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  1. Book ; Online: The Impact of Full Practice Authority for Nurse Practitioners and Other Advanced Practice Registered Nurses in Ohio

    Martsolf, Grant R / Auerbach, David I / Arifkhanova, Aziza

    2015  

    Keywords Health systems & services ; Medicolegal issues ; Nursing ; Clinical & internal medicine ; Health Sciences
    Language English
    Size 1 Online-Ressource
    Publisher RAND Corporation
    Document type Book ; Online
    Note English
    HBZ-ID HT030609911
    ISBN 9780833089359 ; 0833089358
    Database ZB MED Catalogue: Medicine, Health, Nutrition, Environment, Agriculture

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  2. Article ; Online: Projecting the Future Registered Nurse Workforce After the COVID-19 Pandemic.

    Auerbach, David I / Buerhaus, Peter I / Donelan, Karen / Staiger, Douglas O

    JAMA health forum

    2024  Volume 5, Issue 2, Page(s) e235389

    Abstract: Importance: Health care delivery systems rely on a well-prepared and adequately sized registered nurse (RN) workforce. The US RN workforce decreased by more than 100 000 in 2021 during the COVID-19 pandemic-a far greater single-year drop than observed ... ...

    Abstract Importance: Health care delivery systems rely on a well-prepared and adequately sized registered nurse (RN) workforce. The US RN workforce decreased by more than 100 000 in 2021 during the COVID-19 pandemic-a far greater single-year drop than observed over the past 4 decades. The implication for the longer-term growth of the RN workforce is unknown.
    Objective: To describe recent trends in RN employment through 2023 and forecast the growth of the RN workforce through 2035.
    Design, setting, and participants: Descriptive analysis of recent trends since the start of the COVID-19 pandemic in RN employment using data from the US Bureau of the Census Current Population Survey and including employed RNs aged 23 to 69 years from 1982 through 2023, and retrospective cohort analysis of employment trends by birth year and age to project the age distribution and employment of RNs through 2035.
    Main outcome and measures: Annual full-time equivalent (FTE) employment of RNs by age, demographics, and sector of employment; forecast of RN workforce by age through 2035.
    Results: The final sample included 455 085 RN respondents aged 23 to 69 years. After a sharp decline in 2021, RN employment recovered, and the total number of FTE RNs in 2022 and 2023 was 6% higher than in 2019 (3.35 million vs 3.16 million, respectively). Using data on employment, education, and population through 2022, the size of the RN workforce was projected to increase by roughly 1.2 million FTEs to 4.56 million by 2035, close to prepandemic forecasts. Growth will be driven primarily by RNs aged 35 to 49 years, who are projected to compose nearly half (47%) of the RN workforce in 2035, up from 38% in 2022.
    Conclusions and relevance: In this study, the rebound in the total size of the US RN workforce during 2022 and 2023 indicates that the earlier drop in RN employment during the first 2 years of the COVID-19 pandemic was likely transitory. Updated forecasts of the future RN workforce are very close to those made before the pandemic.
    MeSH term(s) Humans ; Pandemics ; Retrospective Studies ; COVID-19/epidemiology ; Workforce ; Nurses
    Language English
    Publishing date 2024-02-02
    Publishing country United States
    Document type Journal Article
    ISSN 2689-0186
    ISSN (online) 2689-0186
    DOI 10.1001/jamahealthforum.2023.5389
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Book ; Online: How Will the Patient Protection and Affordable Care Act Affect Liability Insurance Costs?

    Auerbach, David I / Heaton, Paul / Brantley, Ian

    2014  

    Keywords Insurance & actuarial studies ; Insurance law ; Medicolegal issues ; Health Sciences ; Law ; Business
    Language English
    Size 1 Online-Ressource
    Publisher RAND Corporation
    Document type Book ; Online
    Note English
    HBZ-ID HT030612001
    ISBN 9780833086235 ; 0833086235
    Database ZB MED Catalogue: Medicine, Health, Nutrition, Environment, Agriculture

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  4. Book ; Online: Health Care Spending and Efficiency in the U.S. Department of Veterans Affairs

    Auerbach, David I / Weeks, William B / Brantley, Ian

    2013  

    Keywords Military history ; History of the Americas ; Nursing & ancillary services ; History ; Health Sciences
    Language English
    Size 1 Online-Ressource
    Publisher RAND Corporation
    Document type Book ; Online
    Note English
    HBZ-ID HT030612908
    ISBN 9780833080295 ; 0833080296
    Database ZB MED Catalogue: Medicine, Health, Nutrition, Environment, Agriculture

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  5. Article ; Online: Assessment of a Price Index for Hospital Outpatient Department Services Using Commercial Claims Data in Massachusetts.

