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Patient-Centered Medical Home Model: Do School-Based Health Centers Fit the Model?
08-01-13
School-based health centers (SBHCs) are an important component of health care reform. The SBHC model of care offers accessible, continuous, comprehensive, family-centered, coordinated, and compassionate care to infants, children, and adolescents. These same elements comprise the patient-centered...
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Developing a model for attending physician workload and outcomes
06-11-13
With increased economic pressures on hospitals, limitations on resident physician hours, and payment reductions for preventable harms, hospitals seek to increase productivity while improving the quality of patient care. Frequently, relative value units and patient encounters are used to track...
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The Impact of the Affordable Care Act on New Jobs
10-19-12
This report explores entry-level and low-skill job opportunities that will expand due to ACA implementation. The analyses draw from estimates of future health worker demand published by the U.S. Bureau of Labor Statistics (BLS) and a unique analysis of the effect of the ACA on job growth developed...
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Round Two, Jobs Idea #9 New Jobs from the Affordable Care Act
10-19-12
Implementation of the Affordable Care Act will stimulate demand for workers in health care services, an industry in which job growth is already strong. Preparing future entry-level employees to join the field, however, calls for establishing sectoral training strategies that align workers’ skills...
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The Labour Market for Human Resources for Health in Low- and Middle-Income Countries
07-11-12
All low- and middle-income countries (LMIC) have health worker labour markets. Some of these countries’ markets function better than others and all can be improved. What does it mean when experts say there is a “shortage” of health workers? Is there more than one definition of a shortage and if so...
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On the Road to Meaningful Use of Electronic Health Records: A Survey of California Physicians
06-11-12
Report on findings from a 2011 survey of a sample of California physicians regarding the availability of electronic health records in their practices.
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Health Care Workforce Will be Tested by Reform
02-29-12
Much of the public discussion about health care reform has focused on whether various components of the Affordable Care Act (ACA) are constitutional, and whether the act can be repealed. But an arguably more important question is whether our health care work force is large enough to handle the...
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Nurse Practitioners and Physician Assistants Providing Primary Care in California Community Clinics
10-13-11
As reported earlier, nurse practitioners (NPs) and physician assistants (PAs) play a critical role in the delivery of primary care in California, providing the majority of primary care services in over 20% of the state’s community clinics. This follow-up, qualitative research explores how and why...
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Southcentral Foundation—Nuka Model of Care Provides Career Growth for Frontline Staff
09-01-11
Southcentral Foundation (SCF) assumed management of a primary care system with low patient satisfaction and high staff turnover. This led SCF to create extensive employee development programs and to support a human resources policy in which frontline staff, including medical assistants, can work...
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University of Utah Community Clinics - Medical Assistant Teams Enhance Patient-Centered, Physician-Efficient Care
04-01-11
The University of Utah Community Clinics’ success in achieving a remarkable financial turnaround empowered the organization to innovate further in order to improve the patient experience. The organization implemented a team-based model of care that increased the ratio of medical assistants (MAs)...
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UC Davis Family Practice Center—Medical Assistants Anchor Residency-based Medical Home
04-01-11
In response to long wait times and low patient satisfaction scores, the University of California, Davis Medical Center Department of Family and Community Practice redesigned its residency-based Family Practice Center into a Patient-Centered Medical Home (PCMH). This model expanded the role of...
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Assessing Workforce Needs and Opportunities for School Based Health Centers in California
12-01-10
School based health centers go beyond the traditional services of a school nurse to provide comprehensive care – including primary and mental health care – to students. The centers are seen as a way to reach populations that would otherwise not be receiving appropriate care. California has many...
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Implementation of a Lifestyle Program in Primary Care by Nurse Practitioners
12-01-10
PURPOSE: The purpose of this study is to describe the implementation process and participant satisfaction with a lifestyle program provided by nurse practitioners (NPs) in primary care to adults at risk for type 2 diabetes (T2D) compared to enhanced standard care.
DATA SOURCES: A mixed-method...
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Men of Color in California’s Health Professions Education Programs
10-01-10
It has long been known that certain ethnic and racial groups are underrepresented in the health professions. We looked specifically at participation rates of men of color in health professions education programs in California and found that the representation of African American and Latino men is...
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Physician Assistant and Nurse Practitioner Staffing Patterns in California's Licensed Community Clinics: 2005 - 2008
06-01-10
Physician assistants (PAs) and nurse practitioners (NPs) play a critical role in the delivery of primary care in California’s licensed community clinics. Between 2005 and 2008, however, clinics increasingly relied on PAs and NPs as care providers. The use of PAs increased more than the use of NPs....
