Philip R. Lee Institute for Health Policy Studies

Philip R. Lee Health Policy Fellow
We are pleased to announce the selection of Alyssa Mooney, PhD, as the next Philip R. Lee Health Policy fellow, starting in 2021
IHPS Research Focus
Learn more about some of the work of PRL-IHPS faculty focused on social determinants of health (SDOH).

Current COVID-19 Related Research and Initiatives
IHPS faculty are responding to policy challenges raised by the COVID-19
 pandemic with rapid-cycle research and technical assistance.
The Claire D. and Ralph G. Brindis Endowed Professorship in Health Policy Studies
Held by Joanne Spetz, PRL-IHPS Director
In Memoriam: Philip R. Lee
April 17, 1924 - October 27, 2020
View the celebration of Phil's life,
held on February 25, 2021.

Featured Articles

Understanding The 100 Highest Users of Health and Social Services in San Francisco

 Academic Emergency Medicine

Caroline Cawley MPH, Maria C. Raven MD, MPH, Maria X. Martinez MPA, Matthew Niedzwiecki PhD, Margot B. Kushel MDHemal K. Kanzaria MD, MSc

Health system leaders and clinicians recognize the importance of integrating data that elucidates both the medical and social needs of patients.1 Research on frequent emergency department (ED) users - variably defined as patients with ≥4 annual ED visits 2 - has focused primarily on medical services. Frequent ED users have a high prevalence of mental health and substance use diagnoses, and complex social needs like homelessness, but few studies have examined their service utilization across multiple medical and non-medical domains.3.

                                                                                          Read more

Recommendations to Deliver Person-Centered Long-Term Care for Persons Living With Dementia

JAM Open NetworkJournal of the American Medical Directors Association

Laura M Wagner, Kimberly Van Haitsma, Ann Kolanowski, Joanne Spetz

Person-centered care (PCC) is the standard for the delivery of long-term services and supports (LTSS). In this article, we summarize the state of the science on meaningful outcomes and workforce development and discuss what is needed to ensure that person-centered LTSS becomes a universal reality. These 2 themes are intimately related: the dementia care workforce's capacity cannot be improved until care processes and outcomes that are significant to PCC are explicated. The LTSS workforce needs training in PCC as well as pragmatic measures to assess the quality of the care they provide. We conclude with several recommendations for future policy and practice-oriented workforce research.

                                                                                          Read more

Tobacco use among substance use disorder (SUD) treatment staff is associated with tobacco-related services received by clients​​​​​​​

Journal of Substance Abuse Treatment

Joseph Guydish, Thao Le, Sindhushree Hosakote, Elana Straus, Jessie Wong, Cristina Martinez, Kevin Delucchi

Higher rates of tobacco use among staff are associated with higher rates of client tobacco use and fewer clients receiving cessation counseling. Efforts to reduce tobacco use among SUD clients should be supported by efforts to reduce tobacco use among staff. SUD treatment programs, and agencies that fund and regulate those programs,                                                                                                 should aim to reduce the use of tobacco products                                                                                               among staff.

                                                                                          Read more