    James, Hannah O / Fonkych, Katya / Nasuti, Laura J / Auerbach, David I

    JAMA health forum

    2023  Volume 4, Issue 4, Page(s) e230650

    MeSH term(s) Humans ; Outpatients ; Health Care Costs ; Insurance, Health ; Massachusetts ; Hospitals
    Language English
    Publishing date 2023-04-07
    Publishing country United States
    Document type Letter
    ISSN 2689-0186
    ISSN (online) 2689-0186
    DOI 10.1001/jamahealthforum.2023.0650
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Book ; Online: The DNP by 2015

    Auerbach, David I / Martsolf, Grant R / Pearson, Marjorie L / Taylor, Erin Audrey / Zaydman, Mikhail

    A Study of the Institutional, Political, and Professional Issues that Facilitate or Impede Establishing a Post-Baccalaureate Doctor of Nursing Practice Program

    2015  

    Keywords Labour economics ; Personnel & human resources management ; Adult education, continuous learning ; Medical study & revision guides & reference material ; Nursing ; Health Sciences ; Education ; Business
    Language English
    Size 1 Online-Ressource
    Publisher RAND Corporation
    Document type Book ; Online
    Note English
    HBZ-ID HT030610582
    ISBN 9780833089618 ; 0833089617
    Database ZB MED Catalogue: Medicine, Health, Nutrition, Environment, Agriculture

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  7. Book: The future of the nursing workforce in the United States

    Buerhaus, Peter I. / Staiger, Douglas / Auerbach, David I.

    data, trends, and implications

    2009  

    Author's details Peter I. Buerhaus ; Douglas O. Staiger ; David I. Auerbach
    Keywords Nurses / supply & distribution ; Nursing / manpower ; Nursing / trends ; Forecasting ; Nurses/Supply and demand/Forecasting ; United States
    Subject code 331.1291362173
    Language English
    Size XVI, 312 S. : Ill., graph. Darst., 23cm
    Publisher Jones & Bartlett
    Publishing place Sudbury, Mass. u.a.
    Publishing country United States
    Document type Book
    Note Includes bibliographical references and index
    HBZ-ID HT015795099
    ISBN 978-0-7637-5684-0 ; 0-7637-5684-9
    Database Catalogue ZB MED Medicine, Health

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  8. Article ; Online: Characteristics of rural registered nurses and the implications for workforce policy

    Yates, Max C. / Auerbach, David I. / Staiger, Douglas O. / Buerhaus, Peter I.

    The Journal of Rural Health. 2023 Jan., v. 39, no. 1 p.240-245

    2023  

    Abstract: PURPOSE: Rural registered nurses (RNs) play an integral role in providing care for an underserved population with worse health outcomes than urban counterparts. However, little information is available on the profile of this workforce, which is necessary ...

    Abstract PURPOSE: Rural registered nurses (RNs) play an integral role in providing care for an underserved population with worse health outcomes than urban counterparts. However, little information is available on the profile of this workforce, which is necessary to understand the capacity of these nurses to provide quality and demanded care presently and in the future. METHODS: We utilize data from the American Community Survey to provide a contemporary analysis on the supply of rural RNs in the United States. FINDINGS: While the number of physicians serving rural populations has decreased in recent years, and rural nurse practitioners (NPs) remain in short supply, rural RNs have steadily grown in numbers at a rate comparable to urban RNs. Rural RNs are markedly less diverse than the populations they serve and only half of rural RNs had a bachelor's degree or higher compared to over 70% for urban RNs. In their supply, young rural nurses appear on pace with urban nurses to adequately replace older nurses and continue to grow the workforce, based on data through 2019. CONCLUSIONS: The rural RN workforce is projected to steadily grow amidst declining rural physicians and limited rural NPs. The burgeoning investments in the rural health workforce present opportunities to help diversify, increase educational access, and further rural readiness for rural RNs moving forward.
    Keywords issues and policy ; labor force ; rural health ; surveys
    Language English
    Dates of publication 2023-01
    Size p. 240-245.
    Publishing place John Wiley & Sons, Ltd
    Document type Article ; Online
    Note JOURNAL ARTICLE
    ZDB-ID 639160-6
    ISSN 0890-765X
    ISSN 0890-765X
    DOI 10.1111/jrh.12707
    Database NAL-Catalogue (AGRICOLA)

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  9. Article ; Online: Marriage, Children, and Sex-Based Differences in Physician Hours and Income.

    Skinner, Lucy / Yates, Max / Auerbach, David I / Buerhaus, Peter I / Staiger, Douglas O

    JAMA health forum

    2023  Volume 4, Issue 3, Page(s) e230136

    Abstract: Importance: A better understanding of the association between family structure and sex gaps in physician earnings and hours worked over the life cycle is needed to advance policies addressing persistent sex disparities.: Objective: To investigate ... ...

