Research Topics
| Kevin GrumbachSummaryAffiliation: University of California Country: USA Publications
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Publications
Facilitating improvement in primary care: the promise of practice coachingKevin Grumbach
Department of Family and Community Medicine, University of California, San Francisco School of Medicine, USA
Issue Brief (Commonw Fund) 15:1-14. 2012..The authors argue that primary care delivery in the United States would benefit from a more systematic approach to the training and deployment of primary care practice coaches...
Disparities in human resources: addressing the lack of diversity in the health professionsKevin 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...- Effectiveness of University of California postbaccalaureate premedical programs in increasing medical school matriculation for minority and disadvantaged studentsKevin 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... - Commentary: Adopting postbaccalaureate premedical programs to enhance physician workforce diversityKevin 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... - Foreign versus domestic education of physicians for the United States: a case study of physicians of South Asian ethnicity in CaliforniaElizabeth 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... - Measuring attributes of success of college students in nursing programs: a psychometric analysisJean Ann Seago
University of California, San Francisco, 94143 0608, USA
J Nurs Meas 16:184-200. 2008..The other potential subscales need further refinement and testing... - How leaky is the health career pipeline? Minority student achievement in college gateway coursesCharles Alexander
School of Dentistry, University of California, Los Angeles, Los Angeles, California, USA
Acad Med 84:797-802. 2009.... - Access to Spanish-speaking physicians in California: supply, insurance, or bothJean Yoon
University of California at Los Angeles, Los Angeles, CA, USA
J Am Board Fam Pract 17:165-72. 2004..Addressing health insurance-related barriers to care for those on Medicaid and the uninsured is critical to improving health care for Spanish-speaking LEP patients... 
Physician language ability and cultural competence. An exploratory study of communication with Spanish-speaking patientsAlicia 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...- Group medical visits for low-income women with chronic disease: a feasibility studyDaphne 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... - A study of physician recommendations for reversible contraceptive methods using standardized patientsChristine Dehlendorf
Department of Family and Community Medicine, University of California, San Francisco, CA, USA
Perspect Sex Reprod Health 43:224-9. 2011..Health care providers may influence patients' choice of contraceptive method, yet little is known about the recommendations they make to their patients... - Impact of Title VII training programs on community health center staffing and national health service corps participationDiane 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.... - Medical student, physician, and public perceptions of health care disparitiesElisabeth 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... - Physician perceptions of practice environment and professional satisfaction in California: from urban to ruralKyle 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... - College students' perceptions of nursing: a GEE approachJean 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... - Effects of limited English proficiency and physician language on health care comprehensionElisabeth Wilson
Department of Family and Community Medicine, University of California, San Francisco, California, USA
J Gen Intern Med 20:800-6. 2005..Access to language-concordant physicians substantially mitigates but does not eliminate language barriers... - The association among specialty, race, ethnicity, and practice location among California physicians in diverse specialtiesKara Odom Walker
Department of Family and Community Medicine, University of California, 995 Potrero Ave, W 83, San Francisco, CA 94110, USA
J Natl Med Assoc 104:46-52. 2012..Few have investigated whether non-primary care specialists of minority backgrounds are more likely to serve the underserved than nonminority specialists... - Predictors of students' success in community college nursing programsJean Ann Seago
Department of Community Health Systems, University of California, San Francisco, USA
J Nurs Educ 51:489-95. 2012..Higher prenursing grades are positive predictors of graduation; improvements in performance prior to commencing nursing education should improve student success... - Improving primary care for patients with chronic illness: the chronic care model, Part 2Thomas 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... - Who is caring for the underserved? A comparison of primary care physicians and nonphysician clinicians in California and WashingtonKevin 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... - Shared decision making and the experience of partnership in primary careGeorge 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... - Recommendations for intrauterine contraception: a randomized trial of the effects of patients' race/ethnicity and socioeconomic statusChristine 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... - Improving primary care for patients with chronic illnessThomas 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... - Physician organization and care management in California: from cottage to KaiserDiane 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... - Medical liability insurance as a barrier to the provision of abortion services in family medicineChristine E Dehlendorf
Department of Family and Community Medicine, University of California, San Francisco, USA
Am J Public Health 98:1770-4. 2008.... - Self-reported fluency in non-english languages among physicians practicing in CaliforniaGerardo 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... - No exit: an evaluation of measures of physician attritionDiane 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..Research using these measures should be interpreted with caution. Self-reported intention to leave practice may be more of a proxy for dissatisfaction than an accurate predictor of actual behavior... - Cross-cultural education in U.S. medical schools: development of an assessment toolEduardo 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... - 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... - Integrating abortion training into family medicine residency programsChristine 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... - 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... - Trends in physician participation in Medicaid. The California experienceAndrew 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.... - 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... - 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... - Association of health literacy with diabetes outcomesDean 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... - Patient self-management of chronic disease in primary careThomas 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... - Estimating a reasonable patient panel size for primary care physicians with team-based task delegationJustin Altschuler
Center for Excellence in Primary Care, Department of Family and Community Medicine, University of California, San Francisco, San Francisco, California 94110, USA
Ann Fam Med 10:396-400. 2012.... - A primary care home for Americans: putting the house in orderKevin 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... - Closing the loop: physician communication with diabetic patients who have low health literacyDean 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... - The effect of patient gynecologic history on clinician contraceptive counselingChristine 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... - The ramifications of specialty-dominated medicineKevin 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 - Fighting hand to hand over physician workforce policyKevin 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... - The effect of health insurance on medical care utilization and implications for insurance expansion: a review of the literatureThomas 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... - NAPNES board of directors position paper regarding supply, demand, and use of licensed practical nursesJean Ann Seago
Center for California Health Workforce Studies, University of California, San Francisco, USA
J Pract Nurs 54:4. 2004 - 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 - The role of medical education in reducing health care disparities: the first ten years of the UCLA/Drew Medical Education ProgramMichelle 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... - Women in medicine: a four-nation comparisonJulia E McMurray
Department of Medical Psychology, University of Amsterdam
J Am Med Womens Assoc 57:185-90. 2002.... - Primary care, generalism, public good: déjà vu? Again!Eric B Larson
Ann Intern Med 142:671-4. 2005 - A descriptive analysis of abortion training in family medicine residency programsDalia 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... - Improving timely access to primary care: case studies of the advanced access modelMark 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... - Chronic illness, comorbidities, and the need for medical generalismKevin Grumbach
Ann Fam Med 1:4-7. 2003 - 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... - Impact of the University of California, Los Angeles/Charles R. Drew University Medical Education Program on medical students' intentions to practice in underserved areasMichelle Ko
Charles R. Drew University of Medicine and Science, 1741 Colby Avenue, 301, Los Angeles, CA 90025, USA
Acad Med 80:803-8. 2005.... - The future of generalism in medicineEric B Larson
Group Health Cooperative, Center for Health Studies, Seattle, Washington 98101-1448, USA
Ann Intern Med 142:689-90. 2005 - Specialists, technology, and newborns--too much of a good thingKevin Grumbach
N Engl J Med 346:1574-5. 2002