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2020 Completed Studies
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A Review of the Literature on Use of Medical Scribes in Primary Care Settings
Clerical burdens have strained primary care providers already facing a shifting healthcare landscape and workforce shortages. These pressures may cause burnout and job dissatisfaction, with negative implications for patient care. Medical scribes perform real-time EHR documentation and are posited as a solution to relieve clerical burdens, thus improving provider satisfaction and other outcomes. The purpose of this study was to identify and describe the published research on medical scribe utilization in primary care and safety net settings. For questions about this study, contact Clese Erikson. Related Products:
Independent Freestanding Emergency Departments and Implications for the Rural Emergency Physician Workforce in Texas
Independent freestanding emergency departments (IFEDs) have increased over the last decade, mainly in Texas. We examined the IFED physician workforce composition and changes in emergency physician workforce supply across states and in rural Texas throughout IFED proliferation. For questions about this study, contact Candice Chen. Related Products:
Mapping the Location of Health Centers in Relation to ‘Maternity Care Deserts’: Associations with Utilization of Women’s Health Providers and Services
We hypothesized that health centers close to a desert versus those that were not would provide higher numbers of family physician and nurse practitioner visits compared to obstetrician-gynecologist and nurse-midwife visits. We based our hypothesis on prior research that shows that: (1) obstetrician-gynecologists tend to establish their practice in higher resourced, urban areas; (2) family physicians, who are trained in obstetrics, are more likely to perform deliveries the closer they are to a rural area; and (3) nurse practitioners, who are trained women’s health providers and licensed to provide prenatal care, more often staff and even lead clinics where permitted by state law, which is in harder to reach areas of the country. For questions about this study, contact Anne Markus. Related Products:
Simulating the Impact of Workforce Configurations on Quality in Community Health Centers: A Feasibility Study to Develop a Simulation Tool
Under a fee-for-service payment system, the logic of human resource planning is based mainly on labor costs and the ability of a clinician to bill. However, there are trends toward more health care organizations, including community health centers (CHCs), engaging in alternative payment models in which providers are reimbursed based on achieving specific quality outcomes. Though this has the potential to change the way CHC leadership thinks about workforce planning fundamentally, evidence on the effect of workforce configurations on quality outcomes is still sparse. This project aimed to develop tools for CHCs to use simulated data as they make decisions about staffing. For questions about this study, contact Qian Luo. Related Products: The Use of Community Health Workers in Community Health Centers
Until 2016, community health centers (CHCs) reported community health workers (CHWs) as part of their overall enabling services workforce, making analyses of CHW use over time infeasible in the annual Uniform Data System (UDS). This study examined changes in the CHW workforce among CHCs from 2016 to 2018 and factors associated with use of CHWs. For questions about this study, contact Marsha Regenstein. Related Products:
These projects are supported by the Bureau of Health Workforce (BHW), National Center for Health Workforce Analysis (NCHWA), Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) as part of an award totaling $450,000, with zero percent financed with non-governmental sources. The contents are those of the author[s] and do not necessarily represent the official views of, nor an endorsement by HRSA, HHS, or the U.S. Government. |