Improving health and health care for all people requires learning how differences matter – our varying experiences, histories, genetic backgrounds, housing, socioeconomic status, and support networks interact with the formal health system. Many in the IHPS community have sought active engagement with communities and individuals as part of their research. This approach enables community members and organizations to define the most important research questions, propose interventions and programs, and develop strategies to implement successful health-improving programs and policies. Strong partnerships between researchers and the community support our principles of fairness and social justice but viewing community members as partners rather than research subjects. This month, we highlight IHPS investigators who exemplify this approach in their work, yielding notable advances in health policy and practice that have durable positive effects among those we serve.
Joanne Spetz
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IHPS Focus On:
Community-based Participatory Research
Many IHPS faculty work with community-based groups both within California, and beyond. Alison Cohen, PhD works with the San Francisco Housing Development Corporation to to understand the experiences of residents of affordable housing. Mara Decker, DrPH works with the California Consortium for Urban Indian Health on an assessment of domestic violence in California Native American communities. Liz Dzeng, PhD, MD, MPH focuses on understanding and addressing the impacts of racism on hospital-based care using a community-participatory research model. Sarah Garrett, PhD's recent research was under the guidance of and in collaboration with a community advisory panel to interpret the history and content of a CA Senate Bill mandating perinatal providers undergo implicit bias training with the goal of improving clinical outcomes for Black women and birthing people Bob Hiatt, MD, PhD directs the San Francisco Cancer Initiative (SF CAN) to reduce the cancer burden in the City and County of San Francisco, with many community-based organizations as both partners and collaborators. Hilary Seligman, MD, MS works with Feeding America on their healthcare related projects. Dean Schillinger, MD works with YouthSpeaks on diabetes prevention. Leslie Suen, MD works with the San Francisco Aids Foundation on a qualitative project evaluating the intervention of distributing safer drug use supplies to patients with substance use disorders upon discharge from the hospital at ZSFGH.
Learn more about some of IHPS's current work with community partners to advance both health and science. Read more
(photo: Mara Decker's team members with community-based partners)
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Philip R. Lee
Health Care Hall of Fame Induction
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On March 18, 2023, our founder, Philip R. Lee was posthumously inducted into the Health Care Hall of Fame!
The Health Care Hall of Fame award is one of healthcare industry’s most prestigious honors. A partnership between Modern Healthcare and the American College of Healthcare Executives (ACHE), the program was created to recognize the men and women who have made extraordinary strides, outstanding and lasting contributions to the healthcare industry.
Each year, two or three healthcare luminaries are inducted into the Modern Healthcare Hall of Fame. Since 1988, one hundred twelve (112) healthcare visionaries, original thinkers and leaders have been honored with this coveted distinction. A plaque to commemorate the honor is installed in the Health Care Hall of Fame, prominently displayed at Pennsylvania Hospital, the nation’s first hospital founded by Benjamin Franklin and Thomas Bond.
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Claire D. and Ralph G. Brindis
Endowed Professorship in Health Policy Studies Investiture
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We were delighted to celebrate the career of Claire Brindis, DrPH, Emerita Director of IHPS and the establishment of the Brindis Professorship with staff, faculty members, supporters, and friends in Mission Bay on March 8, 2023. We reflected on four decades of Claire’s accomplishments both at UCSF, and throughout the world, and honored Joanne Spetz, PhD, as the inaugural recipient of the
Claire D. and Ralph G. Brindis Endowed Professorship in Health Policy Studies.
Many people have asked how they can honor Claire and her impact at UCSF. She has asked that gifts be made to the Philip R. Lee Fellowship Fund.
We are thrilled to share that Hal Luft, PhD, former director of the UCSF Philip R. Lee Institute for Health Policy Studies, has generously offered to match incoming gifts, so give today and double your impact! Make Your Gift Here
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IHPS How to Influence Policy Series |
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How to Give Expert Testimony
Joanne Spetz, PhD, IHPS, Director
Jack Turban, MD, MS, Assistant Professor
Apr 12, 12 - 1 pm
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IHPS Health Policy Grand Rounds |
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Communication about COVID-19 Health Inequities: Implications for Journalism, Policy, and the Public
Sarah Gollust, PhD
Associate Professor
University of Minnesota, School of Public Health
Apr 19, 12 - 1 pm
Mission Hall 2105 and Webinar link here
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IHPS Emerging Scholar Seminar |
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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
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2023 Chancellor's Health Policy Lecture |
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The Legal and Political Fight to Restore Abortion Access
Maya Rupert
University of Pennsylvania
May 10, 12 - 1 pm
Byers Auditorium, Genentech Hall and Zoom webinar here
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Lauren Shapiro, MD, MS's research interests span multiple disciplines with projects rooted in providing high-quality and patient-centered care. She conducts research on patient preferences, shared-decision making, and empowering patients to understand their treatment options. She is a member of the Hand Surgery Quality Consortium, a consortium of hand surgery experts studying quality in hand surgery; and she chairs the Global Quality in Upper Extremity Surgery and Training consortium, a consortium of global health and hand surgery experts interested in promoting the delivery of safe and high-quality care in low- and middle- income countries. She has presented her research nationally and internationally and has published more than 65 peer-reviewed manuscripts and seven book chapters. Dr. Shapiro is active in professional societies, and she serves on committees within the American Academy of Orthopaedic Surgeons and the American Society for Surgery of the Hand; she also reviews manuscripts for the Journal of Hand Surgery. She is equally as active in her local and global communities. She has conducted outreach programs to improve surgery, education, and research in developing countries across the globe. She has received awards, including the AFSH-HVO Traveling Fellowship.
