Joanne Spetz
Biographic Data
| ID | 5146771 |
|---|---|
| NAME | Joanne Spetz |
| GIVEN NAMES | Joanne |
| FAMILY NAME | Spetz |
| SIGNATURE | SPETZ J |
| AFFILIATIONS | University of California, San Francisco |
| ORCID | 0000-0003-3112-5511 |
| VERIFIED | Yes |
| TOTAL WORKS | 20 |
| TOTAL CITATIONS | 15 |
| AUTHOR COUNT | 20 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2000 |
| LATEST PUBLICATION YEAR | 2025 |
| H-INDEX | 3 |
The Effect of a Rural Workforce Intervention to Improve Oral Health of Children
Findings highlighted likely benefits of employing PDHAs in the delivery of needed preventive procedures in remote areas like Alaska. Implementation of the SEARHC model requires multiple legislative and regulatory steps to establish the scope of practice, Medicaid reimbursement, and infrastructure to recruit, train, and place practitioners
Gender Identity and Ethnoracial Disparities in Conversion Effort Exposure
Gender Identity and Ethnoracial Disparities in Conversion Effort Exposure Jack L. Turban MD, MHS, Chase T. M. Anderson MD, MS, and Joanne Spetz PhD Affiliation Jack L. Turban is with the Division of Child and Adolescent Psychiatry, The Gender Psychiatry Program, and the Philip R. Lee Institute for Health Policy Studies at The University of California, San Francisco (UCSF). Chase T. M. Anderson is with the Division of Child and Adolescent Psychiat…
Bringing juvenile justice and public health systems together to meet the sexual and reproductive health needs of justice-involved youth
18) with juvenile justice (JJ) and public health (PH) system stakeholders between December 2015 and January 2017. Results suggest both PH and JJ stakeholders perceive CINI youth as having substantial, largely unmet SRH care needs due to a lack of services, policies, or procedures to address these needs. Barriers to implementing programs and policies to improve SRH services for this population include limited resources (e.g., staffing, time); perc…
The Association of Race, Ethnicity, and Wages Among Registered Nurses in Long-term Care
OBJECTIVE: This study seeks to measure wage differences between registered nurses (RNs) working in long-term care (LTC) (eg, nursing homes, home health) and non-LTC settings (eg, hospitals, ambulatory care) and whether differences are associated with the characteristics of the RN workforce between and within settings. STUDY DESIGN: This was a cross-sectional design. This study used the 2018 National Sample Survey of Registered Nurses (NSSRN) publ…
The relationship between portable s chool‐based oral health prevention services and subsequent oral health treatment
Our retrospective analysis showed CHC portable dental program may reduce the use of treatment services over time among underserved children. This program is an example of a viable approach that could be emulated elsewhere if regulations allow remote supervision of hygienists and reimbursement levels are adequate
Impacts of Medical Marijuana Laws on Young Americans Across the Developmental Spectrum
Social and Political Factors Associated With State-Level Legalization of Cannabis in the United States
Thirty-three U.S. states and the District of Columbia (DC) have legalized the use of marijuana for medicinal purposes and 10 states and DC have legalized marijuana for adult recreational use. This mirrors an international trend toward relaxing restrictions on marijuana. This article analyzes patterns in marijuana laws across U.S. states to shed light on the social and political forces behind the liberalization of marijuana policy following a long…
The Association of Nurse Practitioner Scope-of-Practice Laws With Emergency Department Use
BACKGROUND: Overuse and inappropriate use of emergency departments (EDs) remains an important issue in health policy. After implementation of Medicaid expansion, many states experienced an increase in ED use, but the magnitude varied. Differential access to primary care might explain such variation. OBJECTIVE: To determine whether the increase in ED use among Medicaid enrollees following Medicaid expansion was smaller in states that allowed great…
Opioid-prescribing Outcomes of Medicare Beneficiaries Managed by Nurse Practitioners and Physicians
BACKGROUND: Primary care providers are at the center of the opioid epidemic. Whether nurse practitioners (NPs) have different opioid-prescribing outcomes from physicians is not known. OBJECTIVE: To examine opioid-prescribing outcomes of Medicare beneficiaries receiving care from NPs and physicians in primary care. RESEARCH DESIGN: We used Medicare data from 2009 to 2013 and a propensity score-weighted analysis. SUBJECTS: Beneficiaries residing in…
Young People’s More Permissive Views About Marijuana
Objectives. To determine whether state medical marijuana laws “send the wrong message,” that is, have a local influence on the views of young people about the risks of using marijuana. Methods. We performed multilevel, serial, cross-sectional analyses on 10 annual waves of the US National Survey on Drug Use and Health (2004–2013) nationally and for states with marijuana laws using individual- and state-level controls. Results. Living in medical m…
Schmidt et al. Respond
