K Grumbach

Summary

Affiliation: University of California
Country: USA

Publications

  1. ncbi request reprint How much public health in public health nursing practice?
    Kevin Grumbach
    Center for California Health Workforce Studies, University of California, San Francisco, USA
    Public Health Nurs 21:266-76. 2004
  2. pmc Who is caring for the underserved? A comparison of primary care physicians and nonphysician clinicians in California and Washington
    Kevin Grumbach
    Center for California Health Workforce Studies, University of California, San Francisco, Calif, USA
    Ann Fam Med 1:97-104. 2003
  3. ncbi request reprint Resolving the gatekeeper conundrum: what patients value in primary care and referrals to specialists
    K Grumbach
    Department of Family and Community Medicine, Primary Care Research Center, University of California, San Francisco, USA
    JAMA 282:261-6. 1999
  4. ncbi request reprint Selection and exclusion of primary care physicians by managed care organizations
    A B Bindman
    Primary Care Research Center, Division of General Internal Medicine, San Francisco General Hospital, University of California, 94110, USA
    JAMA 279:675-9. 1998
  5. ncbi request reprint Unlocking specialists' attitudes toward primary care gatekeepers
    E Pena-Dolhun
    Department of Family and Community Medicine, University of California, San Francisco, USA
    J Fam Pract 50:1032-7. 2001
  6. pmc Hospital registered nurse shortages: environmental, patient, and institutional predictors
    J A Seago
    Department of Community Health Systems, University of California, San Francisco 94143-0608, USA
    Health Serv Res 36:831-52. 2001
  7. ncbi request reprint Friend or foe? How primary care physicians perceive hospitalists
    A Fernandez
    Primary Care Research Center, San Francisco General Hospital, San Francisco, CA 94110, USA
    Arch Intern Med 160:2902-8. 2000
  8. pmc Specialists' and primary care physicians' participation in medicaid managed care
    L Backus
    Department of Medicine, San Francisco General Hospital, University of California San Francisco, San Francisco, CA, USA
    J Gen Intern Med 16:815-21. 2001
  9. ncbi request reprint Screening and intervention for intimate partner abuse: practices and attitudes of primary care physicians
    M A Rodriguez
    The Pacific Center for Violence Prevention, Department of Family and Community Medicine, University of California, San Francisco, USA
    JAMA 282:468-74. 1999
  10. ncbi request reprint Improving primary care for patients with chronic illness
    Thomas Bodenheimer
    Family and Community Medicine, University of California, San Francisco, USA
    JAMA 288:1775-9. 2002

Detail Information

Publications63

  1. ncbi request reprint How much public health in public health nursing practice?
    Kevin Grumbach
    Center for California Health Workforce Studies, University of California, San Francisco, USA
    Public Health Nurs 21:266-76. 2004
    ..Results indicate that the population health focus of public health nursing is not reflected in the practice activities, management priorities, or educational preparation of public health nurses...
  2. pmc Who is caring for the underserved? A comparison of primary care physicians and nonphysician clinicians in California and Washington
    Kevin Grumbach
    Center for California Health Workforce Studies, University of California, San Francisco, Calif, USA
    Ann Fam Med 1:97-104. 2003
    ..The objective of this study was to compare the geographic distribution and patient populations of physician and nonphysician primary care clinicians...
  3. ncbi request reprint Resolving the gatekeeper conundrum: what patients value in primary care and referrals to specialists
    K Grumbach
    Department of Family and Community Medicine, Primary Care Research Center, University of California, San Francisco, USA
    JAMA 282:261-6. 1999
    ..Few data are available regarding how patients view the role of primary care physicians as "gatekeepers" in managed care systems...
  4. ncbi request reprint Selection and exclusion of primary care physicians by managed care organizations
    A B Bindman
    Primary Care Research Center, Division of General Internal Medicine, San Francisco General Hospital, University of California, 94110, USA
    JAMA 279:675-9. 1998
    ..Little is known about the problems physicians may be encountering in gaining access to managed care networks and whether the process used by managed care plans to select physicians is discriminatory...
