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Assessing Health and Health Care in the District of Columbia

Phase 2 Report

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By: Nicole Lurie, Carole Roan Gresenz, Janice C. Blanchard, Anita Chandra, Barbara O. Wynn, Kristy Gonzalez Morganti, Teague Ruder, Amber Price, Donna Sickler, Bonnie Norton, Karen Jones, Marsha Regenstein, Bruce Siegel

This document describes findings and recommendations from a study of health and the health care service delivery system in the District of Columbia. The goals of the study are to: (1) conduct a comprehensive health needs assessment for Washington DC; (2) assess the quality and accessibility of the District's health care delivery system for individuals with urgent or emergent medical needs; and (3) use information from those assessments to identify and assess various policy options for improving the health care delivery system. Specifically, the document recommends how $135 million in funding from the tobacco settlement should be spent to strengthen the District's health care system. An interim report, RAND Working Paper 534, summarizes findings related to the first two goals. This document primarily addresses the third goal.

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Contents

Chapter One:
Introduction

Chapter Two:
Summary of Findings

Chapter Three:
Guiding Principles for Recommendations Regarding Investment of Tobacco Settlement Funds

Chapter Four:
Recommendations

Chapter Five:
Conclusion

The research described in this report was prepared for the Executive Office of the Mayor, District of Columbia and performed under the auspices of RAND Health.

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