AffiliationsAll of the authors are with the Philip R. Lee Institute for Health Policy Studies, School of Medicine, University of California San Francisco (UCSF). Laura A. Schmidt is also with the Department of Anthropology, History, and Social Medicine, School of Medicine, UCSF. Joanne Spetz is also with the Department of Family and Community Medicine and Department of Social and Behavioral Sciences, School of Nursing, UCSF
Comparison of Nurse Staffing Measurements in Staffing-Outcomes Research
BACKGROUND: Investigators have used a variety of operational definitions of nursing hours of care in measuring nurse staffing for health services research. However, little is known about which approach is best for nurse staffing measurement. OBJECTIVE: To examine whether various nursing hours measures yield different model estimations when predicting patient outcomes and to determine the best method to measure nurse staffing based on the model es…
What do Health Care Unions do
In response to Manthous, we discuss the role of unions in health care. The ethical quandary that Manthous perceives in health care worker unions is overstated because patient and worker interests are frequently aligned. The search for a "selfless" union overlooks the importance of adequate compensation for providing excellent care. The collective actions employed by health care workers' unions need not include strikes or slowdowns and can be cons…
Demand for Temporary Agency Nurses and Nursing Shortages
There is an ongoing debate about the reasons for the growth of temporary employment of registered nurses (RNs). Some argue that efficiency incentives to increase flexibility and reduce labor costs are the principal cause, while others point to shortages of RNs as the stronger determinant. Using hospital-level data from California's Office of Statewide Health Planning and Development, we find a significant trend of increasing demand for agency nur…
Nurse Staffing Effects on Patient Outcomes
BACKGROUND: Nurse staffing has been linked to hospital patient outcomes; however, previous results were inconsistent because of variations in measures of staffing and were only rarely specific to types of patient care units. OBJECTIVE: To determine the relationship between nurse staffing in general and intensive care units and patient outcomes and determine whether safety net status affects this relationship. RESEARCH DESIGN: A cross-sectional de…
Does the minimum wage affect welfare caseloads
Although minimum wages are advocated as a policy that will help the poor, few studies have examined their effect on poor families. This paper uses variation in minimum wages across states and over time to estimate the impact of minimum wage legislation on welfare caseloads. We find that the elasticity of the welfare caseload with respect to the minimum wage is between 0.1 and 0.2, but this estimate is sensitive to the sample period and assumption…
California's Minority Majority and the White Face of Nursing
Of the 33 million people in California, the nation's most populous state, minority groups now constitute the majority of the population. Many sources predict that by 2060, the entire country will mirror the diversity of California today. Like the rest of the country, California is experiencing a critical shortage of nurses that is predicted to increase in the coming years, and California's nursing workforce does not represent the racial and ethni…
Errors in Data on Hospital Ownership
In recent years, there has been increased public concern about changes in hospital ownership and consolidation in the hospital market. Numerous studies have examined the relationship between hospital ownership and prices, costs, organization, service mix, access to care and quality of care. However, the data on which these studies are based are often incomplete and inaccurate. In this paper, we examine several sources of data employed by research…
Physician Incentives and the Timing of Cesarean Sections
OBJECTIVES: The timing of cesarean sections is studied to examine how physician convenience and financial incentives play a role in the decision to perform a cesarean section. METHODS: Using birth certificate and hospital financial data from California, the likelihood of cesarean sections being performed at particular times of day was examined, controlling for maternal characteristics and the mother's insurance coverage. Two diagnoses associated …
The Effect of Passing an “Anti-immigrant” Ballot Proposition on the Use of Prenatal Care by Foreign-Born Mothers in California
Does the minimum wage affect welfare caseloads
Although minimum wages are advocated as a policy that will help the poor, few studies have examined their effect on poor families. This paper uses variation in minimum wages across states and over time to estimate the impact of minimum wage legislation on welfare caseloads. We find that the elasticity of the welfare caseload with respect to the minimum wage is between 0.1 and 0.2, but this estimate is sensitive to the sample period and assumption…
Social and Political Factors Associated With State-Level Legalization of Cannabis in the United States
Thirty-three U.S. states and the District of Columbia (DC) have legalized the use of marijuana for medicinal purposes and 10 states and DC have legalized marijuana for adult recreational use. This mirrors an international trend toward relaxing restrictions on marijuana. This article analyzes patterns in marijuana laws across U.S. states to shed light on the social and political forces behind the liberalization of marijuana policy following a long…
