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Introduction
Skills and Expertise
Publications
Publications (40)
Objectives:
Little research has compared the demographic and practice characteristics of registered nurses (RNs) who work in public health (PH RNs) with other RNs and advanced practice registered nurses (APRNs) who work in public health (PH APRNs) with other APRNs. We examined differences in characteristics between PH RNs and other RNs and between...
Background:
Dental therapists (DTs) are primary care dental providers, used globally, and were introduced in the United States (US) in 2005. DTs have now been adopted in 13 states and several Tribal nations.
Objectives:
The objective of this study is to qualitatively examine the drivers and outcomes of the US dental therapy movement through a he...
Research Objective
Gender diversification is rapidly occurring within the dental profession. Gender differences in practice choice (eg, employment vs practice ownership) and practice participation (eg, part-time vs full-time work hours) have been reported. It is important to understand how changes in the delivery system including workforce particip...
Background
Fundamentally, the goal of health professional regulatory regimes is to ensure the highest quality of care to the public. Part of that task is to control what health professionals do, or their scope of practice . Ideally, this involves the application of evidence-based professional standards of practice to the tasks for which health prof...
The health workforce has been greatly affected by COVID-19. In this commentary, we describe the articles included in this health workforce research supplement and how the issues raised by the authors relate to the COVID-19 pandemic and rapidly changing health care environment.
Background
Fundamentally, the goal of health professional regulatory regimes is to ensure the highest quality of care to the public. Part of that task is to control what health professionals do, or their scope of practice. Ideally, this involves the application of evidence-based professional standards of practice to the tasks for which health profe...
The dental workforce is increasingly gender diverse. This study analyzed gender differences in dental practice using the American Dental Association’s 2010-2016 Masterfile and the 2017 Survey of Dental Practice. Between 2010 and 2016, the proportion of women working in dentistry increased from 24.5% to 29.8%. Overall, female dentists were more raci...
Audio Interview
Interview with Dr. Bianca Frogner on scope-of-practice regulations and how they can be redesigned to better serve the needs of patients. (10:23)Download
Many health care organizations are experimenting with new ways of unleashing their workforce’s potential. Such approaches require reconfiguring of provider roles, but states and org...
The regulation of health professions in the United States is a primary responsibility of states. The structure and content of the specific regulations of each state impact the provision of health services, affecting costs, quality and access. There is concern that current state-based and profession-specific regulatory structures cannot serve as a b...
Untreated dental disease remains one of the most prevalent health conditions for children, driven in part by disparities in access to care. This article examines evidence-based workforce strategies being used to facilitate better access to pediatric health services and to improve oral health status and outcomes for children. The workforce strategie...
Dental hygienists are important members of the oral health care team, providing preventive and prophylactic services and oral health education. However, scope-of-practice parameters in some states limit their ability to provide needed services effectively. In 2001 we developed the Dental Hygiene Professional Practice Index, a numerical tool to meas...
Objective:
To detect the presence of racial and ethnic pay disparities between minority and white hospital RNs using a national sample.
Data sources/study setting:
The National Sample Survey of Registered Nurses, 2008, which is representative at both the state and national level.
Study design:
Cross-sectional data were analyzed using multivari...
Thoroughly characterizing and continuously monitoring the public health workforce is necessary for ensuring capacity to deliver public health services. A prerequisite for this is to develop a standardized methodology for classifying public health workers, permitting valid comparisons across agencies and over time, which does not exist for the publi...
To determine rates of electronic health record (EHR) adoption and health information exchange (HIE) among New York State (NYS) nursing homes.
Primary data collected from a novel survey administered between November 2011 and March 2012 to all NYS nursing homes.
We used a cross-sectional study design to assess level of EHR implementation, automation...
Regulation and licensure of health professionals-nurses, physicians, pharmacists, and others-currently falls to the states. State laws and regulations define legal scopes of practice for these practitioners. Concern is growing that this system cannot support workforce innovations needed for an evolving health care system or for successful implement...
Rationale, aims and objectives Unprecedented national and state initiatives are underway to promote adoption and meaningful use of electronic health records (EHRs) with health information exchange (HIE). New York State leads the nation in state initiatives and is conducting ongoing surveillance of its investments. Lessons learned from studying stat...
Health workforce researchers routinely conduct studies to determine whether a profession is currently in short supply and whether future shortages are likely. This is particularly important for registered nursing since the profession has experienced periodic shortages over the past three decades. Registered nurse (RN) forecast studies can be valuab...
Proponents of health workforce diversity argue that increasing the number of minority health care providers will enhance cultural similarity between patients and providers as well as the health system's capacity to provide culturally competent care. Measuring cultural similarity has been difficult, however, given that current benchmarks of workforc...
The AAPM has been engaged in a wide‐ranging study with the Center for Health Workforce Studies at the School of Public Health, University at Albany, New York to assess the impact of changing internal and external environmental forces on the medical physics workforce.
The major objectives of the research conducted during 2009–2010 are to:
1. Analyze...
Even as concerns about nursing shortages continue nationwide and for individual states in the United States, there is little information on the impact of nursing shortages at substate levels, such as counties or groups of small counties. National and state level assessments can mask wide geographic variation in the distribution of registered nurses...
To examine the size and characteristics of the health services research (HSR) workforce; the job satisfaction, job security, and future plans reported by the workforce; and the future of the HSR workforce supply.
(1) AcademyHealth active and lapsed members since 2000 and annual research meeting presenters and interest group participants; (2) princi...
This article describes challenges, issues, and strategies associated with public health workforce research. The factors that contribute to workforce supply and demand imbalances are reviewed, and the unique difficulties encountered with studies of public health workers are identified. Two case studies of previous public health workforce research co...
Despite growing concern over cultural competence and diversity in the registered nursing (RN) workforce, minority RNs working in hospitals in New York City who were surveyed in 2007 earned less on average than their non-Hispanic White counterparts. Regression decomposition was applied to these data to investigate how much of the differential could...
This article summarizes the key findings of a study designed to evaluate the effectiveness of different methods for assessing the severity of nursing shortages in four types of health care facilities in the United States (hospitals, long-term care facilities, home health agencies, and public health agencies). The study involves testing several stat...
In July 2005, the New York State Public Health Workforce Task Force- including representatives from public health education programs in New York, state and local health departments, and health professional and advocacy organizations - was created to address public health workforce challenges in New York. The Task Force concluded that it was necessa...
The Federal government has had a long-standing interest in the nursing workforce. For several decades, through its Shortage Designation Branch, HRSA has collected data on nurses in the U.S. and developed models to estimate the current and future supply of and demand for RNs. Several programs have been operating to encourage new RNs to practice in f...
Using data collected from a sample of 1,319 nurse practitioners (NPs) in New York state in 2000, differences in practice patterns by race and ethnicity were identified. NPs from underrepresented minority (URM) groups were more likely than non-URM NPs to work in hospitals, community health centers, and schools but less likely to work in physician of...