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How Could Nurse Practitioners and Physician Assistants Be Deployed to Provide Rural Primary Care?
03-15-16
The Affordable Care Act is projected to result in nearly three-quarters of a million additional insured people in rural regions of the U.S. These newly insured are expected to generate 1.39 million rural primary care office visits. At a national level it would require 345 full-time equivalent...
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Scarcity of Primary Care Positions May Divert Physician Assistants Into Specialty Practice
02-04-16
Despite state and federal efforts to encourage physician assistants (PAs) to help fill primary care gaps, the proportion of PAs practicing in primary care continues to decline. Using job posting data from a leading labor analytics firm, this study finds that the decline could be due to a lack of...
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Nurse Practitioner Autonomy and Satisfaction in Rural Settings
01-29-16
As the population ages and the Affordable Care Act increases demand for primary care, nurse practitioners (NPs) could help fill the gap, especially in rural areas. This analysis of nationally representative survey data is the first to examine the practice and satisfaction of rural NPs across types...
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Impact of the 2010 Affordable Care Act on the California Health Care Labor Force
11-16-15
As health care shifts away from a fee-for-service model as a result of the Affordable Care Act (ACA), health care workers in California will be called upon to develop new skills and fill new roles. The study’s authors analyzed state and national health care data and conducted in-depth interviews...
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Impact of State Scope of Practice Laws and Other Factors on the Practice and Supply of Primary Care Nurse Practitioners
11-16-15
This project explored the effects of nurse practitioner (NP) scope of practice (SOP) legislation on the distribution and practice patterns of NPs as well as their billing practices. The goal was to understand where and how NPs are practicing, identify barriers that limit the degree to which NPs are...
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Forecasts of the Registered Nurse Workforce in California, 2015
10-30-15
New forecasts of future registered nurse supply and demand in California were developed using data from the 2014 Board of Registered Nursing Survey of RNs and other sources. The models indicate that California is graduating the number of nurses required to ensure adequate supply for the next 20...
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How Will Long-Term Care Workforce Demand be Impacted by Changes in Demographics and Utilization Patterns?
10-10-15
This study examines how changing demographics and service use might affect future long-term care worker demand.
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2014 Survey of Registered Nurses
09-28-15
The 2014 Survey of Registered Nurses provides information about the demographics, education, employment, and satisfaction of nurses with California RN licenses.
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Impact of State Nurse Practitioner Scope-of-Practice Regulation on Healthcare Delivery: Systematic Review
09-09-15
One proposed strategy to expand primary care capacity is to use nurse practitioners (NPs) more effectively in health care delivery. However, the ability of NPs to provide care to the fullest extent of their education is moderated by state scope-of-practice (SOP) regulations. The purpose of this...
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California’s Medicaid Personal Care Assistants: Characteristics and Turnover among Family and Non-Family Caregivers
07-15-15
Personal care assistants (PCAs) provide supports and services that enable older adults and individuals with disabilities to remain in their homes and community settings. State Medicaid Home and Community-Based Services programs facilitate use of alternatives to institutional care by paying for...
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California’s Medicaid Personal Care Assistants: Characteristics and Turnover among Family and Non-Family Caregivers
07-15-15
Personal care assistants (PCAs) provide supports and services that enable older adults and individuals with disabilities to remain in their homes and community settings. State Medicaid Home and Community-Based Services programs facilitate use of alternatives to institutional care by paying for...
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Nursing in a Transformed Health Care System: New Roles, New Rules
06-26-15
Although the supply of nurses is likely to meet overall demand, the nature of a nurse’s job is changing dramatically. In redesigned health care systems, nurses are assuming expanded roles for a broad range of patients in ambulatory settings and communitybased care. These roles involve new...
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Future Demand For Long-Term Care Workers Will Be Influenced By Demographic and Utilization Changes
06-01-15
A looming question for policy makers is how growing diversity of the US elderly population and greater use of home and community-based services will affect demand for long-term care workers. We used national surveys to analyze current use and staffing of long-term care, project demand for long-term...
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Entry and Exit of Workers in Long-Term Care (webinar)
05-20-15
This webinar presents findings from a recent study conducted by the Health Workforce Research Center on Long-Term Care at the University of California, San Francisco, on the job transitions of long-term care workers. The study used the Current Population Survey to examine from which jobs and...
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Survey of Nursing Employers in California, Fall 2014
04-08-15
This report summarizes the findings from a survey of general acute care (GAC) hospital employers of registered nurses (RNs) in California conducted in fall 2014. This is the fifth annual survey of hospital RN employers; together these surveys provide an opportunity to evaluate overall demand for...
