- As part of our commitment to a process that is community informed, we invited anyone interested in shaping our health workforce policy priorities to participate in design workshops. In August and September, Policy at Healthforce held two online workshops (each with the same content) for people to…
- Policy at Healthforce is a collective effort that prioritizes systems and policy changes to advance the diversity and skills of workers to produce better economic opportunity and, ultimately, better health for communities of color, statewide public health, and individual health equity. Guided by…
- Is nurse practitioner (NP) care associated with end-of-life outcomes for nursing home residents with Alzheimer disease and related dementias (ADRD), and do these associations differ between states with full versus restrictive NP scope of practice regulations? The results of this cohort study…
- The US health system is burdened by rising costs, workforce shortages, and unremitting burnout. Well-being interventions have emerged in response, yet data suggest that the work environment is the problem. Nurse practitioner (NP) burnout is associated with structural and relational factors in the…
- Dental therapists (DTs) are primary dental care practitioners that have been deployed in many countries around the world. There is increasingly strong evidence supporting the safety and effectiveness of DTs, including their ability to promote community-based services and enhance oral health equity…
- Objectives: This work describes the process by which the quality of electronic health care data for a public health study was determined. The objectives were to adapt, develop, and implement data quality assessments (DQAs) based on the National Institutes of Health Pragmatic Trials Collaboratory (…
- Moral injury is lasting psychological and spiritual distress that stems from violating one’s values or feeling betrayed by a trusted institution or authority. Moral injury is associated with post-traumatic stress (PTSD), depression, anxiety, substance use, functional impairments, and suicide risk.…
- Objective: Despite the many advancements made in patient safety over the past decade, combating diagnostic errors (DEs) remains a crucial, yet understudied initiative toward improvement. This study sought to understand the perception of dental patients who have experienced a dental diagnostic…
- Research by Susan A. Chapman and colleagues explored whether enhanced care training provided to trained home care workers would result in better client health outcomes. The researchers studied home-based personal care services provided through California’s IHSS program to…
- Abstract: Increased engagement of nurse practitioners (NPs) has been recommended as a way to address care delivery challenges in settings that struggle to attract physicians, such as primary care and rural areas. Nursing homes also face such physician shortages. We evaluated the role of state…
- Background: The Supreme Court’s decision in Students for Fair Admissions, Inc., v. Harvard College is likely to result in the matriculation of fewer students from historically excluded racial/ethnic groups at more selective colleges and universities and matriculation of more students at less…
- IMPORTANCE: Process-based quality measures are generally intended to promote evidence-based practices that have been proven to improve outcomes. However, due to lack of standardized implementation of diagnostic codes in dentistry, assessing the association between process and oral health outcomes…
- This study aimed to evaluate the Language Access Systems Improvement (LASI) initiative’s impact on professional interpreter utilization in primary care and to explore patient and clinician perspectives on professional interpreter use. Participants included Cantonese, Mandarin, Spanish, or…
- Background: Vulnerable older adults living with Alzheimer’s disease or Alzheimer’s disease and related dementia (AD/ADRD) and chronic pain generally receive fewer pain medications than individuals without AD/ADRD, especially in nursing homes. Little is known about pain management in older adults…
- The COVID-19 pandemic rapidly reshaped health care delivery, notably with a surge in telehealth use driven by changes in Medicare and Medicaid reimbursement rates. The ensuing wave of research, spanning over 80 studies from 2021 to 2022, explored the impact of telehealth on health outcomes and care…
- Deaths from drug overdoses are rising dramatically in the United States. Treatment for opioid use disorders may include behavioral treatments as well as medications for opioid use disorders (MOUD). Buprenorphine can be prescribed by physicians, nurse practitioners (NPs), other advanced practice…
- This study assessed flavored tobacco use among adolescent e-cigarette, cigarette, cigar, hookah, and smokeless tobacco users; specific e-cigarette flavor preferences; risk profiles of youth that use various flavors; and the impact of survey question wording on prevalence. Cross-sectional data from…
- Important health workforce research that we undertake here is part of a national effort to monitor and plan for the health care needs of US residents. The UCSF Health Workforce Research Center on Long-Term Care (UCSF HWRC), housed at Healthforce Center, is a dynamic hub of policy-oriented research…
- Background: The COVID‐19 pandemic greatly affected health care workers, both physically and psychologically, by increasing their workload and stress. This may also have increased their risk of occupational injuries. This study analyzed workers' compensation (WC) claims among California…
- Nurse turnover can compromise the quality and continuity of home health care. Scope of practice laws, which determine the tasks nurses are allowed to perform and delegate, are an important element of autonomy and vary across states. In this study, researchers used human resource records from a…
- Clinicians who speak the language of the patients they care for can help increase access to care and improve patient health outcomes. Researchers, including Healthforce Center’s Director Sunita Mutha, looked at the barriers and facilitators to primary care physicians’ willingness to have their…
- Emerging technological advances hold potential to assist the long-term care (LTC) workforce in caring for an aging population in the home and LTC settings. Technology may alter workforce needs and mitigate rising workforce demand. This study identified and assessed emerging technologies that may…
- The COVID-19 pandemic had a profound impact on all aspects of the oral health care system. The temporary suspension of oral health services impacted patients seeking preventive and restorative dental services with enduring consequences. Dental providers faced threats to job security as well as to…
- In 2017, the San Francisco Cancer Initiative (SF CAN) established the Colorectal Cancer (CRC) Screening Program to provide technical assistance and financial support to improve CRC screening processes, and outcomes in a consortium of community health centers (CHCs) serving low-income communities in…
- Older adults with Alzheimer's disease and related dementias (ADRD) often face burdensome end-of-life care transfers. Advanced practice clinicians (APCs), which include nurse practitioners and physician assistants, increasingly provide primary care to this population. To fill current gaps in the…
- Up to half of all individuals who receive long-term services and supports (LTSS) are living with Alzheimer’s disease or another form of dementia. Direct care workers provide most of the care across LTSS and are the foundation of a dementia-capable workforce — yet they are underprepared, under-…
- Opioid misuse is a major public health concern in the United States. Opioid agonist medications are evidence-based treatments for opioid use disorders (OUD) that can be prescribed by advance practice registered nurses (APRNs) with prescriptive authority and appropriate training. This article…
- The aging of the US population is a well-documented phenomenon. In just 7 years, an estimated 73 million Americans will be aged 65 and over, equal to 21% of the population. Aging is associated with increased consumption of health care, and more specifically, long-term care services and supports (…
- It remains unclear whether the racial-ethnic composition or the socioeconomic profiles of eligible primary care practices better explain practice participation in the Centers for Medicare and Medicaid Services’ (CMS) Comprehensive Primary Care Plus (CPC+) program.
- As experience with social risk interventions matures, and federal and state agencies consider ways to incentivize social risk interventions, this is an ideal time to pause and ask whether we are going in the right direction with this work. In this perspective piece, the authors highlight that the…