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Artificial Intelligence and the Health Workforce: An Annotated Bibliography
06-26-25
This annotated bibliography aims to highlight seminal articles, reports, editorials, and other key pieces of literature that explore AI’s impact on the health workforce in a rapidly evolving landscape. It will be updated over time to reflect new developments.
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Accelerated Health Professions Education Programs in California
06-20-25
California has a well-documented health workforce shortage, especially in rural areas. Accelerated education programs are one of the many approaches being employed to reduce shortages by shortening the educational pathway and increasing the production of qualified health care providers.
This issue...
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Clinician Type and Setting of Care Delivered to Medicare Beneficiaries with Dementia in the US
12-31-24
Improving care coordination for people living with dementia (PLWD) requires understanding of the types of clinicians delivering care and the settings in which they practice.
We identified all beneficiaries with dementia in traditional Medicare in 2019. We used the Medicare Carrier file — i.e.,...
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Navigating Hostile Workplaces and Educational Spaces Within Health Services and Policy Research
12-16-24
Advancing health equity requires acknowledging and attending to inequities within the health policy and services research (HSPR) workforce. Although HSPR racial and ethnic diversity has been increasing, the profession still has considerable unfinished work: in 2021, Black, Hispanic, and Indigenous...
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“My Voice Does Not Matter…” A Qualitative Analysis of Clinician Experiences with Psychological Safety, the Work Environment, and Burnout
11-27-24
Clinician burnout remains prevalent, exacerbated by factors such as inadequate staffing, a lack of organizational support, devaluation, and poor interpersonal relations. Amidst provider shortages, the nurse practitioner (NP) workforce is expanding, paralleling high rates of burnout. This study,...
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Cancer Registrar Workload and Staffing Study: Guidelines for Hospitals Cancer Registry Programs
10-30-24
Cancer registrars are vital to cancer surveillance -- the work includes collecting, coding, reporting, and curating national cancer data that are used to create national statistical data about cancer epidemiology and treatment.
However, cancer registrars are often considered a nonrevenue-producing...
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Health Workforce Research Centers Annual Report, 2024
10-07-24
Important health workforce research that we undertake here is part of a national effort to monitor and plan for the health care needs of US residents. The UCSF Health Workforce Research Center on Long-Term Care (UCSF HWRC), housed at Healthforce Center, is a dynamic hub of policy-oriented research...
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Psychological Safety Is Associated with Better Work Environment and Lower Levels of Clinician Burnout
07-17-24
Burnout is attributed to negative work environments and threatens patient and clinician safety. Psychological safety is the perception that the work environment is safe for interpersonal risk-taking and may offer insight into the relationship between the work environment and burnout.
In this...
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Policy at Healthforce Design Workshop Pre-work June 2024
06-15-24
As part of our commitment to a process that is community informed, we invited anyone interested in shaping our health workforce policy priorities to participate in design workshops. In August and September, Policy at Healthforce held two online workshops (each with the same content) for people to...
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Policy at Healthforce: Learnings and Progress from Year One
06-14-24
Policy at Healthforce is a collective effort that prioritizes systems and policy changes to advance the diversity and skills of workers to produce better economic opportunity and, ultimately, better health for communities of color, statewide public health, and individual health equity.
Guided by...
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The Social Ecology of Burnout: A Framework for Research on Nurse Practitioner Burnout
05-03-24
The US health system is burdened by rising costs, workforce shortages, and unremitting burnout. Well-being interventions have emerged in response, yet data suggest that the work environment is the problem. Nurse practitioner (NP) burnout is associated with structural and relational factors in the...
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Moral Injury Awareness and Prevention in Healthcare Organizations: A Blueprint Informed by the COVID-19 Pandemic
04-19-24
Moral injury is lasting psychological and spiritual distress that stems from violating one’s values or feeling betrayed by a trusted institution or authority. Moral injury is associated with post-traumatic stress (PTSD), depression, anxiety, substance use, functional impairments, and suicide risk....
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Disparities in Pre-Health Advising Across California’s Public Universities
02-09-24
Background: The Supreme Court’s decision in Students for Fair Admissions, Inc., v. Harvard College is likely to result in the matriculation of fewer students from historically excluded racial/ethnic groups at more selective colleges and universities and matriculation of more students at less...
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Language Access Systems Improvement Initiative: Impact on Professional Interpreter Utilization, a Natural Experiment
01-04-24
This study aimed to evaluate the Language Access Systems Improvement (LASI) initiative’s impact on professional interpreter utilization in primary care and to explore patient and clinician perspectives on professional interpreter use. Participants included Cantonese, Mandarin, Spanish, or English-...
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The Association Between Cognitive Ability and Opioid Prescribing in Vulnerable Older Adults with Chronic Pain in Ambulatory Care
11-16-23
Background: Vulnerable older adults living with Alzheimer’s disease or Alzheimer’s disease and related dementia (AD/ADRD) and chronic pain generally receive fewer pain medications than individuals without AD/ADRD, especially in nursing homes. Little is known about pain management in older adults...