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How Many Nurse Practitioners Provide Primary Care? It Depends On How You Count Them
04-08-15
This study compares different approaches to measuring the number of nurse practitioners (NPs) providing primary care services using data from the 2012 U.S. National Sample Survey of Nurse Practitioners, North Carolina licensing data from 2011, and a 2010 California survey of nurse practitioners and...
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Tracking Workforce Diversity in Dentistry: Importance, Methods, and Challenges
03-06-15
Concern abounds about whether the health care workforce is sufficient to meet changing demands spurred by the Affordable Care Act (ACA). We project that by 2022 the health care industry needs three to four million additional workers, forty percent of which is related to demand growth under the ACA...
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The Demand for Health Care Workers Post-ACA
03-06-15
Concern abounds about whether the health care workforce is sufficient to meet changing demands spurred by the Affordable Care Act (ACA). We project that by 2022 the health care industry needs three to four million additional workers, forty percent of which is related to demand growth under the ACA...
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Entry and Exit of Workers in Long-Term Care
01-20-15
In the past decade, the health care industry, and long-term care (LTC) in particular, saw substantial job growth. In anticipation of growing demand for LTC due to an aging demographic, employment opportunities in LTC are expected to surpass those of other U.S. sectors. Workforce planners are...
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Comparison of Nurse Staffing Measurements in Staffing-Outcomes Research
01-01-15
BACKGROUND: Investigators have used a variety of operational definitions of nursing hours of care in measuring nurse staffing for health services research. However, little is known about which approach is best for nurse staffing measurement.
OBJECTIVE: To examine whether various nursing hours...
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Using Employer Surveys to Assess Health Workforce Demand. Health Workforce Technical Assistance Center Webinar
12-16-14
Effective health workforce planning requires a basic understanding about the supply and demand for health workers. This webinar presents strategies used in three states—Florida, New York, and California—to monitor demand for health workers using employer surveys.
Full Publication
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Dental Workforce Capacity and California's Expanding Pediatric Medicaid Population
11-01-14
The number of children eligible for Medicaid dental coverage in California will increase to nearly 5 million because of the Affordable Care Act the transition of nearly 880,000 children from California's Children's Health Insurance Program (CHIP) to Medicaid. This study assesses the dental capacity...
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Physician Participation in Medi-Cal: Ready for the Enrollment Boom?
08-11-14
Report on findings from a 2013 survey of a sample of California physicians regarding their participation in Medi-Cal (California's Medicaid program) the eve of the implementation of the Affordable Care Act.
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Survey of Nurse Employers in California, Fall 2013
08-06-14
This report summarizes the findings from a survey of general acute care (GAC) hospital employers of registered nurses (RNs) in California, conducted in fall 2013. This is the fourth annual survey of hospital RN employers; together these surveys provide an opportunity to evaluate overall demand for...
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Diversity in California’s Mental Health Workforce and Education Pipeline
07-31-14
Current data suggest that segments of California’s mental health care workforce are becoming more racially and ethnically diverse. The psychology profession continues to be a predominantly White workforce, but counselors and social workers are more reflective of California’s diverse population....
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Direct Access to Midlevel Dental Providers: An Evidence Synthesis
06-20-14
Objectives: Direct access is a term that describes the ability of patients to seek health care from midlevel dental providers (MLDPs) without first seeing a dentist. The objective of this study was to synthesize the evidence for the effects and costs of direct access to MLDPs in a primary dental...
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Survey of Nurses’ Educational Experiences, 2013
06-10-14
California registered nurses were surveyed to learn their experiences with obtaining post-licensure education, and their interest in pursuing additional education.
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Calling All Doctors: What Type of Insurance Do You Accept?
06-01-14
Editorial accompanying an article on an audit study of physicians' acceptance of new patients with Medicaid and private health insurance.
Full Publication
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Medical Laboratory Technicians in California: Expanding Hospital Lab Capacity
04-22-14
UCSF researchers find that medical laboratory technicians (MLTs) are being integrated into laboratory staff at California hospitals with good results. This one-page document provides a summary of the full report and offers recommendations for more fully tapping MLT potential.
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Economics of Health Care and Nursing: How Will Health Reform Affect Demand for RNs?
01-30-14
This is a complex question to answer, but recent work published by the Joint Center for Political and Economic Studies tries to quantify the effect of the ACA. The report by Frogner and Spetz (2013) shows about one-third of the projected increase in RN demand will be derived from the impact of the...