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Recovery with Limited Progress: Impact of California Proposition 209 on Racial/Ethnic Diversity of California Medical School Matriculants, 1990 to 2019

California's 1996 Proposition 209 prohibits the use of affirmative action – the practice of considering an individuals’ race, sex, color, ethnicity or national origin – in public education,...

Author(s): Alana Pfeffinger, Alicia Fernández, Manuel Tapia, MD, Francine Rios-Fetchko, and Janet Coffman
Date: December 9, 2020

Nurse Practitioner Students as an Essential Workforce: The Lessons of Coronavirus Disease 2019

The coronavirus disease 2019 (COVID-19) disrupted the education and clinical training of nursing students. Clinical sites shut out students over low equipment supplies, physical distancing...

Author(s): Gina Intinarelli, Laura M. Wagner, Barbara Burgel, Robin Andersen, and Catherine L. Gilliss
Date: December 9, 2020

Do Penalty-Based Pay-for-Performance Programs Improve Surgical Care More Effectively than Other Payment Strategies? A Systematic Review

The aim of this systematic review is to assess if penalty-based pay-for-performance (P4P) programs are more effective in improving quality and cost outcomes compared to two other payment strategies (...

Author(s): Kyung Kim, Wendy Max, Justin White, Susan Chapman, and Ulrike Muench
Date: Dec 2020

The Role of Value-Based Payment in Promoting Innovation to Address Social Risks: A Cross-Sectional Study of Social Risk Screening by U.S. Physicians

One of the most important possibilities of value-based payment is its potential to spur innovation in upstream prevention, such as attention to social needs that lead to poor health. However, there...

Author(s): Amanda Brewster, Taressa Fraze, Laura Gottlieb, Jennifer Frehn, Genevra Murray, and Valerie Lewis
Date: Dec 2020

Expanding Dental Therapy Education Programs

Access to oral healthcare remains a significant problem in the United States. One solution that has gained momentum over the past decade is the expansion of the oral health workforce through the...

Author(s): Michael Holland, Aubri Kottek, Miranda Werts, and Elizabeth Mertz 
Date: November 25, 2020

Racial Disparities in Financial Security, Work and Leisure Activities, and Quality of Life Among the Direct Care Workforce

Personal care, home health, and nursing aides provide the majority of care to chronically ill and disabled older adults. This workforce faces challenging working conditions, resulting in high...

Author(s): Ulrike Muench,  Joanne Spetz, Matthew Jura, and Charlene Harrington
Date: November 20, 2020

CIN Connections, Fall 2020: Emerging Innovations: Health Care During a Pandemic

The year 2020 has been unlike any other. The changes we’re now seeing in our clinics and through our screens, and the methods being used to address patient needs that we hadn’t previously considered...
Date: November 16, 2020

Medical Staffing Organization and Quality of Care Outcomes in Post-acute Care Settings

Medical providers are significant drivers of care in post-acute long-term care (PALTC) settings, yet little research has examined the medical provider workforce and its role in ensuring quality of...

Author(s): Laura M Wagner, Paul Katz, Jurgis Karuza, Connie Kwong, Lori Sharp, and Joanne Spetz
Date: November 4, 2020

COVID-19 and the Health Workforce

The health workforce has been greatly affected by COVID-19. In this commentary, we describe the articles included in this health workforce research supplement and how the issues raised by the authors...

Author(s): David Armstrong, Jean Moore, Erin Fraher, Bianca Frogner, Patricia Pittman, and Joanne Spetz
Date: October 31, 2020

Policies Matter! Factors Contributing to Nursing Home Outbreaks During the COVID-19 Pandemic

Between February 2020 when the COVID-19 pandemic began and August 2020, the nation has watched over 5.2 million individuals become infected and over 167,000 deaths. Unfortunately, many of the...

Author(s): Susan Chapman and Charlene Harrington
Date: October 27, 2020