Below are links to selected research articles and resources.
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AUGUST2007
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National Association of Community Health Centers, The Robert Graham Center, Capital Link
Americans believe in a strong health care system for all – and thus far, are willing to pay for it. In
2005 Americans spent $2 trillion – 16% of the entire national economy – on health care.
Yet it’s clear our system is not working. Costs continue to rise, yet so do the number of at-risk
Americans. The challenges facing the more than 60 million uninsured or underinsured are well documented
and serious, but that’s only part of the story. Earlier this year, a study by the National Association of Community Health Centers (NACHC) and the Robert Graham Center found that 56 million Americans – many of them with insurance – don’t have ready access to primary care. Other research shows that half of Americans aren’t getting the care they need, and the numbers are even worse for minorities and the poor.
Something needs to change in how we spend our health care dollars. As a nation, we are desperate for
investment in better care.
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July, 2008
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Jaime Garcia Executive Director, Health Work Force Institute
The challenges to creating a sustainable health care work force are immense, ranging from economic and geographic barriers to education, to the sheer volume of workers who will be retiring from medical professions in the next several years.
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2008
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Risa Lavizzo-Mourey, M.D., M.B.A.
Unfortunately, as you will read, our nation’s health is not improving. We continue to fall short of our potential and we fare poorly in comparison to many other nations. The consequences are tragic — for individuals, for communities and for our children. We have a fundamental responsibility to work together to help people live healthier lives. An urgent need exists for overall solutions and innovative actions to help individuals, communities, and our nation to become healthier.
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February 2004
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U.S. Department of Labor, Employment and Training Administration
The following is a report prepared by Alexander, Wegner, & Associates for the U.S. Department of Labor, Employment and Training Administration’s Business Relations Group. This report details what the U.S. Department of Labor, Employment and Training Administration (DOL ETA) has learned from employers, employees, educators, workforce professionals, and researchers about health care workforce challenges and solutions. It provides the basis for developing strategic partnerships that include industry, education, and the public workforce system.
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October 7, 2008
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Penny Hollander Feldman, Ph.D. Director, Center for Home Care Policy and Research
Evidence reviews show that multidisciplinary team-based
interventions have been key to promoting comprehensive,
person-centered palliative and EOL care
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October 7, 2008
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Rosalie A. Kane, PhD, University of Minnesota
Outcomes for 4 GHs in Tupelo
• Compared to 2 controls over 2 years
– GH residents more satisfied & scored higher on
QOL domains
– GH family members:
• more engaged with residents
• more satisfied with resident care
• more satisfied with experience as family
members
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October 2008
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Christopher M. Callahan, MD Cornelius and Yvonne Pettinga Professor Director, Indiana University Center for Aging Research Research Scientist, Regenstrief Institute, Inc.
Working Harder is Not an Option
• Primary care physicians need:
Ø 10 hours per day to deliver
recommended care for chronic
conditions
Ø 7 hours per day for preventive services
• Only 60% of a 9-hour day spent
face-to-face with patients
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October 7, 2008
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Institute of Medicine
Fewer than 1 in 10 depressed older adults
seek specialty mental health care
• and if they did we wouldn’t have the mental health
specialists needed to treat them
§ Most present for help in primary care
§ But treatment is often not effective
• Only 50 % are treated
• Only 20% improve
Quality of care for depression is worse than for most
other geriatric problems
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7/15/08
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American Nurses Association
ANA has been working with State Nurses Associations through its Nationwide State Legislative
Agenda to promote state legislation that would require the collection of nursing supply and
demand data. Some states still do not have the structure in place to compile and evaluate
nursing workforce data. This data is vital for states to accurately assess the nursing crisis and
develop comprehensive short and long range state workforce planning strategies.
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2006
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No Author given
Many states opt to utilize the data which the U.S. Department of Health and Human Services’ Health Resources and Services Administration (HRSA) produced projecting state-level demand for full-time employed registered nurses (RN), licensed practical nurses (LPN), nurse aides, and home health aides through the year 2020. HRSA defined “nurse demand†as the number of full-time employed RNs whom employers are willing to hire given the needs of the population, economic considerations, as well as the healthcare operating environment (HRSA, 2006). Since this definition excludes LPNs completely, any state that chooses to utilize HRSA data has selected a model which is invalid due to failure to include all members of the nursing population.
