Browse Publications

The State of California's Physician Workforce

This report provides California policymakers with up-to-date information about the state’s physician workforce and the pipeline of trainees in the state’s medical schools and graduate medical...

Author(s): Janet Coffman and Margaret Fix
Date: 2021

Translating Evidence into Practice: ACOs’ Use of Care Plans for Patients with Complex Health Needs

Care plans are an evidence-based strategy, encouraged by the Centers for Medicare and Medicaid Services, and are used to manage the care of patients with complex health needs that have been shown to...

Author(s): Taressa Fraze, Laura Beidler, Adam Briggs, and Carrie Colla
Date: Jan 2021

Barriers and Facilitators to Promoting Oral Health Literacy and Patient Communication Among Dental Providers in California

Care coordination is a key strategy used to improve health outcomes and efficiency, yet there are limited examples in dentistry. A large dental accountable care organization piloted care coordination...

Author(s): Winston Tseng, Elizabeth Pleasants, Susan Ivey, Karen Sokal-Gutierrez, Jayanth Kumar, Kristin Hoeft, Alice Horowitz, Francisco Ramos-Gomez, Miku Sodhi, Jessica Liu, and Linda Neuhauser
Date: December 30, 2020

Health, Quality of Life, and Economic Impacts of Home Care Vouchers for Middle-Income Adults With Disabilities

The Support at Home pilot program provided financial support for the purchase of home care services by middle-income adults with disabilities in San Francisco to support aging in place. The mixed-...

Author(s): Joanne Spetz, Jacqueline Miller, Connie Kwong, and Laura Wagner
Date: December 16, 2020

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

Proposition 209 prohibits the use of affirmative action – the practice of considering an individuals’ race, sex, color, ethnicity or national origin – in public education, employment and contracting...

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

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

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

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