The Association of Race, Ethnicity, and Wages Among Registered Nurses in Long-Term Care

Registered nurses (RNs) are the largest licensed health profession in the US and a key component of the long-term care (LTC) workforce. RNs who work in LTC settings earn less than those who work in hospitals and Black and Hispanic RNs employed in urban hospitals earn less than White and Asian nurses, even after controlling…

Utilization of Community Paramedics to Respond to the COVID-19 Pandemic

In the US, some health systems and emergency medical services agencies are leveraging the versatility and experience of community paramedics to meet needs for COVID-19 testing, care, and vaccination. This report describes models of community paramedic practice that have been utilized in the US during the pandemic and discusses changes in law and regulation that…

Characteristics of Multiple Job Holders in Long-term Care

Health care workers in long-term care (LTC) settings often face financial security concerns due to low wages, inconsistent hours, and lack of benefits. As a result, there are higher rates of LTC workers who hold multiple jobs, which can increase workers’ exposure to COVID-19. Because COVID-19 is an especially serious threat to the frail elderly,…

Prescribing Patterns in Nursing Home Residents Living With Dementia by Specialty and Provider Type

Treating the complex issues of people living with dementia is difficult because behavioral symptoms often occur in combination with pain symptoms. In addition,  increasing cognitive impairment and communication challenges exist as dementia severity progresses. Little is known about either the contributions of different clinical specialties in prescribing medications for this population or prescribing patterns by…

Measuring the Financial Contribution of Peer Providers

Peer support providers are individuals who have been trained to use their personal experiences with mental illness and substance use disorders to help others in recovery. Organizations that provide behavioral health treatment are increasingly employing peer support providers as vital team members. Prior studies have focused on evaluating the effectiveness of peer providers in terms…

Personal Care Aides: Assessing Self-Care Needs and Worker Shortages in Rural Areas

There are currently no federal standards to evaluate the adequacy of personal care aides based on the demand for home and community based services in the US,  but past research has indicated long-term shortages in the personal care aide workforce. Not much is known about how these shortages differ across geographic regions. This Health Affairs…

Alzheimer’s Disease Services, Staffing, and Outcomes in Adult Day Health Centers

Accelerating rates of Alzheimer’s Disease and Related Dementia (ADRD) has led to a greater reliance on adult day health centers (ADHCs) and their skilled workforce. Although there is a lot of research on this topic, little is known about staffing in ADHCs that provide ADRD services compared to ADHCs that do not. As populations with…

Rural-Urban Prescribing Patterns by Primary Care and Behavioral Health Providers in Older Adults With Serious Mental Illness

Aging adults with serious mental issues (SMI), including bipolar disease, depression, and schizophrenia, often have multiple chronic conditions and high rates of comorbidities. One of the major issues for older adults with SMI is the widespread shortage of behavioral health specialists (BHSs) which has created a lack of mental health services in the US. This…

Defining a Long-term Care Workforce Shortage Designation: A Conceptual Approach

The United States faces a considerable shortage of workers in the long-term care sector at a time when more Americans are living longer. In the next 7 years, an estimated 73 million Americans will be aged 65 and over, equal to 21% of the population.However, research on long-term care (LTC) workforce shortages generally lacks the…

Impact of COVID-19 on Occupational Injuries and lllnesses Among Nursing Care Facility Workers: Analysis of California Workers’ Compensation Data, 2019–2021

The COVID-19 pandemic had a great impact on health care workers by increasing workload and leading to burnout. The stress for workers may have also led to an increase in the risk of occupational injuries. This article assesses the impact of the COVID-19 pandemic on occupational injury or illnesses among nursing care facility workers.October 18,…

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