Increased Utilization of Overtime and Agency Nurses and Patient Safety

Extensive research has established a strong link between overall nurse staffing levels and certain patient safety outcomes. In contrast, the impact of agency nurse staffing on patient outcomes has been studied less frequently, with inconsistent results. US studies examining agency hours often rely on cross-sectional designs, which, along with similarly limited research on overtime hours,…

Medicaid Billing for Community Health Worker Services Growing, but Remains Low, 2016-2020

Community Health Workers (CHWs) are increasingly recognized as essential healthcare providers in the United States. Valued for their deep understanding of the communities they serve, CHWs play a crucial role in building high-impact partnerships with low-income, underserved, and racial and ethnic minority populations. Despite the recognized value of CHWs in improving health outcomes, the integration…

Health Care Provider Movement Increased Through COVID-19

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…

Pediatric Medical Subspecialist Use in Outpatient Settings

Pediatric medical subspecialists offer care to children with uncommon or atypical health issues, those who haven’t responded well to standard primary care treatments, or those requiring specialized diagnostic or therapeutic procedures. Evaluating whether the number and distribution of these subspecialists meet the needs of the nation’s children is difficult due to a lack of evidence…

Black and Hispanic Representation Declined After Increased Degree Requirements for Physician Assistants

The physician assistant (PA) profession is among the least racially and ethnically diverse health professions requiring advanced education. Between 1995 and 2020, the percentage of Black PA graduates fell from 7% to 3.1%, while Hispanic representation increased from 4.5% to 7.9%. PA programs that transitioned from bachelor’s to master’s degrees experienced a 5.3% point decline…

The Changing Community Health Center Workforce: 2007-2013

Community health centers (CHCs) represent an important and unique component of America’s health care system. Because of their mission of comprehensive and community-oriented primary care, CHCs typically provide a broader array of services than most other American medical practice settings. This report describes the changes in the workforce of community health centers from 2007 to…

Using a New Evidence-Based Health Workforce Innovation Research Framework to Compare Innovations in Community Health Center and Other Ambulatory Care Settings

Many healthcare organizations in the US have pursued new staffing or team arrangements to meet the challenges of increasing access to care, improving quality, and controlling costs. While much has been written about “health workforce innovation”, the field lacks a comprehensive framework to classify existing innovations and guide the development of new research questions. This…

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