  5. ncbi request reprint Unlocking specialists' attitudes toward primary care gatekeepers
    E Pena-Dolhun
    Department of Family and Community Medicine, University of California, San Francisco, USA
    J Fam Pract 50:1032-7. 2001
    ..We surveyed specialist physicians in California to determine whether their attitudes toward primary care gatekeepers differed depending on how the specialists were paid and the settings in which they practiced...
  6. pmc Hospital registered nurse shortages: environmental, patient, and institutional predictors
    J A Seago
    Department of Community Health Systems, University of California, San Francisco 94143-0608, USA
    Health Serv Res 36:831-52. 2001
    ..Awareness of these broader factors may help inform policies to improve the distribution of nurse supply...
  7. ncbi request reprint Friend or foe? How primary care physicians perceive hospitalists
    A Fernandez
    Primary Care Research Center, San Francisco General Hospital, San Francisco, CA 94110, USA
    Arch Intern Med 160:2902-8. 2000
    ..Whether primary care physicians welcome this transition is unknown. We examined primary care physicians' perceptions of how hospitalists affect their practices, their patient relationships, and overall patient care...
  8. pmc Specialists' and primary care physicians' participation in medicaid managed care
    L Backus
    Department of Medicine, San Francisco General Hospital, University of California San Francisco, San Francisco, CA, USA
    J Gen Intern Med 16:815-21. 2001
    ..To compare specialist and primary care physician participation in California's Medicaid fee-for-service and managed care programs...
  9. ncbi request reprint Screening and intervention for intimate partner abuse: practices and attitudes of primary care physicians
    M A Rodriguez
    The Pacific Center for Violence Prevention, Department of Family and Community Medicine, University of California, San Francisco, USA
    JAMA 282:468-74. 1999
    ..Although practice guidelines encouraging the screening of patients for intimate partner abuse have been available for several years, it is unclear how well and in which circumstances physicians adhere to them...
  10. ncbi request reprint Improving primary care for patients with chronic illness
    Thomas Bodenheimer
    Family and Community Medicine, University of California, San Francisco, USA
    JAMA 288:1775-9. 2002
    ..Case studies are provided describing how components of the chronic care model have been implemented in the primary care practices of 4 health care organizations...
  11. ncbi request reprint Physician perceptions of practice environment and professional satisfaction in California: from urban to rural
    Kyle Luman
    Department of Family and Community Medicine and the Center for California Health Workforce Studies, University of California, San Francisco, CA 93720 USA
    J Rural Health 23:222-8. 2007
    ..Few studies have systematically examined the experience of rural practice from the physician's perspective or included physicians from an array of specialties, particularly non-primary care...
  12. ncbi request reprint Group medical visits for low-income women with chronic disease: a feasibility study
    Daphne Miller
    Department of Family and Community Medicine, University of California, San Francisco, California, USA
    J Womens Health (Larchmt) 13:217-25. 2004
    ..We studied the feasibility of implementing a GMV model with low-income women in an innercity clinic setting...
  13. doi request reprint How leaky is the health career pipeline? Minority student achievement in college gateway courses
    Charles Alexander
    School of Dentistry, University of California, Los Angeles, Los Angeles, California, USA
    Acad Med 84:797-802. 2009
    ....
  14. pmc Mandatory reporting of intimate partner violence to police: views of physicians in California
    M A Rodriguez
    Pacific Center for Violence Prevention, San Francisco, Calif, USA
    Am J Public Health 89:575-8. 1999
    ..This study examined physicians' perspectives on mandatory reporting of intimate partner violence to police...
  15. ncbi request reprint Improving timely access to primary care: case studies of the advanced access model
    Mark Murray
    Mark Murray and Associates, Sacramento, Calif, USA
    JAMA 289:1042-6. 2003
    ..The lessons of these case studies should be useful for primary care practices desiring to improve timely access to care and wishing to avoid the pitfalls that can derail this innovation...
  16. pmc Effects of limited English proficiency and physician language on health care comprehension
    Elisabeth Wilson
    Department of Family and Community Medicine, University of California, San Francisco, California, USA
    J Gen Intern Med 20:800-6. 2005
    ..To determine the effect of limited English proficiency on medical comprehension in the presence and absence of language-concordant physicians...
