Research Library

The authors examine the investments, trade-offs and broad policy changes necessary to reimagine the U.S. health care delivery system.

To reduce future flood damage, Houston needs a plan that features a strong vision focused on living with flooding, excellent information on flooding risks and safety concerns, and action on protecting residents' lives and livelihoods, Rice faculty scholar Jim Blackburn writes in an issue brief.

By Kirstin R.W. Matthews and Melody T. Tan Vaccines and vaccine exemptions are increasingly contentious issues in Texas. In this issue brief, the authors dispel five common misconceptions about vaccines that were presented during public hearings at the Texas House of Representatives in 2017.

Divisions across ethnic and religious lines in several Middle East countries since the 2011 Arab uprisings have brought renewed attention to the consociational model of governance. This student brief examines Lebanon’s consociational system in order to gauge whether it would be useful for other countries in the region experience similar ethnic or religious divisions.

By Alanoud Al Sharekh, Ph.D., University of London Kuwait’s economy has been stagnant over the past decade due to political instability, fluctuating oil prices, and endemic corruption. To combat this situation, Kuwait has attempted to develop a robust business sector through fundamental policy shifts away from monopolies and toward the creation of small- and medium-sized enterprises (SMEs). Alanoud Al Sharekh explores Kuwaiti SME development in an issue brief and a longer research paper, which are part of a series on pluralism and inclusion in the Middle East after the Arab Spring. The project is generously supported by a grant from the Carnegie Corporation of New York.

Rising health care costs and generational attitudes toward convenience and the ability to personalize life choices are driving a trend toward greater individual responsibility over the use of health care services.

A study comparing the community benefit expenditures of two sets of Houston hospitals leads the authors to propose strategies that can better justify the tax exemptions the institutions enjoy.

Cultural myths — and by extension, the suppositions they inspire — have played a major role in shaping Venezuela's relationship with and management of oil resources throughout much of the last 100 years, writes nonresident fellow Luis Pacheco. To achieve sustainable economic and social development, Venezuela must move beyond such beliefs and establish a new approach that is more attuned to current times.

The Advancing Care for Exceptional Kids Act proposes a national database that would serve as a centralized source of information on children with medically complex conditions. The aim is to improve treatment and care coordination. The authors of this brief argue, however, that the database could put children and their families at risk of discrimination by making their health information public, and therefore accessible to employers and health insurers.

Children with medical complexity (CMC), defined as children who have chronic medical conditions that can be expected to last at least one year and to require speciality pediatric care, depend on technology and multiple providers for their acute and daily health needs. The authors explore how the use of telemedicine, coupled with a patient-centered medical home model of care, can improve the efficacy and efficiency of care for CMC.