Calman NS, Hauser D, Forte G, Continelli T. New York state physicians: characteristics and distribution in health professional shortage areas. Journal of Urban Health. December 2006.
Along with high numbers of physicians, New York State also has 2.7 million people living in poverty and 3 million without health insurance who are likely to live in areas with few physicians. Nearly 4 million New Yorkers live in communities that have been designated as health professional shortage areas (HPSAs). This study was conducted to examine the physician workforce in New York State and its HPSAs.
Cooksey JA, Forte GJ, Flanagan PA, Benkendorf J, Blitzer MG. The medical genetics workforce: an analysis of clinical geneticists subgroups. Genetics in Medicine. 2006;8(10): 603-614.
Clinical geneticists with a Doctor of Medicine degree face challenges to meet the growing population demand for genetic services. This study was designed to assist the profession with workforce planning by identifying clinically relevant subgroups of geneticists and describing their professional characteristics and clinical practices. Geneticists’ patient care productivity is compared across subgroups and other medical specialists. Part of a comprehensive national study of genetic services and the health workforce, this study uses data from a 2003 survey of geneticists certified by the American Board of Medical Genetics. An iterative approach was used to identify five subgroups based on the types of new patients seen, followed by a descriptive analysis of subgroups by demographic, training, professional, and practice characteristics.
Lea DH, Williams JK, Cooksey JA, Flanagan PA, Forte G, Blitzer MG. U.S. genetics nurses in advanced practice. Journal of Nursing Scholarship. 2006; 38,(3):213-218.
The purpose of this study was to describe characteristics and professional roles of genetics nurses in advanced practice. The survey that was conducted included questions on demographic characteristics, education, credentials, professional roles, and attitudes about genetic healthcare issues.
McGinnis S, Moore J, Continelli T. Practice patterns of underrepresented minority nurse practitioners in New York State, 2000. Policy, Politics, & Nursing Practice. 2006;7(1):35-44.
Using data collected from a sample of 1,319 nurse practitioners (NPs) in New York 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 offices and NP practices. URM NPs were also more likely to report a specialty certification in women’s health. Several different measures of primary care provision were examined, with URM NPs substantially more likely to meet all four measures of primary care practice than non-URM NPs. Finally, URM NPs were more likely than non-URM NPs to practice in federally designated health professional shortage areas (HPSAs).
Lea DH, Cooksey JA, Flanagan PA, Williams JK, Forte G. Innovations in United States genetics nursing: practice and research. Japan Journal of Nursing Science. Dec. 2005;2:71-83.
Clinical and research applications from human genome discoveries are growing and creating both opportunities and challenges to the integration of genetic concepts into practice and research. In the past two decades, a small groups of nurses in the U.S. have used a vareity of strategies to further develop the field of genetics nursing. In this paper, innovative approaches were used to identify genetics-related nursing roles and opportunities, as well as successful collaborative efforts beyond nursing to address the emerging health and society challenges related to human genetics discoveries.
Cooksey J, Forte G, Benkendorf J, Blitzer M. The state of the medical geneticist workforce: findings of the 2003 survey of the American Board of Medical Genetics certified geneticists. Genetics in Medicine. 2005;7(6).
This summary presented key findings of a survey of medical geneticists that was one component of a three-year national research project, Assessing Genetic Services and the Health Workforce. The goals of the overall project were to do the following: (1) describe current models of providing clinical genetics services; (2) describe the roles of health professionals delivering services; (3) identify measures to monitor changes in demand for services; and (4) establish a framework and baseline description for ongoing and longitudinal studies of genetic services.
Wing P, Langelier MH, Continelli TA, Battrell A. A dental hygiene professional practice index (DHPPI) and access to oral health status and service use in the US. Journal of Dental Hygiene. 2005;79(2).
This article summarized the findings of a national study that developed a statistical Dental Hygiene Professional Practice Index that defined the professional practice environment of dental hygienists (DHs) in each of the 50 states and the District of Columbia. In addition, it reported the extent to which the index scores were correlated to the number of DHs and dentists, the utilization of dental services, and selected oral health outcomes across the 50 states.
Wing P, O’Grady ET, Langelier MH. Changes in the legal practice environment of NPs, 1992 to 2000. The American Journal for Nurse Practitioners. 2005;9(2):25-37.
This article summarizes the findings of a national study that documented changes in the legal practice environment for nurse practitioners (NPs) between 1992 and 2000. It describes a new NP Professional Practice Index (NP-PPI) for 2000 that more accurately reflects current practice environments than a previous index developed in 1992. In addition it examines relationships between the new NP-PPI scores for each state and the number of NPs, the number of physicians, and access to care for underserved populations.
Wing P, Langelier MH. The future of HIM: employer insights into the coming decade of rapid change. Journal of AHIMA. 2004;75(6):28-32.
HIM has been in transition for more than three decades, but the health care system is now poised for more change in the coming decade than it has experienced in the previous three combined. What must HIM professionals know and do to position themselves for the transformations now on the horizon? Important insights can be gained from companies at the forefront of change in HIM.
Salsberg E, Forte G. Perspective: benefits and pitfalls in applying the experience of prepaid group practices to the U.S. physician supply. Health Affairs Web Exclusive. February 4, 2004.
The paper by Jonathan Weiner included important improvements in the methodology used to compare the physician workforce in prepaid group practices (PGPs) with the U.S. physician workforce. It also provided valuable insights for policymakers and researchers. Despite the improvements, concerns remained regarding the comparability of the populations served and physician activities in PGPs and the country as a whole. While PGPs appeared to offer valuable lessons on how to use physicians effectively and efficiently, it was inappropriate to use the PGP physician rates to determine the number of physicians needed in the U.S.