Health Workforce
The healthcare workforce in the United States is experiencing shortages, which projected to increase as the population ages. Difficulties in both recruiting and retaining practitioners exist. IHPS faculty are at the forefront of studying both increasing the number of people entering the profession, as well as retaining those who are already practicing.
California's maternity workforce includes midwives, who are credentialed by the state. Midwives provide a vital workforce giving high-quality care, particularly in rural areas with fewer obstetricians. In a recent report for the California HealthCare Foundation, Joanne Spetz, PhD, Amy Quan and Kim Dau, RN, MS, CNM, outlined the demographics of this workforce and recommendations to increase it. Other training efforts studied by IHPS faculty show costs can also be reduced as well as providing more access to healthcare via training. A California home-worker training that hopes to reduce emergency room visits was evaluated by Susan Chapman, RN, PhD, FAAN and colleagues. Increasing the diversity of the workforce also begins with pre-health advising, which Janet Coffman, PhD, MPP, MA, Alicia Fernandez, MD, and colleagues looked at.
While training can help increase the workforce and make it more efficient, there are factors driving current practitioners out of the field. Rosalind de Lisser, PhD, FNP, PMHNP and colleagues looked at nurse practitioner (NP) burnout and found it is associated with structural and relational factors in the work environment, practice autonomy, and hierarchical leadership. Direct care workers, including personal care aides, home health aides, and nursing assistants, support older adults, people with disabilities, and other care recipients across settings. Laura Wagner, PhD, RN, FAAN and colleagues looked at the healthcare access this group of workers has and found they often lack insurance coverage and the ability to access, utilize, and afford the health services they need.
| |
|
Vivek Rudrapatna is a physician-scientist and Inflammatory Bowel Disease specialist in the Division of Gastroenterology and affiliated faculty at the Philip R. Lee Institute for Health Policy Studies. His research group develops methods for analyzing healthcare data with the goal of improving clinical decision making. Towards these goals, his team draws inspiration from a variety of disciplines within the data sciences, including biostatistics, natural language processing, machine learning, and artificial intelligence.
| |
Youth Vaping
Youth vaping has a new hook youth will need to resist. Tobacco companies now sell vape pens with moving images according to a recent Atlantic article. While the appeal to youth has not yet been studied, anti-youth tobacco advocates are concerned. IHPS faculty has studied youth and vaping behavior which can inform potential measures to curb the appeal of the new marketing. Benjamin Chaffee, DDS, MPH, PhD, Stuart Gansky, MS, DrPH and colleagues looked at Intersectionality Theory in LGBQ+ youth of color who reported more frequent discrimination, which was associated with a greater likelihood of ever/current vape use. Chaffee, Kristin Hoeft, PhD, MPH, and colleagues also studied the initiation of e-cigarette (vape) use in adolescents, finding many try e-cigarettes in response to curiosity, peer pressure, and desires to cope with stress or belong to a group. For young adults trying to quit cigarette smoking with the use of vape pens, a qualitative study by Nhung Nguyen, PhD, PharmD, Pamela Ling, MD, MPH and colleagues, studied how successful that method is.
| | |
|
Patients’ Narratives as a Catalyst for Reducing Staff Burnout in Ambulatory Care
IHPS Health Policy Grand Rounds
Ingrid Nembhard, PhD, MS
Professor of Health Care Management
University of Pennsylvania
Nov 7, 2024, 12 - 1 pm PT
Mission Hall (550 16th Street, Room 2100)
(email beth.thew@ucsf.edu for Zoom)
"Many in the healthcare workforce are burning out and becoming dissatisfied with their jobs, which was true even before COVID-19 exacerbated demands on workers. Our research assesses the role that feedback from patients about their care experiences in their own words (termed “patient narratives”) plays in the well-being of healthcare professionals who care for them. Our core hypothesis – building from organizational theory that links worker experience to customer experience and vice versa – was that frequent and useful feedback from patients in their own words is associated with reduced burnout and increased job satisfaction for healthcare professionals, which would suggest the importance of providing such feedback to them as an intervention. We tested our hypothesis using survey data from clinical and administrative staff affiliated with 22 ambulatory care practices associated with NewYork-Presbyterian. In this setting, we found support for our hypothesis and explanations for the correlation. This presentation will conclude with discussion of the implications of these findings for health policy and practice."
| | |
|
IHPS + IMPACT Health Policy Series
Medicaid (MediCal in California)
Janet Coffman, PhD
Professor, Family and Community Medicine, UCSF
IHPS Policy Co-Director
Beth Griffiths, MD
Professor, Medicine, UCSF
IHPS Policy Co-Director
Nov 13, 2024, 12 - 1 pm PT
Zoom information here
Based on popular request, this fall we will host sessions on key topics in health policy, including both a basics ("101") and current updates component. This month we focus on Medicaid (MediCal in California). The sessions are designed to be complementary and are available on the IHPS website.
| |
|
Tasce Bongiovanni:
(The Washington Post)
| | | |
Follow IHPS on LinkedIn
IHPS has recently begun using LinkedIn. Please follow us at the link below! We will be sharing valuable updates regarding the work the IHPS community is engaged in, insights on current health policy-related matters, and information regarding IHPS-related events regularly.
|
| |
Philip R. Lee Fellowship Fund Endowed | |
|
Since its founding 50 years ago, IHPS has been dedicated to training the next generation of leaders in interdisciplinary research to solve our most important health policy issues. In celebration of our 50th anniversary and to honor our founders, Phil Lee and Lew Butler, we established an endowment fund for the Philip R. Lee Fellowship. We are pleased to announce the fund has been endowed! We hope to continue to keep this fund and our fellowship program robust.
| |
|
Photo: Kim Felder Rhoads, MD, MS, MPH & Fellow for 2007-2008 with Philip R. Lee, MD, Founder of the Institute for Health Policy Studies | | | | |