Dr. Shapiro completed her undergraduate degree at Stanford University, for which she was a member of the varsity women’s soccer team. She completed her residency in Orthopaedic Surgery at Stanford University. She then completed a fellowship in Hand, Upper Extremity, and Microvascular Surgery at Duke University, at which she also completed a Master’s Degree in Health Analytics from the Duke Fuqua School of Business.
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Morbidity and mortality from nonprescribed opioid use and opioid use disorder (OUD) in adolescents have risen dramatically. Medication for opioid use disorder (MOUD) with buprenorphine reduces nonprescribed opioid use and prevents overdoses, though <5% of adolescents with OUD have timely access, partly because of barriers associated with buprenorphine induction. Induction in an inpatient pediatric setting has the potential to address such barriers and improve adolescent MOUD access. In a recent Hospital Pediatrics article, Jayme Congdon, MD, MS and colleagues shared their findings from a protocol for inpatient buprenorphine induction and linkage to MOUD care within a safety-net health system they developed and implemented. Their results provide promising preliminary evidence of the feasibility of inpatient buprenorphine induction for adolescents with OUD.
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Physician supervision of nurse practitioners (NPs) was temporarily waived in Massachusetts in response to a state of emergency due to the COVID-19 pandemic. The authors examined the impact of the scope-of-practice changes and pandemic-related demands on psychiatric mental health NPs (PMHNPs) during the state’s first COVID-19 surge. Matthew Tierney, MS, NP, FAAN and colleagues shared their findings in a recent Psychiatric Services article from a mixed-use survey web-based survey conducted in May and June of 2020. Their results found PMHNPs may be more sensitive to the scope-of-practice changes and telehealth expansion than other NPs because of the constraints of the psychiatrist shortage and high relative uptake of telehealth in psychiatric care. The interactions of workforce supply, telehealth expansion, and scope-of-practice laws are important to consider in the development of policies to improve access to mental health care.
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Commonly prescribed antidepressants (paroxetine, fluoxetine, duloxetine, bupropion) inhibit bioconversion of several prodrug opioid medications to their active metabolite, potentially decreasing analgesic. Rosa Rodriguez-Monguio, PhD, MS, Michael Steinman, MD, and colleagues shared findings from an observational study on the drug-drug interactions and risk factors for postoperative complications in non-cancer adult patients undergoing elective surgery in Expert Opinion on Drug Safety. Their findings showed patients taking inhibiting antidepressants used more opioids per day of hospitalization and had a greater likelihood of experiencing postoperative delirium than patients taking non-inhibiting antidepressants. This work highlights the importance of routine monitoring of patients undergoing surgery who may be at risk of post-operative complications.
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Self-measured blood pressure monitoring (SMBP) is essential to effective management of hypertension. Elaine Khoong, MD, MS, Urmimala Sarkar, MD, Courtney Lyles, PhD and colleagues share their protocol in a recent Contemporary Clinical Trials article for a new study that will design and test a digital health intervention for use in marginalized populations treated within safety net settings, evaluating both effectiveness and implementation to advance more equitable health outcomes. This study aims to evaluate effectiveness and implementation of SMBP that leverages: cellular-enabled home BP monitors without a need for Wi-Fi or Bluetooth; simple communication modalities such as text messaging to support patient engagement; and integration into existing team-based workflows in safety-net clinics.
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IHPS faculty are responding to policy challenges raised by the
COVID-19 pandemic.
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Susan Chapman/Jackie Miller:
(California Healthcare Foundation)
Hilary Seligman:
(The Sacramento Bee)
Tracey Woodruff:
(The Washington Post)
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