  17. ncbi request reprint Is experience with human immunodeficiency virus disease related to clinical practice? A survey of rural primary care physicians
    C L Willard
    Department of Family and Community Medicine, San Francisco General Hospital, Calif, USA
    Arch Fam Med 8:502-8, discussion 509. 1999
    ..A volume-outcome relationship might exist in HIV care. However, little is known about the HIV experience and practices of rural primary care physicians...
  18. pmc Primary care physicians' experience with disease management programs
    A Fernandez
    Primary Care Research Center, San Francisco General Hospital, San Francisco, Calif 94110, USA
    J Gen Intern Med 16:163-7. 2001
    ..To examine primary care physicians' perceptions of how disease management programs affect their practices, their relationships with their patients, and overall patient care...
  19. ncbi request reprint Identifying communities with low dentist supply in California
    E A Mertz
    Center for California Health Workforce Studies, University of California, San Francisco, 3333 California Street, Suite 410, San Francisco, CA 94118, USA
    J Public Health Dent 61:172-7. 2001
    ..This study estimates the supply and geographic distribution of dentists in California and examines the community characteristics associated with supply of dentists...
  20. ncbi request reprint Trends in physician participation in Medicaid. The California experience
    Andrew B Bindman
    Departments of Medicine, Epidemiology, and Biostatistics, Primary Care Research Center, University of California San Francisco, Box 1364, Pornassus Avenue, San Francisco, CA 94143, USA
    J Ambul Care Manage 26:334-43. 2003
    ....
  21. ncbi request reprint Primary care and receipt of preventive services
    A B Bindman
    Primary Care Research Center, San Francisco General Hospital, CA 94110, USA
    J Gen Intern Med 11:269-76. 1996
    ..CONCLUSION: A regular source of care is the single most important factor associated with the receipt of preventive services, but optimal primary care from a regular place increases the likelihood that women will receive preventive care...
  22. ncbi request reprint Racial/ethnic disparities in nursing
    J M Coffman
    Center for California Health Workforce Studies, University of California, San Francisco, USA
    Health Aff (Millwood) 20:263-72. 2001
    ..Improving the overall educational attainment of minority students is critical to increasing the number of minorities in nursing...
  23. pmc Shared decision making and the experience of partnership in primary care
    George W Saba
    Department of Family and Community Medicine, University of California, San Francisco General Hospital, San Francisco, Calif 94110, USA
    Ann Fam Med 4:54-62. 2006
    ..To determine the relationship between these perspectives, we examined shared decision making (SDM) and the subjective experience of partnership for patients and physicians in primary care...
  24. ncbi request reprint The nursing shortage: is it really about image?
    Jean Ann Seago
    Department of Community Health Systems, University of California, San Francisco, USA
    J Healthc Manag 51:96-108; discussion 109-10. 2006
    ..Much work remains to be done to alter the image of nursing as a women's occupation and to transform the work environment of nurses to make a career in nursing more attractive...
  25. ncbi request reprint College students' perceptions of nursing: a GEE approach
    Jean Ann Seago
    University of California, San Francisco, Center for California Health Workforce Studies Department of Community Health Systems, USA
    Nurs Leadersh (Tor Ont) 19:56-74. 2006
    ..Additionally, results support the need for a statistical method such as generalized estimating equations (GEE) to account for individual and interaction confounders, repeated measures, clustering and correlated data...
  26. ncbi request reprint Effectiveness of University of California postbaccalaureate premedical programs in increasing medical school matriculation for minority and disadvantaged students
    Kevin Grumbach
    Center for California Health Workforce Studies, Department of Family and Community Medicine, University of California, San Francisco General Hospital, San Francisco, CA 94110, USA
    JAMA 296:1079-85. 2006
    ..Many medical schools administer postbaccalaureate premedical programs targeting underrepresented minority and disadvantaged students, with the goal of increasing the number of these students matriculating into medical school...
