Data systems can be funded through state appropriations, private foundations, grants and contracts, and on a cost-recovery basis. Each funding mechanism has its challenges. State appropriations are tenuous; administrations and priorities change, and budgets get cut. Foundations are often geared to fund initiatives that show more tangible results. Grants are often time-limited. Cost-recovery is subject…
Demand for health services can be difficult to measure, and data availability varies. Broadly speaking, demand for health services can be split into 2 categories: Utilization Those who utilize health care services, which includes people who need and receive services, and people who receive but may not need services (eg, elective procedures, the “worried well”)…
The study’s purpose, design, data, confidentiality considerations, and funder requirements should inform which geographic unit of analysis is most appropriate. For a broader discussion of geographic units, see Chapter 5. Geography and Disparities in Health Care (Ricketts, TC) in Guidance for the National Healthcare Disparities Report. Studies that work with small cell sizes, especially in…
Multiple rural definitions can be used in health workforce analysis. The study’s purpose, unit of analysis, and funder should drive which rural definition is used. The WWAMI Rural Health Research Center at the University of Washington is a leading resource on analyzing the rural health workforce. See Chapter 3 in their 2003 report, State of…
An article by DesRoches et al (2015) compared the National Provider and Plan Enumeration System (NPPES), the American Medical Association Masterfile, and the SK&A physician file to evaluate data accuracy. The authors performed this analysis in the context of using the selected datasets for sampling frameworks and counting physicians in a given area. The authors…
There are multiple approaches to collecting data and data are often collected for different purposes. As a result, it is important to understand the methodology behind each dataset and its intended use in order to make valid comparisons. For example, the Bureau of Labor Statistics Occupational Employment Statistics collects data from employment surveys; the data…
There are many sources of health workforce data. Some sources have known and documented limitations. It is important to understand the data’s purpose and how they are collected, verified, and updated. There are 2 reports that describe multiple data sources: The Health Workforce Analysis Guide, 2016 Edition lists selected federal, nonfederal, and state data sources,…
While it is important to understand how many health professionals there are and in which professions, specialties, employment settings, and geographic locations they practice, health workforce research is moving beyond understanding supply to better understanding demand for health professionals, how they are training and practicing, how they impact the quadruple aim, and how to more…
This depends on many different factors, such as how many health professionals you want to track, the method used to collect data (licensure, survey, continuous monitoring, secondary data), the types of deliverables for which you’re accountable, and organization structure. If the data system is embedded within a larger organization, such as a university or state…
During the recession, healthcare jobs increased at the same time when many sectors were losing jobs. This trend is continuing to hold. The Bureau of Labor Statistics projects that employment of healthcare occupations will grow 18% from 2016 to 2020. This is faster than the average for all occupations and will add about 2.3 million…