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Telehealth Outcomes and Impact on Care Delivery: A Review of Evidence
11-16-23
The COVID-19 pandemic rapidly reshaped health care delivery, notably with a surge in telehealth use driven by changes in Medicare and Medicaid reimbursement rates. The ensuing wave of research, spanning over 80 studies from 2021 to 2022, explored the impact of telehealth on health outcomes and care...
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Health Workforce Research Centers Annual Report, 2023
08-30-23
Important health workforce research that we undertake here is part of a national effort to monitor and plan for the health care needs of US residents. The UCSF Health Workforce Research Center on Long-Term Care (UCSF HWRC), housed at Healthforce Center, is a dynamic hub of policy-oriented research...
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Implementation of a Novel Program to Support Colorectal Cancer Screening in a Community Health Center Consortium Before and After Onset of COVID-19
05-22-23
In 2017, the San Francisco Cancer Initiative (SF CAN) established the Colorectal Cancer (CRC) Screening Program to provide technical assistance and financial support to improve CRC screening processes, and outcomes in a consortium of community health centers (CHCs) serving low-income communities in...
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Racial-Ethnic Composition of Primary Care Practices and Comprehensive Primary Care Plus Initiative Participation
03-20-23
It remains unclear whether the racial-ethnic composition or the socioeconomic profiles of eligible primary care practices better explain practice participation in the Centers for Medicare and Medicaid Services’ (CMS) Comprehensive Primary Care Plus (CPC+) program.
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Two Questions Before Health Care Organizations Plunge into Addressing Social Risk Factors
03-08-23
As experience with social risk interventions matures, and federal and state agencies consider ways to incentivize social risk interventions, this is an ideal time to pause and ask whether we are going in the right direction with this work.
In this perspective piece, the authors highlight that the...
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Building the Future Behavioral Health Workforce: Needs Assessment
02-13-23
The County Behavioral Health Directors Association of California (CBHDA) is developing a 10-year strategic plan for strengthening the county behavioral health safety net workforce to meet the needs of a rapidly evolving safety net delivery system and the people it serves. This workforce encompasses...
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Be Kind. Use Systems. Improve Care
01-26-23
Most people’s perspective of health care carries an expectation that patients will be treated with kindness and empathy by health care workers. However as rates of burnout among workers rise, empathy and patience are in shorter supply. What can organizations do to support their staff to deliver...
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Alzheimer’s Disease Services, Staffing, and Outcomes in Adult Day Health Centers
01-06-23
Increasing rates of Alzheimer disease and related dementia (ADRD) has resulted in greater reliance on adult day health centers (ADHCs) and their skilled workforce. Little is known about staffing in ADHCs that provide ADRD services compared with ADHCs that do not. This study examines whether there...
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Rural Access to Leadership Development in California: Needs and Opportunities
11-18-22
Nationwide experts on rural health assert that leadership training would benefit health and health care in rural communities. Most available leadership development programs for health care leaders in rural and border regions of California are year-long hybrid or virtual only. Existing programs have...
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Perceptions of Workplace Climate and Diversity, Equity, and Inclusion Within Health Services and Policy Research
07-09-22
To describe the perception of professional climate in health services and policy research (HSPR) and efforts to advance diversity, equity, and inclusion (DEI) in the HSPR workforce and workplaces, researchers administered the HSPR Workplace Culture Survey online to health services and policy...
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Policy Considerations for Routine Screening for Adverse Childhood Events (ACEs)
07-01-22
In October of 2021, California mandated commercial insurance coverage of screening for adverse childhood experiences (ACEs) in addition to ACEs screening already covered for the Medi-Cal enrollees. California is the first state to expand ACEs screening coverage, but it is possible other states may...
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Class, Employment, and the US Health Care System
05-25-22
In 1970, health care constituted 7% of gross domestic product, but now represents nearly 20%. Conversely, in 1970, manufacturing accounted for 24% of the economy and now represents 11%. Health care recently passed manufacturing as the largest sector in the United States’ economy. It is incumbent on...
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Configuration and Delivery of Primary Care in Rural Settings
03-09-22
There are concerns about the capacity of rural primary care due to potential workforce shortages and patients with disproportionately more clinical and socioeconomic risks. Little research examines the configuration and delivery of primary care along the spectrum of rurality. We aimed to compare...
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Geriatric Medicine: Restraints and Immobility (Chapter 118)
02-22-22
Pathy’s Principles and Practice of Geriatric Medicine, Sixth Edition delivers a comprehensive overview of the subject, offering up-to-date, evidence-based, information about the many, and varied, problems suffered by ageing patients. In this latest edition, the authors take a refreshed approach to...
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Chapter 24: Containing Healthcare Costs
02-03-22
The only policy text written specifically for APRN students, this preeminent resource delivers a sweeping examination of policy impact on the full implementation of the APRN role across all environments, including its effectiveness on specific patient populations. The expanded third edition—...