl J Med. 1983 Dec 8;309(23):1426-34
references.pmid: 6355851
references.citation: Lancet. 2008 Nov 8;372(9650):1661-9
references.pmid: 18994664
references.citation: JAMA. 1990 Oct 17;264(15):1969-73
references.pmid: 2120476
references.citation: Am J Public Health. 1993 Jul;83(7):1024-6
references.pmid: 8328598
references.citation: JAMA. 2012 Apr 11;307(14):1513-6
references.pmid: 22419800
references.citation: J Am Geriatr Soc. 2007 Oct;55 Suppl 2:S247-52
references.pmid: 17910544
references.citation: Gac Sanit. 2009 May-Jun;23(3):232-7
references.pmid: 19269717
references.citation: Med Care. 1992 Apr;30(4):299-319
references.pmid: 1556879
references.citation: Med Care. 2008 Jan;46(1):78-84
references.pmid: 18162859