  27. doi request reprint Commentary: Adopting postbaccalaureate premedical programs to enhance physician workforce diversity
    Kevin Grumbach
    Department of Family and Community Medicine, University of California, San Francisco, School of Medicine, San Francisco, California, USA
    Acad Med 86:154-7. 2011
    ..Postbaccalaureate premedical programs deserve to be fully adopted as essential components of a comprehensive physician workforce development strategy...
  28. ncbi request reprint Integrating abortion training into family medicine residency programs
    Christine Dehlendorf
    Department of Family and Community Medicine, University of California, San Francisco, CA 94110, USA
    Fam Med 39:337-42. 2007
    ..This study explored the experience of residency programs that have initiated or are in the process of initiating required abortion training...
  29. ncbi request reprint Foreign versus domestic education of physicians for the United States: a case study of physicians of South Asian ethnicity in California
    Elizabeth Mertz
    Center for the Health Professions, University of California, San Francisco UCSF, CA, USA
    J Health Care Poor Underserved 18:984-93. 2007
    ..S. medical schools...
  30. doi request reprint Disparities in human resources: addressing the lack of diversity in the health professions
    Kevin Grumbach
    Department of Family and Community Medicine, University of California, San Francisco UCSF, CA, USA
    Health Aff (Millwood) 27:413-22. 2008
    ..Improving the diversity of the health professions requires multiprong strategies addressing the educational pipeline, admissions policies and the institutional culture at health professions schools, and the broader policy environment...
  31. pmc Medical liability insurance as a barrier to the provision of abortion services in family medicine
    Christine E Dehlendorf
    Department of Family and Community Medicine, University of California, San Francisco, USA
    Am J Public Health 98:1770-4. 2008
    ....
  32. pmc Impact of Title VII training programs on community health center staffing and national health service corps participation
    Diane R Rittenhouse
    Department of Family and Community Medicine and Center for California Health Workforce Studies, University of California, San Francisco, CA 94143 0900, USA
    Ann Fam Med 6:397-405. 2008
    ....
  33. ncbi request reprint Self-reported fluency in non-english languages among physicians practicing in California
    Gerardo Moreno
    Robert Wood Johnson Clinical Scholars Program and Department of Family Medicine, University of California, Los Angeles, CA 90024, USA
    Fam Med 42:414-20. 2010
    ..We sought to compare the non-English language fluency of practicing physicians by physician race/ethnicity and location of medical school education...
  34. doi request reprint The effect of patient gynecologic history on clinician contraceptive counseling
    Christine Dehlendorf
    Department of Family and Community Medicine, UCSF, San Francisco, CA 94110, USA
    Contraception 82:281-5. 2010
    ..This study investigated the influence of patients' gynecologic histories on recommendations for IUC and other methods of contraception...
  35. ncbi request reprint Medical student, physician, and public perceptions of health care disparities
    Elisabeth Wilson
    Department of Family and Community Medicine, University of California, San Francisco 94110, USA
    Fam Med 36:715-21. 2004
    ..This study investigates first- and fourth-year medical students' perceptions about health care disparities and compares their perceptions with those of physicians and the public...
  36. pmc No exit: an evaluation of measures of physician attrition
    Diane R Rittenhouse
    Department of Family and Community Medicine, University of California, San Francisco, 500 Parnassus Avenue, Room MU 308 E, San Francisco, CA 94143 0900, USA
    Health Serv Res 39:1571-88. 2004
    ....
  37. ncbi request reprint Patient self-management of chronic disease in primary care
    Thomas Bodenheimer
    Department of Family and Community Medicine, University of California, San Francisco, USA
    JAMA 288:2469-75. 2002
    ..Self-management education for chronic illness may soon become an integral part of high-quality primary care...
  38. ncbi request reprint Fighting hand to hand over physician workforce policy
    Kevin Grumbach
    University of California, San Francisco, USA
    Health Aff (Millwood) 21:13-27. 2002
    ..S. physician supply and workforce policy. I conclude by examining recent health system trends that make clear the need for a firm regulatory grasp on physician workforce policy...
  39. ncbi request reprint Closing the loop: physician communication with diabetic patients who have low health literacy
    Dean Schillinger
    Primary Care Research Center, Department of Medicine, University of California San Francisco, San Francisco General Hospital, 94110, USA
    Arch Intern Med 163:83-90. 2003
    ..It is not known how frequently physicians apply this interactive educational strategy, or whether it is associated with improved health outcomes...
