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Improving Cultural Competence in Children's Healthcare
07-01-05
On any given day American doctors; offices, hospital emergency rooms, and health centers, are alive with the sounds not only of Spanish, but also of Haitian, Creole, Somali, Hmong, Mandarin, Russian, and other languages from across the globe. These languages communicate more than words. They can...
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Bilingual Proficiency among California’s Health Care Professionals
03-01-05
Californians speak a multitude of languages. In 2000, California ranked first in the U.S. in percent of the population speaking English less than “very well”. With 20% of the general population and 25% of school-age children of limited English proficiency, concerns are rising that many Californians...
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No Exit: an Evaluation of Measures of Physician Attrition
10-01-04
Objective: To validate physicians' self-reported intentions to leave clinical practice and the American Medical Association (AMA) Masterfile practice status variable as measures of physician attrition, and to determine predictors of intention to leave, and actual departure from, clinical practice....
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Strategies for Increasing Physician Supply in Medically Underserved Communities in California
09-01-04
Report that summarizes findings from literature on successful strategies for increasing the numbers of physicians practicing in medically underserved areas.
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Is There A Doctor in the House? An Examination of the Physician Workforce in California over the Past 25 Years
06-11-04
California citizens and lawmakers should be aware of how the state's physicians have responded to the dramatic changes in health care in the United States over the past 25 years. This report presents important new findings about long-range trends in physician supply in California, as well as a...
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Legal and Regulatory Obligations to Provide Culturally and Linguistically Appropriate Emergency Department Services
06-10-04
Language and cultural barriers to medical care are a large and growing problem in the United States. A number of federal and state laws, as well as professional and accreditation standards, require and encourage health care organizations to provide culturally and linguistically accessible health...
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Health Care Providers’ Language Assistance Responsibilities: Major Federal and California Requirements
10-01-03
A number of federal and state laws address the need to provide health care in a language that the patient understands. This two-page overview of major California and Federal lists requirements for health care providers to provide language assistance to patients who require these services. The...
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Who is Caring for the Underserved? A Comparison of Primary Care Physicians and Nonphysician Clinicians in California and Washington
07-01-03
PURPOSE: Little is known about whether different types of physician and nonphysician primary care clinicians vary in their propensity to care for underserved populations. The objective of this study was to compare the geographic distribution and patient populations of physician and nonphysician...
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A Framework for Teaching Medical Students and Residents about Practice-Based Learning and Improvement
07-01-03
PURPOSE: To create a framework for teaching the knowledge and skills of practice-based learning and improvement to medical students and residents based on proven, effective strategies.
METHOD: The authors conducted a Medline search of English-language articles published between 1996 and May 2001,...
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Minimum Staffing Ratios: The California Workforce Initiative Survey
03-11-03
Minimum Staffing Ratios: The California Workforce Initiative Survey
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California Physicians 2002: Practice and Perceptions
12-01-02
As health care in California continues to experience major changes and challenges, it is important to periodically check the pulse of one key group of participants in this system: the state’s physicians. This report presents the results from the 2001/2002 UCSF California Physician Survey. The...
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Improving Recruitment and Retention of Primary Care Practitioners in Rural California
10-11-02
Policy brief summarizing findings from site visits and interviews with heatlh care executives and primary care physicians in six rural communities in California.
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Evidence for Longitudinal Ambulatory Care Rotations: A Review of the Literature
07-01-02
PURPOSE: Block ambulatory rotations and longitudinal ambulatory care experiences are now common in U.S. medical schools, but little is known about their efficacy. Through a structured review of the medical literature from 1966 through March 2000, the authors summarize the characteristics of, the...
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The Practice of Medicine in California: A Profile of the Physician Workforce
02-01-01
Widely distributed to policymakers in California and nationally, this report offered a comprehensive profile of the California physician workforce in the year 2000. Using existing and original data, this study provided information about the aggregate supply of physicians, specialty and geographic...
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Public Policies to Promote Community-based and Interdisciplinary Health Professions Education
04-29-00
CONTEXT: Many rural and inner-city communities in the United States have persistent shortages of health professionals. In addition, health services are increasingly delivered in community-based settings by interdisciplinary teams. Yet, health professions students in the US continue to receive most...
