March 2021
Quote from a study in Africa to increase access to contraception and HIV prevention with PRL-IHPS affiliate faculty Jenny Liu, PhD, MPP, MA as principal investigator

Director's Notes 

International Women's Day was March 8, with the 2021 theme of "Choose to Challenge." With over a century of history, International Women's Day asks us to celebrate progress made and, more importantly, asks us to envision and act to create a future with greater gender equity.

This month, we feature the new work of six of our faculty that challenge us to better understand barriers that women face and to use evidence to achieve change. Their research in reproductive health, domestic violence, and global HIV prevention builds on the career-long work of our immediate past director, Claire Brindis, and is intertwined with the work of other Institute faculty, researchers and clinicians across UCSF, and community partners. IHPS has a long history of female faculty in both leadership and early-career positions. Today, nearly two-thirds of our faculty are women, as are both of the Philip R. Lee post-doctoral Fellows. Our track record of equity for women in health services and policy research contributes to our national leadership in studying health equity, high-quality and high-value health care, and policy solutions for the challenges individuals and families face today.  Read more and choose to challenge structural inequity and systems that impede the vision of true equity for all people.

—Joanne Spetz

PRL-IHPS Focus on Women's Health
 The health of women is a focus for many PRL-IHPS faculty, particularly in reproductive health. Their work spans the globe and covers evaluations of sexual health programs, HIV prevention, access to contraceptives and more in their efforts to reduce barriers and use evidence to create the change needed for gender equity.  Read more here about the work of PRL-IHPS faculty; Mara Decker, DrPH, Valerie Flaherman, MD, MPH, Cynthia Harper, PhD, Jenny Liu, PhD, MPP, MA, Monica McLemore,RN, PhD, FAAN and Marissa Raymond-Flesch, MD, MPH. (Photo: Abigail Guttman-Gonzalez, MPH (IHPS) on right with a participant in study in Mexico capturing the voices and perspectives of pregnant and parenting adolescents.)

 Dental Workforce Trends: A National Study of Gender Diversity and Practice Patterns 

The dental workforce is increasingly gender diverse. Elizabeth Mertz, PhD, MA, and colleagues shared their findings of a study that analyzed gender differences in dental practice using the American Dental Association's 2010-2016 Masterfile and the 2017 Survey of Dental Practice in a recent Medical Care Research and Review Supplement article. Read more

 We Need a Paradigm Shift Around
End-of-Life Decision Making

Researchers and practitioners in the palliative care and geriatrics communities must consider a wider view of what must be studied and intervened upon to truly change goal-discordant, high-intensity care near the end of life, write Elizabeth Dzeng, MD, PhD, MPH and co-author R. Sean Morrison, MD in a recent Journal of American Geriatric Society article.  Read more

Sex bias in admission to tertiary-care centers for acute myocardial infarction and cardiogenic shock

Sex-bias in admitting women to highly specialized cardiac care units and the use of percutaneous coronary intervention (PCI) that resulted in higher in-hospital mortality for women was found in a study by Ralph Brindis, MD, MPH and Renee Hsia, MD, MSc and colleagues. Read more

 Preoperative Medical Testing and Falls in Medicare Beneficiaries Awaiting Cataract Surgery

More than 3.7 million cataract surgeries are performed annually in the United States, with approximately 80% covered by Medicare. Catherine Chen, MD, Mary Whooley, MD,  and Adams Dudley, MD, MBA along with their colleagues, detail the findings of the first study to evaluate the impact of routine preoperative testing on the risk of falling in cataract patients who are awaiting surgery in a recent Ophthalmology article.  Read more

PRL-IHPS faculty are responding to policy challenges raised by the COVID-19 pandemic with rapid-cycle research and technical assistance. A compilation of their work to date is available on a regularly updated webpage. One recent publication is
by Mohsen Malekinejad, MD, DrPH and colleagues, Outdoor Transmission of SARS-CoV-2 and Other Respiratory Viruses: A Systematic Review, published in The Journal of Infectious Diseases. Read more about our work to address the COVID pandemic here.
Faculty Spotlight: 

Marissa Raymond-Flesch, MD, MPH
Marissa Raymond-Flesch is an Assistant Professor in the Philip R. Lee Institute for Health Policy Studies (IHPS) and the Division of Adolescent and Young Adult Medicine within the Department of Pediatrics. Her research focuses on access to care for adolescents and young adults with a particular interest in in improving reproductive health access for minority and border communities. She is especially interested in using community-based participatory research to bring health care and health education into these underserved communities.

Dr. Raymond-Flesch's prior research focused on health care access for California's young undocumented immigrant population to study the health concerns and health care access of California's DREAMers, or young immigrants eligible for the Deferred Action for Childhood Arrivals Program. This work identified the profound need for improved access to medical, and particularly, mental health care, for this vulnerable community. Listen to the video above to hear more about what Dr. Raymond-Flesch is currently thinking about and working on.

Upcoming Events

PRL-IHPS Health Policy Grand Rounds

The Future of Health Services Research Innovation, Improvement and Equity
Lisa Simpson, M.B., B.Ch, M.P.H., FAAP
President and CEO, AcademyHealth
March 24, 12 - 1 pm, Webinar registration here

PRL-IHPS Faculty In The News

Claire Brindis:
Abortions Can Happen Safely\u2014and Entirely\u2014at Home (Newsweek)

Janet Coffman:
California changes reopening criteria again, allots 40% of vaccine to poorer areas (Cal Matters)

Rita Hamad:
Why Some States Won't Share Race and Ethnicity Data on Vaccinations with the CDC\u2014and Why That's a Problem (The Atlantic)

Hemal Kanzaria:
New study shows \u2018isolation and quarantine hotels' helped free up hospital space, reduce Covid-19 spread (Mission Local)
How Moving the Homeless to Hotels During the Pandemic Helps Everyone (HealthDay/Newsweek)

Christina Mangurian:
Paid maternity leave linked to long-term health benefits (The Tribune)


About The Philip R. Lee Institute for Health Policy Studies

The Philip R. Lee Institute for Health Policy Studies (PRL-IHPS) contributes to the solution of complex and challenging health policy problems through leadership in research, training, technical assistance, and public service. Our special competence lies in translating research across disciplines and fields to inform health policy. We undertake this work with a commitment to improve health and health care within local, state, national, and international communities and with a focus on improving the health of vulnerable populations.

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Philip R. Lee Institute for Health Policy Studies
University of California, San Francisco
490 Illinois Street, Floor 7
San Francisco, CA 94143

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