    Abstract Importance: A better understanding of the association between family structure and sex gaps in physician earnings and hours worked over the life cycle is needed to advance policies addressing persistent sex disparities.
    Objective: To investigate differences in earnings and hours worked for male and female physicians at various ages and family status.
    Design, setting, and participants: This retrospective, cross-sectional study used data on physicians aged 25 to 64 years responding to the American Community Survey between 2005 and 2019.
    Exposures: Earned income and work hours.
    Main outcomes and measures: Outcomes included annual earned income, usual hours worked per week, and earnings per hour worked. Gaps in earnings and hours by sex were calculated by family status and physician age and, in some analyses, adjusted for demographic characteristics and year of survey. Data analyses were conducted between 2019 and 2022.
    Results: The sample included 95 435 physicians (35.8% female, 64.2% male, 19.8% Asian, 4.8% Black, 5.9% Hispanic, 67.3% White, and 2.2% other race or ethnicity) with a mean (SD) age of 44.4 (10.4) years. Relative to male physicians, female physicians were more likely to be single (18.8% vs 11.2%) and less likely to have children (53.3% vs 58.2%). Male-female earnings gaps grew with age and, when accumulated from age 25 to 64 years, were approximately $1.6 million for single physicians, $2.5 million for married physicians without children, and $3.1 million for physicians with children. Gaps in earnings per hour did not vary by family structure, with male physicians earning between 21.4% and 23.9% more per hour than female physicians. The male-female gap in hours worked was 0.6% for single physicians, 7.0% for married physicians without children, and 17.5% for physicians with children.
    Conclusions and relevance: In this cross-sectional study of US physicians, marriage and children were associated with a greater earnings penalty for female physicians, primarily due to fewer hours worked relative to men. Addressing the barriers that lead to women working fewer hours could contribute to a reduction in the male-female earnings gap while helping to expand the effective physician workforce.
    MeSH term(s) Humans ; Male ; Female ; Child ; Marriage ; Retrospective Studies ; Cross-Sectional Studies ; Physicians ; Surveys and Questionnaires
    Language English
    Publishing date 2023-03-03
    Publishing country United States
    Document type Journal Article ; Research Support, Non-U.S. Gov't
    ISSN 2689-0186
    ISSN (online) 2689-0186
    DOI 10.1001/jamahealthforum.2023.0136
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: Comparing ambulatory commercial spending in Rhode Island and Massachusetts, 2016-2019.

    James, Hannah O / Koller, Christopher / Nasuti, Laura J / Auerbach, David I / Wilson, Ira B

    Health services research

    2023  Volume 58, Issue 6, Page(s) 1172–1177

    Abstract: Objective: To evaluate trends and drivers of commercial ambulatory spending and price variation.: Data sources and study setting: Commercial claims data from the Massachusetts and Rhode Island All-Payer Claims Databases from 2016 to 2019.: Study ... ...

    Abstract Objective: To evaluate trends and drivers of commercial ambulatory spending and price variation.
    Data sources and study setting: Commercial claims data from the Massachusetts and Rhode Island All-Payer Claims Databases from 2016 to 2019.
    Study design: Observational study of spending in major ambulatory care settings. We calculated per member per year spending, average price, and utilization rates to consider drivers of spending, and constructed site-specific price indices to evaluate price variation.
    Data collection/extraction methods: We analyzed commercial claims data from All-Payer Claims Databases in the two states.
    Principal findings: Ambulatory spending levels in Massachusetts were 38.0% higher than those in Rhode Island in 2019. Overall utilization rates were similar, but Massachusetts had a 6.2 percentage point higher share of visits occurring in hospital outpatient departments (HOPD). Average prices were 31.5% higher in Massachusetts in 2016 and 36.4% higher in 2019. We observed extensive price variation in both states across both office and HOPD settings.
    Conclusions: States seeking to address increases in health care spending, including those with cost growth benchmarks and rate review policies, should consider additional interventions that mitigate market failures in the establishment of commercial health care prices.
    MeSH term(s) Humans ; United States ; Rhode Island ; Delivery of Health Care ; Massachusetts ; Ambulatory Care ; Outpatients ; Health Expenditures
    Language English
    Publishing date 2023-05-12
    Publishing country United States
    Document type Observational Study ; Journal Article ; Research Support, N.I.H., Extramural
    ZDB-ID 410435-3
    ISSN 1475-6773 ; 0017-9124
    ISSN (online) 1475-6773
    ISSN 0017-9124
    DOI 10.1111/1475-6773.14169
    Database MEDical Literature Analysis and Retrieval System OnLINE

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