Publications

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Buprenorphine Treatment: Advanced Practice Nurses Add Capacity

During the COVID-19 pandemic, there was slower growth in the number of new waivers authorizing clinicians to provide buprenorphine treatment for opioid use disorder. However, treatment capacity grew...

Author(s): Joanne Spetz, Laurie Hailer, Caryl Gay, Matthew Tierney, Laura A. Schmidt, Bethany Phoenix, and Susan A. Chapman
Date: Sep 2022

Policy Considerations for Routine Screening for Adverse Childhood Events (ACEs)

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....

Author(s): Riti Shimkhada, Jacqueline Miller, Elizabeth Magnan, Marykate Miller, Janet Coffman, and Garen Corbett
Date: Jul 2022

Beyond State Scope of Practice Laws for Advanced Practitioners: Additional Supervision Requirements for Buprenorphine Prescribing

Buprenorphine is a life-saving medication for people with opioid use disorder (OUD). U.S. federal law allows advanced practice clinicians (APCs), such as nurse practitioners (NPs) and physician...

Author(s): Barbara Andraka-Christou, Adam Gordon, Joanne Spetz, Rachel Totaram, Matthew Golan, Olivia Randall-Kosich, Jordan Harrison, Spencer Calder, Stefan Kertesz, and Bradley Stein
Date: Jul 2022

Climate Change, Public Health, Health Policy, and Nurses' Training

There are few educational programs in the United States that have a primary focus on preparing nurses to engage in all levels of public health, health policy, and climate change. The United Nations...

Author(s): Orlando Harris , Stella Bialous, Ulrike Muench, Susan Chapman, and Carol Dawson-Rose
Date: June 1, 2022

Dominant Power and the Concept of Caste: Implications for Dentistry and Oral Health Inequality

In her 2020 book Caste: The Origin of Our Discontents, Isabel Wilkerson argues that a caste system not only exists in the US, but also operates as a hidden force affecting social inequality. In this...

Author(s): Cristin Kearns, George Taylor, Snehlata Oberoi, and Elizabeth Mertz
Date: May 2022

Class, Employment, and the US Health Care System

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...

Author(s): Grant Martsolf, Brendan Case, and Joanne Spetz
Date: May 25, 2022

Changes in U.S. Clinician Waivers to Prescribe Buprenorphine Management for Opioid Use Disorder During the COVID-19 Pandemic and After Relaxation of Training Requirements

The COVID-19 pandemic worsened the opioid overdose crisis. Buprenorphine management for opioid use disorder (OUD) reduces overdose risk and can be offered in office-based settings or via telehealth....

Author(s): Joanne Spetz, Laurie Hailer, Caryl Gay, Matthew Tierney, Laura Schmidt, Bethany Phoenix, and Susan Chapman
Date: May 12, 2022

Beyond Just a Supplement: Administrators' Visions for the Future of Virtual Primary Care Services

The COVID-19 pandemic resulted in unprecedented adoption and implementation of virtual primary care services, and little is known about whether and how virtual care services will be provided after...

Author(s): Taressa Fraze, Laura Beidler, Emilia De Marchis, Laura Gottlieb and Michael Potter
Source: The Journal of the American Board of Family Medicine 
Date: May 2022

A Toolkit to Advance Racial Health Equity in Primary Care Improvement

The California Improvement Network (CIN) is focused on effectively integrating equity into health care improvement projects. Informed by its Racial Health Equity Workgroup and developed in...

Date: April 21, 2022

More Than Just Giving Them A Piece of Paper: Interviews with Primary Care on Social Needs Referrals to Community-Based Organizations

Primary care practices are responding to calls to incorporate patients' social risk factors, such as housing, food, and economic insecurity, into clinical care. Healthcare likely relies on the...

Author(s): Laura Beidler, Na'amah Razon, Hannah Lang, and Taressa Fraze
Date: April 14, 2022