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Evaluation of a Preclinical, Educational and Skills-Training Program to Improve Students' Use of Blood and Body Fluid Precautions: One-Year Follow-Up
11-01-99
BACKGROUND: Little is known about long-term improvements in medical students' knowledge, attitudes, and use of blood and body fluid precautions following preclinical training.
METHODS: We evaluated an educational and skills-training program emphasizing double gloving for high-risk surgical...
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Underrepresented Minorities and Medical Education in California: Recent Trends in Declining Admissions
03-01-99
The decision of the Regents of the University of California (UC) to end selective admissions for racial/ethnic minorities in 1995 and the passage of Proposition 209 in 1996 have generated great concern about the enrollment of underrepresented minorities (URMs) in UC medical schools. This report...
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Recreating Health Professional Practice for a New Century
12-01-98
This fourth and final major report of the Pew Health Professions Commission comes at the end of the most dynamic decade ever faced by the nation’s health professionals. As disruptive as this period has been, however, it may only have been the prelude. The health care system in the US will continue...
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Charting A Course for the 21st Century: Physician Assistants and Managed Care
12-01-98
As managed care creates new mechanisms for the delivery of health services, it will inevitably put pressure on the role and function of health professionals. Physician assistants (PAs) will not be exempt from these changes. In fact, many of these shifts may strain the relationship between the PA...
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Strengthening Consumer Protection: Priorities for Health Care Workforce Regulation
10-31-98
Health care workforce regulation plays a critical role in consumer protection. For most of this century, the state regulation of health care occupations and professions has established a minimum standard for safe practice and removed the egregiously incompetent. To become a more viable element of...
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Beyond the Balanced Budget Act of 1997: Strengthening Federal GME Policy
10-01-98
Current physician workforce trends indicate a need to reform federal graduate medical education (GME) policy to better align policy with market signals and the public interest. The transformation of health care is affecting other health professions as well, but in no other case are the gaps between...
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Physicians and Nonphysician Clinicians: Complements or Competitors?
09-02-98
Editorial accompanying an article on trends in the supplies of advanced practice nurses and physician assistants.
Full Publication
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The Task Force on Accreditation of Health Professions Education: Working Papers
06-01-98
With the rapid pace of change in the educational and health care systems today, the ability of health professions education accreditation to respond to the needs of the professions, educational institutions, students and the ultimate consumers of health services has come into question. These...
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Physician Supply and Medical Education in California: a Comparison with National Trends
05-01-98
Concerns have been voiced about an impending oversupply of physicians in the United States. Do these concerns also apply to California, a state with many unique demographic characteristics? We examined trends in physician supply and medical education in California and the United States between 1980...
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An Overview of Graduate Medical Education: Funding Streams, Policy Problems, and Options for Reform
05-01-98
In this article, we examine the financing mechanisms for graduate medical education (GME) in the United States. In so doing, we identify Medicare as the single largest contributor to GME and the most important barrier to producing a physician workforce that is appropriately sized, balanced, and...
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Considering the Future of Health Care Workforce Regulation
12-01-97
In December 1995 the Taskforce on Health Care Workforce Regulation released their findings and recommendations in a report entitled Reforming Health Care Workforce Regulation: Policy Considerations for the 21st Century. The report put forth ten recommendations for reform and offered policy options...
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Insights into Medical Student Career Choices Based on Third- and Fourth-Year Students' Focus-Group Discussions
07-01-97
PURPOSE: To identify previously unrecognized factors influencing medical students' career choices and to better characterize the effects of educational experiences, role models, and educational debt on career decisions.
METHOD: Fifty-two third- and fourth-year students were recruited from three...
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Reforming Health Care Workforce Regulation: Policy Considerations for the 21st Century
12-01-95
Though it has served us well in the past, health care workforce regulation is out of step with today’s health care needs and expectations. It is criticized for increasing costs, restricting managerial and professional flexibility, limiting access to care, and having an equivocal relationship to...
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Critical Challenges: Revitalizing the Health Professions for the Twenty-First Century
12-01-95
American health care is experiencing fundamental change. What was recently conceived as a set of policy changes for reform is now being lent the form and weight of institutional reality by the enormous power of the trillion-dollar health care market. In five brief years the organizational,...
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Shifting the Supply of Our Health Care Workforce
10-01-95
Current physician workforce trends indicate a need to reform federal graduate medical education (GME) policy to better align policy with market signals and the public interest. The transformation of health care is affecting other health professions as well, but in no other case are the gaps between...