Established by Congress in 1968, the Community Health Representative (CHR) Program provides outreach to address the specific healthcare needs of Tribal communities, predating the recognition of non-tribal Community Health Workers (CHWs). Aligned with the Indian Health Services (IHS) mandate to serve American Indian and Alaska Native (AIAN) populations, CHRs play a vital role in elder…
In the United States, use of oral health care services during pregnancy remains low, with fewer than 40% of pregnant women seeking preventive oral health care. Low use of oral health care services is concerning, as a lack of regular preventive oral health care and delayed treatment increase the risk of developing dental disease and…
As the United States becomes increasingly racially and ethnically diverse and strives to address longstanding health inequities, it is important to consider the racial and ethnic makeup of public servants and the communities they serve, particularly in governmental public health agencies. This article describes the racial and ethnic representativeness of the local health department workforce…
Community health workers are an important workforce for health care systems to achieve health equity and reduce health disparities in vulnerable communities. However, because CHWs are a non-licensed workforce who work across system settings with various job titles, it is difficult to estimate and characterize this workforce. This article discusses the estimated size and state…
The medical laboratory workforce plays a critical role in the US health care system, highlighted during the COVID-19 pandemic by a heightened need for workers to meet drastic increases in demand for COVID-19 testing. The COVID-19 pandemic highlighted and exacerbated existing medical laboratory workforce challenges. To address future demand, it is crucial to examine the…
Skilled nursing facilities (SNFs) play a dual role, offering post-acute care services to short-stay patients and long-term care for permanent residents. In the wake of the COVID-19 pandemic, staffing in SNFs has garnered significant national attention, with efforts underway to enhance the quality of patient care. While research indicates that staffing levels for non-nursing roles…
The size of the US public health workforce has markedly declined in recent years, a trend exacerbated by economic instability and an aging demographic. There was a temporary surge in staffing through emergency hires during the COVID-19 pandemic, but the permanence of these positions remains uncertain. Concurrently, public health degree conferrals have sharply increased, creating…
The public health workforce is in a critical state, with the current supply being unsustainable at best and dire at worst. Based on data from 2017 and 2019, health departments needed to hire 80,000 full-time employees to provide basic public health foundational services even before the onset of COVID-19. The situation has likely worsened due…
COVID-19 placed unprecedented strain on the health workforce. Early in the pandemic, providers faced a novel, highly infectious pathogen, and while some areas experienced increased health care demands, others saw limits in nonessential services and decreased patient visits, leading to financial pressures and layoffs. This Health Affairs Scholar article explores the use of the publicly…
