Comparison of Specialty Distribution of Nurse Practitioners and Physician Assistants in North Carolina, 1997-2013

June 15, 2015 Anna Johnson, PhD, MSPH; Erin Fraher, PhD, MPP; Perri Morgan, PhD, PA-C Presentation at the 2015 AcademyHealth Annual Research Meeting           Overview Nurse practitioners (NPs) and physician assistants (PAs) fill workforce needs in many specialties. Specialty distributions of NPs and PAs have changed over time, with the proportion of NPs and PAs… Read more »

Building a Value-Based Workforce

June 15, 2015 Erin Fraher, PhD, MPP; Rachel Machta, BS; Jacqueline Halladay, MD, MPH Presentation at the 2015 AcademyHealth Annual Research Meeting           Overview What will the shift to value-based payment models mean for the workforce? Literature review of 57 studies focused on staff roles in new models of care that: are new or have… Read more »

Pathways in Nursing Careers: Transitions from the Role of Licensed Practical Nurse to Registered Nurse in North Carolina (2014-15)

Investigators:  Cheryl Jones, PhD, RN, FAAN; George Knafl, PhD; Mark Toles, PhD, RN; Anna Beeber, PhD, RN Background: In a reforming health care system, nursing personnel, including licensed practical nurses (LPNs) and registered nurses (RNs), are viewed as flexible health care workers because they are readily deployed in diverse health care settings, reduce workforce shortages,… Read more »

Diffusion of Physicians and Access to Primary Care: The Role of Person, Program, and Place (2014-15)

  Author: Thomas C. Ricketts, PhD, MPH Background: Federal and state policies try to influence physician location choices using a combination of programmatic or extrinsic factors (e.g. bonus payments, subsidized loans) and personal or intrinsic factors (e.g. promoting volunteerism, orienting trainees to underserved populations and selecting motivated students) to encourage physicians to practice in communities where the… Read more »

Understanding How the Diffusion of Physicians Creates Areas of Underservice (2014-15)

Investigators: Thomas Ricketts, PhD; Erin Fraher, PhD, MPP; Andy Knapton, MSc Background: States and the federal government devote substantial resources to influence physicians to practice in underserved areas.  Like the general population, the physician workforce is mobile.  About 20% of the active employed physician workforce will relocate to another county within a five-year period. Federal… Read more »

Making Use of Workforce Projections to Inform the Graduate Medical Education Policy Debate in the United States (2014-15)

Investigators: Erin P. Fraher PhD MPP, Andy Knapton MSc Background: There is intense policy debate over whether the nation should expand graduate medical education (GME) or redistribute existing slots to high-need specialties and geographies.  The recently released Institute of Medicine (IOM) report recommends creating a GME Policy Council to use data and workforce projections to… Read more »

Comparison of Specialty Distribution of Nurse Practitioners and Physician Assistants in North Carolina, 1997-2013 (2013-14)

Authors:Perri Morgan, PhD, PA-C; Anna Johnson, PhD, MSPH; Erin Fraher, PhD, MPP Background:As healthcare demand in the United States is expected to grow, increased use of nurse practitioners (NPs) and physician assistants (PAs) is seen as a partial solution to potential physician shortages. NPs and PAs can change specialties throughout their careers and may constitute… Read more »