  40. ncbi request reprint Cross-cultural education in U.S. medical schools: development of an assessment tool
    Eduardo Peña Dolhun
    Department of Family and Community Medicine, University of California, San Francisco, CA 94143 0900, USA
    Acad Med 78:615-22. 2003
    ..Further, less is known about what is being taught. This study hypothesized that a tool could be developed to assess common themes, concepts, learning objectives, and methods in cross-cultural education...
  41. pmc Physician language ability and cultural competence. An exploratory study of communication with Spanish-speaking patients
    Alicia Fernandez
    Department of Medicine, University of California, San Francisco, Calif 94110, USA
    J Gen Intern Med 19:167-74. 2004
    ..We studied physician-patient dyads to determine how physician self-rated Spanish-language ability and cultural competence affect Spanish-speaking patients' reports of interpersonal processes of care...
  42. ncbi request reprint A primary care home for Americans: putting the house in order
    Kevin Grumbach
    San Francisco General Hospital, Ward 83, 1001 Potrero Ave, San Francisco, CA 94110, USA
    JAMA 288:889-93. 2002
    ..Fundamental redesign is needed to improve access to and quality of care while easing physicians' workload without causing major increases in health care costs...
  43. ncbi request reprint Physician organization and care management in California: from cottage to Kaiser
    Diane R Rittenhouse
    Department of Family and Community Medicine, University of California San Francisco, San Francisco, CA, USA
    Health Aff (Millwood) 23:51-62. 2004
    ..Our findings raise disturbing questions about how the health system will close the "quality chasm" in medical care without transforming the underlying organization of physician practices...
  44. ncbi request reprint Association of health literacy with diabetes outcomes
    Dean Schillinger
    University of California, San Francisco, Primary Care Research Center, Department of Medicine, San Francisco General Hospital, San Francisco, CA 94110, USA
    JAMA 288:475-82. 2002
    ..Little is known about the extent to which health literacy affects clinical health outcomes...
  45. ncbi request reprint Improving primary care for patients with chronic illness: the chronic care model, Part 2
    Thomas Bodenheimer
    Family and Community Medicine, University of California, San Francisco, USA
    JAMA 288:1909-14. 2002
    ..Even though the chronic care model has the potential to improve care and reduce costs, several obstacles hinder its widespread adoption...
  46. ncbi request reprint Can health care teams improve primary care practice?
    Kevin Grumbach
    Department of Family and Community Medicine, University of California at San Francisco, USA
    JAMA 291:1246-51. 2004
    ..A number of barriers to team formation exist, chiefly related to the challenges of human relationships and personalities. Taking small steps toward team development may improve the work environment in primary care practices...
  47. ncbi request reprint The ramifications of specialty-dominated medicine
    Kevin Grumbach
    Center for California Health Workforce Studies and Department of Family and Community Medicine, University of California, San Francisco, USA
    Health Aff (Millwood) 21:155-7. 2002
  48. ncbi request reprint Electronic technology: a spark to revitalize primary care?
    Thomas Bodenheimer
    Department of Family and Community Medicine, University of California, San Francisco, USA
    JAMA 290:259-64. 2003
    ..If primary care practices are to benefit from the electronic revolution, they must redesign their clinical processes to ensure that e-health facilitates rather than hinders the work of physicians...
  49. ncbi request reprint Measuring shortages of hospital nurses: how do you know a hospital with a nursing shortage when you see one?
    K Grumbach
    University of California, San Francisco, USA
    Med Care Res Rev 58:387-403. 2001
    ..When faced with reports sounding an alarm about a hospital nursing shortage, policy makers should carefully consider the definition of shortage being used...
  50. ncbi request reprint The effect of health insurance on medical care utilization and implications for insurance expansion: a review of the literature
    Thomas C Buchmueller
    University of California, Irvine, USA
    Med Care Res Rev 62:3-30. 2005
    ..Insurance coverage also increases inpatient utilization for children and adults; for children, there is some evidence that insurance coverage reduces ambulatory care sensitive hospital admissions...