Young People’s More Permissive Views About Marijuana
Objectives. To determine whether state medical marijuana laws “send the wrong message,” that is, have a local influence on the views of young people about the risks of using marijuana. Methods. We performed multilevel, serial, cross-sectional analyses on 10 annual waves of the US National Survey on Drug Use and Health (2004–2013) nationally and for states with marijuana laws using individual- and state-level controls. Results. Living in medical m…
California's Minority Majority and the White Face of Nursing
Of the 33 million people in California, the nation's most populous state, minority groups now constitute the majority of the population. Many sources predict that by 2060, the entire country will mirror the diversity of California today. Like the rest of the country, California is experiencing a critical shortage of nurses that is predicted to increase in the coming years, and California's nursing workforce does not represent the racial and ethni…
The Effect of Passing an “Anti-immigrant” Ballot Proposition on the Use of Prenatal Care by Foreign-Born Mothers in California
Errors in Data on Hospital Ownership
In recent years, there has been increased public concern about changes in hospital ownership and consolidation in the hospital market. Numerous studies have examined the relationship between hospital ownership and prices, costs, organization, service mix, access to care and quality of care. However, the data on which these studies are based are often incomplete and inaccurate. In this paper, we examine several sources of data employed by research…
Physician Incentives and the Timing of Cesarean Sections
OBJECTIVES: The timing of cesarean sections is studied to examine how physician convenience and financial incentives play a role in the decision to perform a cesarean section. METHODS: Using birth certificate and hospital financial data from California, the likelihood of cesarean sections being performed at particular times of day was examined, controlling for maternal characteristics and the mother's insurance coverage. Two diagnoses associated …
Does the minimum wage affect welfare caseloads
Although minimum wages are advocated as a policy that will help the poor, few studies have examined their effect on poor families. This paper uses variation in minimum wages across states and over time to estimate the impact of minimum wage legislation on welfare caseloads. We find that the elasticity of the welfare caseload with respect to the minimum wage is between 0.1 and 0.2, but this estimate is sensitive to the sample period and assumption…
California's Minority Majority and the White Face of Nursing
Of the 33 million people in California, the nation's most populous state, minority groups now constitute the majority of the population. Many sources predict that by 2060, the entire country will mirror the diversity of California today. Like the rest of the country, California is experiencing a critical shortage of nurses that is predicted to increase in the coming years, and California's nursing workforce does not represent the racial and ethni…
Nurse Staffing Effects on Patient Outcomes
BACKGROUND: Nurse staffing has been linked to hospital patient outcomes; however, previous results were inconsistent because of variations in measures of staffing and were only rarely specific to types of patient care units. OBJECTIVE: To determine the relationship between nurse staffing in general and intensive care units and patient outcomes and determine whether safety net status affects this relationship. RESEARCH DESIGN: A cross-sectional de…
Demand for Temporary Agency Nurses and Nursing Shortages
There is an ongoing debate about the reasons for the growth of temporary employment of registered nurses (RNs). Some argue that efficiency incentives to increase flexibility and reduce labor costs are the principal cause, while others point to shortages of RNs as the stronger determinant. Using hospital-level data from California's Office of Statewide Health Planning and Development, we find a significant trend of increasing demand for agency nur…
What do Health Care Unions do
In response to Manthous, we discuss the role of unions in health care. The ethical quandary that Manthous perceives in health care worker unions is overstated because patient and worker interests are frequently aligned. The search for a "selfless" union overlooks the importance of adequate compensation for providing excellent care. The collective actions employed by health care workers' unions need not include strikes or slowdowns and can be cons…
Comparison of Nurse Staffing Measurements in Staffing-Outcomes Research
BACKGROUND: Investigators have used a variety of operational definitions of nursing hours of care in measuring nurse staffing for health services research. However, little is known about which approach is best for nurse staffing measurement. OBJECTIVE: To examine whether various nursing hours measures yield different model estimations when predicting patient outcomes and to determine the best method to measure nurse staffing based on the model es…
Young People’s More Permissive Views About Marijuana