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The Increasing Role of Medical Assistants in Small Primary Care Physician Practice: Key Issues and Policy Implications
02-01-10
The purpose of this project was to understand the role of medical assistants in solo and small primary care physician practices. The study team described the background, training, and certification of medical assistants, assessed the gaps in their training, and discussed the impact these gaps may...
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Advancing Effective Communication, Culturally Competence, Patient and Family-Centered Care: National Commission to Create a Roadmap and Guidance for Hospitals
01-01-10
The Joint Commission developed Advancing Effective Communication, Cultural Competence, and Patient- and Family-Centered Care: A Roadmap for Hospitals to inspire hospitals to integrate concepts from the fields of communication, cultural competence, and patient- and family-centered care into their...
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Improving Access to Health Care in California: Testing New Roles for Providers
12-01-09
This issue brief examines the State of California’s Health Workforce Pilot Projects Program, which promotes demonstrations to test new practice models for improved care delivery by: 1) granting temporary legal waivers for providers to perform additional duties; 2) creating new provider categories;...
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Enhancing Faculty Mentoring of Medical Students
11-03-09
Background: Mentors are important in the personal and professional development of medical students. Little is known about how the structure of a mentoring program impacts on student‐faculty relationships.
Description: To evaluate and compare 2 structurally different mentoring programs at Stanford...
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Physician Assistants and Nurse Practitioners in Specialty Care: Six Practices Make It Work
06-01-09
Physician assistants (PAs) and nurse practitioners (NPs) are increasingly being incorporated into outpatient specialty practices to improve access to care and reduce wait times. PAs and NPs also bolster the quality and financial profitability of specialty practices by allowing physicians to focus...
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Increasing Diversity in California’s Medical Schools
07-01-08
A racially and ethnically diverse physician workforce is widely seen as a key component in the effort to address health disparities related to race, ethnicity, and socioeconomic status. Program directors, faculty, and medical students all share the perception that a diverse student body...
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Diversity in California’s Health Professions: Physicians
05-01-08
Increasing racial and ethnic diversity in California’s physician workforce is a key component in the ongoing effort to address health disparities associated with race, ethnicity and socioeconomic status. New physician workforce data show that despite decades of efforts to achieve this goal, little...
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Physician Diversity in California: New Findings from the California Medical Board Survey
03-01-08
A recent poll by the Field Research Corporation showed that six in ten voters agree that it is important for California to have enough health professionals who reflect the racial and ethnic diversity of the patients they serve. This report examines data from the California Medical Board Relicensure...
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California Physician Diversity: New Findings from the California Medical Board Survey
01-08-08
A recent poll by the Field Research Corporation showed that six in ten voters agree that it is important for California to have enough health professionals who reflect the racial and ethnic diversity of the patients they serve. This report examines new data from the California Medical Board...
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Promising Scope of Practice Models for the Health Professions
12-01-07
Legal scopes of practice for the health professions exist in statutes enacted by the state legislature and in regulations developed and implemented by administrative agencies, such as health professions boards. The purpose of this brief is to examine scope of practice issues within the context of...
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Foreign Versus Domestic Education of Physicians for the United States: A Case Study of South Asian Physicians in California
11-01-07
Physician supply in the U.S. is again on the national health policy agenda. A central issue in this debate is the availability of physicians willing to work in underserved and disadvantaged communities-an issue closely linked to the number of minority and international medical graduate (IMG)...
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Improving Language Access in California Hospitals
09-01-07
The move toward “cultural competence” that responds to the diversity of California’s population is reflected in efforts of California hospitals to provide linguistically appropriate care for their patients who have limited English proficiency. Legal mandates underscore this need. Health care...
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Tracking the Supply of Health Professions Education Programs in California
04-01-07
Information from California’s professional and vocational education programs are a key link in estimating the supply of workers for individual health professions. The principal objective of this project is to map the “education link” in California’s supply chain for selected health professions....
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Do Physicians Always Flee From HMOs? New Results Using Dynamic Panel Estimation Methods
04-01-06
OBJECTIVE: To assess the impact of changes in relative health maintenance organization (HMO) penetration on changes in the physician-to-population ratio in California counties when changes in the economic conditions in California counties relative to the U.S. average are taken into account.
DATA...
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The Impact of Hospitalists on the Cost and Quality of Inpatient Care in the United States: A Research Synthesis
08-01-05
There is substantial disagreement regarding the impact of hospitalists on costs, quality, and satisfaction with inpatient care. The authors reviewed 21 evaluations of the use of hospitalists in U.S. hospitals. Most evaluations found that patients managed by hospitalists had lower total costs or...