  51. pmc Recommendations for intrauterine contraception: a randomized trial of the effects of patients' race/ethnicity and socioeconomic status
    Christine Dehlendorf
    Department of Family and Community Medicine, University of California, San Francisco, CA, USA
    Am J Obstet Gynecol 203:319.e1-8. 2010
    ..This study investigated the effect of these factors on recommendations for contraception...
  52. ncbi request reprint NAPNES board of directors position paper regarding supply, demand, and use of licensed practical nurses
    Jean Ann Seago
    Center for California Health Workforce Studies, University of California, San Francisco, USA
    J Pract Nurs 54:4. 2004
  53. ncbi request reprint Women in medicine: a four-nation comparison
    Julia E McMurray
    Department of Medical Psychology, University of Amsterdam
    J Am Med Womens Assoc 57:185-90. 2002
    ..to determine the impact of increasing numbers of women in medicine on the physician work force in Australia, Canada, England, and the United States...
  54. ncbi request reprint Access to Spanish-speaking physicians in California: supply, insurance, or both
    Jean Yoon
    University of California at Los Angeles, Los Angeles, CA, USA
    J Am Board Fam Pract 17:165-72. 2004
    ..In California, 12% of urban residents are Spanish-speaking with some limited proficiency in English. The majority of these residents (67%) are uninsured or on Medicaid...
  55. pmc Chronic illness, comorbidities, and the need for medical generalism
    Kevin Grumbach
    Ann Fam Med 1:4-7. 2003
  56. ncbi request reprint Primary care, generalism, public good: déjà vu? Again!
    Eric B Larson
    Ann Intern Med 142:671-4. 2005
  57. pmc The role of medical education in reducing health care disparities: the first ten years of the UCLA/Drew Medical Education Program
    Michelle Ko
    Department of Health Services, UCLA School of Public Health, Los Angeles, CA 90095 1772, USA
    J Gen Intern Med 22:625-31. 2007
    ..We have previously shown that, in comparison to their UCLA counterparts, students in the Drew program had greater odds of maintaining their commitment to medically disadvantaged populations over the course of medical education...
  58. ncbi request reprint Impact of the University of California, Los Angeles/Charles R. Drew University Medical Education Program on medical students' intentions to practice in underserved areas
    Michelle Ko
    Charles R Drew University of Medicine and Science, 1741 Colby Avenue, 301, Los Angeles, CA 90025, USA
    Acad Med 80:803-8. 2005
    ..To estimate the impact of a U.S. inner-city medical education program on medical school graduates' intentions to practice in underserved communities...
  59. ncbi request reprint College students' perceptions of their experiences: what do minority students think?
    Sabrina T Wong
    University of British Columbia School of Nursing, Culture, Gender, and Health Research Unit, Centre for Health Services and Policy Research, 2211 Wesbrook Mall, T 161, Vancouver, British Columbia, Canada
    J Nurs Educ 47:190-5. 2008
    ..Adding school-level variables to the regression models helped explain some additional variance in student perceptions. A comprehensive, long-term commitment to the retention of students from diverse backgrounds is needed...
  60. ncbi request reprint Does having more physicians lead to better health system performance?
    David C Goodman
    Center for Health Policy Research, Dartmouth Institute for Health Policy and Clinical Practice, Dartmouth Medical School, Hanover, New Hampshire, USA
    JAMA 299:335-7. 2008
  61. ncbi request reprint A descriptive analysis of abortion training in family medicine residency programs
    Dalia Brahmi
    Department of Family and Social Medicine, Montefiore Medical Center, Bronx, NY 10467, USA
    Fam Med 39:399-403. 2007
    ..This study was designed to describe the structure of currently available training and the experience of residents participating in these programs...
  62. ncbi request reprint Specialists, technology, and newborns--too much of a good thing
    Kevin Grumbach
    N Engl J Med 346:1574-5. 2002
  63. ncbi request reprint The future of generalism in medicine
    Eric B Larson
    Group Health Cooperative, Center for Health Studies, Seattle, Washington 98101 1448, USA
    Ann Intern Med 142:689-90. 2005