In 2004, California became the first state to implement minimum nurse-to-patient staffing requirements inacute care hospitals. It remains the only state to enact such requirements, although at least 18 states have introduced nurse staffing legislation. The goals of the legislation were to reduce nurse workloads, improve recruitment and retention of nurses, and improve quality of care. This Issue Brief summarizes the first comprehensive evaluation of the California mandate in achieving these goals.
This Issue Brief looks at one specialty—obstetrics and gynecology (OB)—and explores whether OB training programs can be distinguished by the quality of care their graduates provide.
This Issue Brief summarizes several studies that offer evidence about the impact of these regulations on patient mortality, as well as on residents’ perceptions of the effects on quality of care, medical education, and residents’ quality of life.
This Issue Brief analyzes trends in medical migration, and explores its shortand long-term effects on the health care workforce in the U.S. and in developing countries.
This Issue Brief summarizes research that identifies primary care characteristics associated with ED use in a Medicaid managed care population. It suggests a strategy to simultaneously improve access to primary care and reduce costs of ED care.
This Issue Brief examines these workforce issues, and profiles the attitudes and practice characteristics of child neurologists and trainees.