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The Growing Challenge of Providing Oral Health Care Services for all Americans
09-01-02
By many measures, the practice of dentistry has improved for the dentist over the past decade. Hours of work are down, and compensation is increasing. However, there is a growing disconnect between the dominant pattern of practice of the profession and the oral health needs of the nation. To...
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Pharmacy Staffing: A Silent But Critical Concern
07-01-02
Widely perceived shortages of pharmacists have been reported across California by a spectrum of providers. Advances in drug therapies and technology, the shear number of prescriptions now written for American consumers, and an aging demographic likely to increase pharmaceutical usage has severely...
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California’s Open Door Providers: Ten Case Studies of the Health Care Workforce
07-01-02
Critical health care issues related to the available supply of professional workers have emerged across the nation as hospitals and clinics struggle to provide needed services. Despite this increased awareness, little attention has been paid to these issues as they play out in health care “safety...
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Trends, Issues, and Projections of Supply and Demand for Nursing Aides and Home Health Care Aides: California Fieldwork
03-01-02
Long-term care is a looming crisis in California. One of the things needed to address this crisis is better workforce supply and demand data. The purpose of this fieldwork project is to assess information available for long-term care workforce planning and policymaking in California. This study...
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Measuring Shortages of Hospital Nurses: How Do You Know a Hospital With a Nursing Shortage When You See One?
12-01-01
Lack of clarity in definitions of shortages of hospital registered nurses may cause problems for effective policy making, particularly if different measures for identifying a nurse shortage lead to different conclusions about which hospitals and regions are experiencing a shortage. The authors...
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Hospital Registered Nurse Shortages: Environmental, Patient, and Institutional Predictors
10-01-01
The objective of the study was to examine the characteristics of acute-care hospitals that report registered nurse shortages when a widespread shortage exists and when a widespread shortage is no longer evident. The authors used secondary data from the American Hospital Association's Nursing...
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Profiling the Professions: A Model for Evaluating Emerging Health Professions
09-01-01
The integration of allopathic and non-allopathic health care systems, disciplines and modalities is fast becoming a part of the mainstream health care delivery system in the United States. This report has several purposes. It aims first to set standard questions and areas to cover in an assessment...
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Profile of a Profession: Naturopathic Practice
09-01-01
The integration of allopathic and non-allopathic health care systems, disciplines and modalities is fast becoming a part of the mainstream health care delivery system in the United States. This report provides information about naturopathic physicians, naturopaths and others employing naturopathic...
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Identifying Communities with Low Dentist Supply in California
06-01-01
OBJECTIVES: This study estimates the supply and geographic distribution of dentists in California and examines the community characteristics associated with supply of dentists.
METHODS: The number of practicing dentists was estimated from American Dental Association data on licensed dentists in...
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Racial/Ethnic Disparities in Nursing
05-01-01
The racial and ethnic composition of the registered nurse (RN) workforce in California is not at parity with the composition of the population. We find that the underrepresentation of African Americans in nursing in California appears to be due to lower overall educational attainment among African...
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What Should We Expect from California’s Minimum Nurse Staffing Legislation?
03-01-01
In 1999, California passed the first legislation in the United States to establish minimum staffing levels in hospitals for registered nurses (RNs) and licensed vocational nurses. The author provides estimates of the increase in RN expenditures required by this mandate, by hospital size and for...
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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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Diversifying the Nursing Workforce: A California Imperative
02-01-01
Today, for a host of internal and external factors, many of the health professions appear to be losing their appeal to potential workers. Nursing, nationwide and in California, has become a pressing example. The state faces severe nursing shortages, particularly in some geographic areas and within...
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Nursing in California: A Workforce Crisis
01-01-01
For a host of complex and interrelated reasons California may not have adequate numbers of nurses with appropriate skills over the coming decades. This problem is just rising to the attention of the profession, nursing educators, and managers in the health system. Increasingly, it will affect the...
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Minimum Nurse Staffing Ratios in California Acute Care Hospitals
12-01-00
As California implements its minimum staffing legislation, it becomes increasingly important that researchers continue to examine the relationship between RN staffing and quality of care. Research does not support the general assumption that more RN staffing is always better; policymakers and...
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Improving Oral Health Care Systems in California: A Report of the California Dental Access Project, 2000
12-01-00
California and the nation now face an oral disease situation that is of a crisis nature. The situation has developed over several decades and involves a complex set of problems, institutions, attitudes and financing arrangements. For millions across California, access to oral health care services...
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Distribution of Medicaid Dental Services in California
12-01-00
In California, approximately 4.5 million Medicaid beneficiaries are eligible for dental services, yet fewer than half (44%) utilize these services on an annual basis. While several factors may contribute to this low use of dental services, a major deterrent is finding a dentist who will accept...
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Hospital Use of Nursing Personnel: Holding Steady Through the 1990s
07-11-00
In a March 1998 Journal of Nursing Administration article, I reported that nurse staffing did not, in fact, decline through 1996 in California, where concerns about nurse staffing have been prominent. In this article, I provide a data update indicating an increase in the number of hours worked by...
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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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Nurse Practitioners Physician Assistants and Certified Nurse Midwives in California
04-01-00
Nurse practitioners (NPs), physician assistants (PAs) and certified nurse midwives (CNMs) play growing roles in the health care workforce. Experts recommended in the mid-1990s that their numbers be increased to address concerns about an inadequate supply and mal-distribution of primary care...
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Geographic Distribution of Dentists in California Dental Shortage Areas
01-01-00
Access to dental services in California is an issue of increasing concern to federal and state policy makers, as demonstrated by both new legislation addressing access to dental care and increased funding for existing programs. Recent research has shown that many Californians do not receive regular...
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The Effects of Managed Care and Prospective Payment on the Demand for Hospital Nurses: Evidence from California
12-01-99
OBJECTIVE: To examine the effects of managed care and the prospective payment system on the hospital employment of registered nurses (RNs), licensed practical nurses (LPNs), and aides.
DATA SOURCES: Hospital-level data from California's Office of Statewide Health Planning and Development (OSHPD)...
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The Hidden Health Care Workforce: Recognizing, Understanding and Improving the Allied and Auxiliary Workforce
07-01-99
Allied and auxiliary health care workers play critical support roles in the health care system. Any significant reform in the way health care is delivered will require changes in their training and utilization. This comprehensive report by The California Twenty-First Century Workforce Project...
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Maintaining an Adequate Supply of RNs in California
01-21-99
Over the past 2 years, concerns have arisen about the adequacy of the supply of RNs in California and the rest of the United States. Nurse leaders have called upon the California State Legislature to respond to concerns by increasing funding for RN education at public colleges and universities. The...
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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...