Objectives. To determine whether state medical marijuana laws “send the wrong message,” that is, have a local influence on the views of young people about the risks of using marijuana. Methods. We performed multilevel, serial, cross-sectional analyses on 10 annual waves of the US National Survey on Drug Use and Health (2004–2013) nationally and for states with marijuana laws using individual- and state-level controls. Results. Living in medical m…
Schmidt et al. Respond
AffiliationsAll of the authors are with the Philip R. Lee Institute for Health Policy Studies, School of Medicine, University of California San Francisco (UCSF). Laura A. Schmidt is also with the Department of Anthropology, History, and Social Medicine, School of Medicine, UCSF. Joanne Spetz is also with the Department of Family and Community Medicine and Department of Social and Behavioral Sciences, School of Nursing, UCSF
Impacts of Medical Marijuana Laws on Young Americans Across the Developmental Spectrum
Social and Political Factors Associated With State-Level Legalization of Cannabis in the United States
Thirty-three U.S. states and the District of Columbia (DC) have legalized the use of marijuana for medicinal purposes and 10 states and DC have legalized marijuana for adult recreational use. This mirrors an international trend toward relaxing restrictions on marijuana. This article analyzes patterns in marijuana laws across U.S. states to shed light on the social and political forces behind the liberalization of marijuana policy following a long…
The Association of Nurse Practitioner Scope-of-Practice Laws With Emergency Department Use
BACKGROUND: Overuse and inappropriate use of emergency departments (EDs) remains an important issue in health policy. After implementation of Medicaid expansion, many states experienced an increase in ED use, but the magnitude varied. Differential access to primary care might explain such variation. OBJECTIVE: To determine whether the increase in ED use among Medicaid enrollees following Medicaid expansion was smaller in states that allowed great…
Opioid-prescribing Outcomes of Medicare Beneficiaries Managed by Nurse Practitioners and Physicians
BACKGROUND: Primary care providers are at the center of the opioid epidemic. Whether nurse practitioners (NPs) have different opioid-prescribing outcomes from physicians is not known. OBJECTIVE: To examine opioid-prescribing outcomes of Medicare beneficiaries receiving care from NPs and physicians in primary care. RESEARCH DESIGN: We used Medicare data from 2009 to 2013 and a propensity score-weighted analysis. SUBJECTS: Beneficiaries residing in…
The relationship between portable s chool‐based oral health prevention services and subsequent oral health treatment
Our retrospective analysis showed CHC portable dental program may reduce the use of treatment services over time among underserved children. This program is an example of a viable approach that could be emulated elsewhere if regulations allow remote supervision of hygienists and reimbursement levels are adequate
The Association of Race, Ethnicity, and Wages Among Registered Nurses in Long-term Care
OBJECTIVE: This study seeks to measure wage differences between registered nurses (RNs) working in long-term care (LTC) (eg, nursing homes, home health) and non-LTC settings (eg, hospitals, ambulatory care) and whether differences are associated with the characteristics of the RN workforce between and within settings. STUDY DESIGN: This was a cross-sectional design. This study used the 2018 National Sample Survey of Registered Nurses (NSSRN) publ…
Bringing juvenile justice and public health systems together to meet the sexual and reproductive health needs of justice-involved youth
18) with juvenile justice (JJ) and public health (PH) system stakeholders between December 2015 and January 2017. Results suggest both PH and JJ stakeholders perceive CINI youth as having substantial, largely unmet SRH care needs due to a lack of services, policies, or procedures to address these needs. Barriers to implementing programs and policies to improve SRH services for this population include limited resources (e.g., staffing, time); perc…
Gender Identity and Ethnoracial Disparities in Conversion Effort Exposure
Gender Identity and Ethnoracial Disparities in Conversion Effort Exposure Jack L. Turban MD, MHS, Chase T. M. Anderson MD, MS, and Joanne Spetz PhD Affiliation Jack L. Turban is with the Division of Child and Adolescent Psychiatry, The Gender Psychiatry Program, and the Philip R. Lee Institute for Health Policy Studies at The University of California, San Francisco (UCSF). Chase T. M. Anderson is with the Division of Child and Adolescent Psychiat…
The Effect of a Rural Workforce Intervention to Improve Oral Health of Children
Findings highlighted likely benefits of employing PDHAs in the delivery of needed preventive procedures in remote areas like Alaska. Implementation of the SEARHC model requires multiple legislative and regulatory steps to establish the scope of practice, Medicaid reimbursement, and infrastructure to recruit, train, and place practitioners
Medicine (17 works) · Nursing (10 works) · Health care (9 works) · Political science (9 works) · Psychology (8 works) · Economics (7 works) · Environmental health (6 works) · Law (5 works) · Demography (4 works) · Food Security and Health in Diverse Populations (4 works)