Browse Publications

Evaluation of the San Francisco Support at Home Program: Year Two Report

The purpose of this report is to outline the findings from the second year of the San Francisco Support at Home (S@H) program. This report provides some background information on the program, but...

Author(s): Laura Wagner, Jacqueline Miller, Joanne Spetz, Connie Kwong & Thefaf Hashem
Date: September 24, 2019

Reducing Educational Debt Among Underrepresented Physicians and Dentists

The rising cost of higher education raises concerns about equitable access to professional education for underrepresented minorities (URMs). This is problematic since URMs play critical roles in the...

Author(s): Christopher Toretsky, Sunita Mutha and Janet Coffman
Date: August 27, 2019

The Impact of Emerging Technologies on Long-Term Care and the Health Workforce

New technological advances could mitigate rising health workforce demand, but will not replace the direct care workforce, according to this report. The report includes a taxonomy of currently...

Author(s): Susan Chapman, Jacqueline Miller and Joanne Spetz
Date: August 1, 2019

Home And Community-Based Workforce For Patients With Serious Illness Requires Support To Meet Growing Needs

Home health and personal care aides are one of the largest groups of health care workers in the US, with nearly three million people providing direct care for people with serious illness living in...

Author(s): Joanne Spetz, Robyn I. Stone, Susan A. Chapman, and Natasha Bryant
Date: Aug 2019

Envisioning an Ideal Health Workforce Data System for California

Seven million Californians, the majority of them Latino, African American, and Native American, live in areas experiencing shortfalls of primary care, dental care, or mental health care providers....

Author(s): Janet M. Coffman and Joanne Spetz
Date: July 23, 2019

CIN Connections, Summer 2019: Leadership for Continuous Change and Improvement

With rising costs, increasing burnout, and a rapidly changing environment, health care leaders may feel like they’re facing an uphill battle. This issue of CIN Connections features tips, advice, and...

Date: July 18, 2019

Practice Patterns of Postgraduate Dental Residency Completers From Select Long-Term HRSA-Funded Primary Dental Care Training Programs

The purpose of this study is to examine practice patterns of graduates of primary care dental postgraduate (PGD) training programs with a longstanding history of Health Resources and Services...

Author(s): Ginachukwu Amah, Matthew Jura and Elizabeth Mertz
Date: July 15, 2019

Geriatrician Roles and the Value of Geriatrics in an Evolving Healthcare System

There are insufficient numbers of practicing geriatricians to meet current demand for their services, and the shortage is projected to worsen in the coming decades as the number of older Americans...

Author(s): Timothy Bates,  Aubri Kottek and Joanne Spetz
Date: July 8, 2019

Home Health Aides and Personal Care Assistants: Scope of Practice Regulations and Their Impact on Care

By 2030, California’s senior population will double to 9 million, but the state faces an estimated shortage of 200,000 home health and home care aides. To exacerbate the problem, California’s home...

Author(s): Joanne Spetz
Date: June 27, 2019

Adaptation of the Missed Nursing Care (MISSCARE) Survey to the Maternity Care Setting

Missed nursing care is an important measure of nursing care quality that is sensitive to nurse staffing and is associated with patient outcomes in medical–surgical and pediatric inpatient settings....

Author(s): Kathleen Rice Simpson, Audrey Lyndon, Joanne Spetz, Caryl L. Gay, and Gay L. Landstorm. 
Date: June 10, 2019