Publications

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Medical Care Delivery in US Nursing Homes: Current and Future Practice

The delivery of medical care services in US nursing homes (NH) is dependent on a workforce comprised of physicians, nurse practitioners (NP), and physician assistants (PA). Each of these disciplines...

Author(s): Paul R Katz, Kira Ryskina, Debra Saliba, Andrew Costa, Hye-Young Jung, Laura M Wagner, Mark Aaron Unruh, Benjamin J Smith, Andrea Moser, Joanne Spetz, Sid Feldman, and Jurgis Karuza
Date: September 22, 2020

Dental Workforce Trends: A National Study of Gender Diversity and Practice Patterns

The dental workforce is increasingly gender diverse. This study analyzed gender differences in dental practice using the American Dental Association’s 2010-2016 Masterfile and the 2017 Survey of...

Author(s): Simona Surdu, Elizabeth Mertz, Margaret Langelier, and Jean Moore
Date: August 28, 2020

Evaluation of California’s Community Paramedicine Pilot Program

Community paramedicine, also known as mobile integrated health, is an innovative model of care that is being implemented throughout the United States. The California Emergency Medical Services...

Author(s): Janet M. Coffman, Cynthia Wides, Lisel Blash, Ginachukwu Amah, Igor Geyn, and Matthew Niedzwiecki
Date: August 24, 2020

The Relationship Between Portable School‐Based Oral Health Prevention Services and Subsequent Oral Health Treatment

This study examines whether a portable, school‐based, preventive oral health program was associated with reduced use of treatment services over time. They obtained encounter data from Community...

Author(s): Nadereh Pourat, Xiao Chen, and Joanne Spetz
Date: August 20, 2020

Nurse Practitioner Role and Practice Environment in Primary and in Nonprimary Care in California

The nurse practitioner (NP) role has evolved substantially from its origins in primary care, with NPs increasingly being employed in the medical and surgical specialties. Between 2008 and 2016, there...

Author(s): Shira Winters, Susan A. Chapman, Garrett K. Chan, Karen Duderstadt, and Joanne Spetz
Date: July 23, 2020

Nurse Staffing and Coronavirus Infections in California Nursing Homes

In the US, nursing home residents and staff have been severely impacted by the COVID-19 pandemic. This study compares nursing homes in California with and without COVID-19 positive residents. They...

Author(s): Charlene Harrington, Leslie Ross, Susan Chapman, Elizabeth Halifax, Bruce Spurlock, and Debra Bakerjian
Date: July 7, 2020

Measurement of Nonbillable Service Value Activities by Nurse Practitioners, Physicians Assistants, and Clinical Nurse Specialists in Ambulatory Specialty Care

Revenue-generating health care activities, generally accepted as a measure of productivity, do not account for the full range of health care activities that enhance patient care. We analyzed the...

Author(s): Shira Winter, Garrett K Chan, Clair Kuriakose, Karen Duderstadt, Joanne Spetz, Debbie Hsieh, Charlene Platon, and Susan A Chapman
Date: June 30, 2020

Scope-of-Practice for Nurse Practitioners and Adherence to Medications for Chronic Illness in Primary Care

Nonadherence to medications is costly and improving adherence is difficult, requiring multifactorial solutions, including policy solutions. The purpose of this study was to evaluate the effect of one...

Author(s): Ulrike Muench, Christopher Whaley, Janet Coffman, and Joanne Spetz
Date: June 24, 2020

Financial Vulnerability and Worker Well-Being: A Comparison of Long-Term Services and Supports Workers With Other Health Workers

Over 1.5 million new jobs need to be filled by 2026 for medical assistants, nursing aides, and home care aides, many of which will work in the long-term services and supports (LTSS) sector. Using 16...

Author(s): Ulrike Muench, Matthew Jura, Joanne Spetz, Rachel Mathison, and Charlene Herrington
Date: June 20, 2020

How Collaborative Practice Agreements Impede the Provision of Vital Behavioral Health Services

The COVID-19 pandemic has pushed issues relating to Scope of Practice (SOP) regulations and restrictions on Nurse Practitioner (NP) practice to the forefront. Many Governors issued Executive Orders...

Author(s): Brendan Martin, Bethany J. Phoenix, and Susan A. Chapman
Date: June 19, 2020