APRIL 2023
Director's Note
Our founders, Phil Lee and Lew Butler, laid education and training as a cornerstone of IHPS at our founding in 1972. This month’s IHPS News features our current training programs and the impacts these have on early-stage policy and research leaders who are dedicated to advancing evidence-informed policy and health equity. Whether it’s a master’s degree program in Health Policy and Law, a career pipeline program like the Patient Support Corps, our successful post-doctoral training programs, or our webinar series, we remain dedicated to supporting the next generation that will help solve our most pressing health policy issues.
 
Joanne Spetz
IHPS Focus On: Training and Education

IHPS provides many programs and opportunities for faculty and staff to increase their health policy and health services research skills. Janet Coffman, PhD, MPP, MA is the co-director of the Master of Science in Health Policy and Law program, jointly run with UC School of the Law. Janet Coffman and Beth Griffiths, MD, MPH lead the IHPS How to Influence Policy Series, a webinar series that shares skills to be more effecitve. Krista Harrison, PhD is the director of the Philip R. Lee Health Policy Fellowship. Jeff Belkora, PhD is the director of the Patient Support Corps which trains undergraduate students to act as health coaches. Hilary Seligman, MD, MS, Susan Chapman, RN, PhD, FAAN and Mike Steinman, MD are the co-directors of the UCSF National Clinician Scholar Program housed at IHPS. The NCSP program trains scholars in a closely-knit cohort, with scholars receiving mentorship from faculty from different disciplines, and building their skills in community-partnered research, implementation and dissemination sciences, policy, and health system transformation.

Learn more about some of IHPS's current training and education programs. Read more

(photo: Lauren Gerlach, PhD (University of Michigan) giving one of the Emerging Scholar seminars for 2023)
Upcoming Events
Emerging Scholars Program Seminar
Expectations in Serious Illness: When Positive Thinking Fails

Joanna Hart, PhD
University of Pennsylvania

May 3, 12 - 1 pm
Mission Hall 1407 and Webinar link here

Emerging Scholars Program information here
2023 Chancellor's Health Policy Lecture
The Legal and Political Fight to Restore Abortion Access

Maya Rupert, JD
University of Pennsylvania

May 10, 12 - 1 pm
Byers Auditorium, Genentech Hall (Register here) Zoom webinar here
IHPS Health Policy Grand Rounds
Hospital Consolidation: Problems and Policy Solutions


Brian Miller, MD, MBA, MPH
Assistant Professor
Johns Hopkins University, School of Medicine

May 17, 12 - 1 pm
Mission Hall 1401 and Webinar link here
UCSF Health Services Research Symposium

May 23, 2023
First Annual, In-person
UCSF Health Services Research Symposium
Robertson Auditorium, Mission Bay campus

  • Opening Remarks: Catherine Lucey, UCSF Executive Vice Chancellor & Provost

  • Keynote Speaker: Jesse Ehrenfeld, MD, MPH, Incoming American Medical Association President
"Digital Technology, Health Policy & Leadership in Creating a More Equitable Health Care Future"

  • 2023 Hal Luft Mentoring Award presentation

  • Breakout sessions on funding, publishing, data sources, and current work

  • Poster session and reception
IHPS Faculty Spotlight
Lauren Hunt is a PhD-trained nurse practitioner and health services researcher with a research focus on understanding the geriatric palliative care needs and experiences of older adults with dementia across care settings. Her research questions are driven by her professional experiences as a clinician working with seriously-ill older adults in acute care, hospice, and outpatient clinics, where she has witnessed firsthand how gaps in current care models negatively impact patients and families.

Her vision is to help older adults, particularly those with dementia, to live and die as comfortably and peacefully as possible. To that end, Lauren's research has focused on three main areas: 1) End-of-life health service use and quality of care in older adults with dementia; 2) Geriatric palliative care needs in vulnerable older adults across settings; 3) Potentially burdensome interventions and transitions in vulnerable older adults. She also has a methodological interest in using existing datasets to answer questions in these domains.
Research Highlights

Geographic variation in high-cost medical procedure utilization in the USA is not fully explained by patient factors but may be influenced by the supply of procedural physicians and marketing payments. In a recent Journal of General Internal Medicine article, Grace Lin, MD, and colleagues shared their findings from their work examining the association between physician supply, medical device–related marketing payments to physicians, and utilization of knee arthroplasty (KA) and percutaneous coronary interventions (PCI) within hospital referral regions (HRRs). They found among Medicare fee-for-service beneficiaries, regional supply of physicians and receipt of industry payments were associated with greater use of PCIs and KAs. Relationships between payments and procedural utilization were more consistent for KAs, a largely elective procedure, compared to PCIs, which may be elective or emergent.

Emergency contraception (EC), the ‘last chance’ contraceptive method, has gained significance post-Roe, but most young people do not know their options. In a recent Journal of Adolescent Health article Cynthia Harper, PhD, Jennifer Yarger, PhD, and colleagues share their findings from their low-cost educational intervention among community college students to assess the impact on EC knowledge, including different aspects necessary to access and effectively use available options. Their findings showed youth receiving this time-efficient educational intervention demonstrated significant increases in knowledge regarding different EC methods as well as critically important facts, like EC time-sensitivity, effectiveness, and need for a prescription.

Optimal care for pediatric and adolescent patients is carried out under a triadic engagement model, whereby the patient, caregiver, and clinician work in collaboration. Seeking input from all triad members in the development and implementation of clinical trials and interventions may improve health outcomes for children and adolescents. Sufficient evidence demonstrating how to effectively engage stakeholders from all branches of this triadic model is lacking. In a recent article in Children, Marissa Raymond-Flesch, MD, MPH, and colleagues address this gap by describing the successes and challenges their team has encountered while convening advisory groups with adolescent patients, parent stakeholders, and their clinicians to assist in the development and deployment of a technology-based intervention to promote the utilization of sexual and reproductive health services by increasing adolescent–clinician alone-time. Each stakeholder group contributed in unique and complementary ways. Working with advisors, Raymond-Flesch’s team aligned the priorities of each group with the goals of the research team. The results were improvements made in the content, design, and delivery of the TRUST intervention. While they were largely successful in the recruitment and engagement of adolescent patients and clinicians, they had less success with parents. Future research will need to explore additional strategies for recruitment and engagement of parents, particularly in rural, minority, and underserved communities.




Certain product characteristics, such as flavor, may increase adolescents’ willingness to try vaped nicotine and cannabis (marijuana) products. In a recent Drug and Alcohol Dependence article, Benjamin Chaffee, DDS, MPH, PhD, Stuart Gansky, MS, DrPH, and colleagues share their findings that candy/dessert, fruit, and fruit-ice combination flavors were all associated with greater willingness to try a vape product (versus tobacco flavor) among participants not using e-cigarettes or marijuana, those using only e-cigarettes, and those co-using e-cigarettes and marijuana. Among participants only using marijuana, the most preferred flavors were no flavor, candy/dessert, and icy/frost/menthol. Among participants not using e-cigarettes or marijuana, model-predicted willingness to try a displayed vape product was greater when products were sweet or fruit flavored than tobacco or unflavored, regardless of whether displayed options contained nicotine (fruit/sweet: 21 %, tobacco/unflavored: 4 %), marijuana (fruit/sweet: 18 %,
tobacco/unflavored: 6 %), or “just vapor” (fruit/sweet: 29 %, tobacco/unflavored: 16 %). The researchers found comprehensive bans on flavored vapes would likely reduce adolescent use.
Media Mentions