APRIL 2024
Current Issues: Dementia Care

A recent Medscape article shared projections of the prevalance of Alzheimer's disease. The report projected 11.2 million by 2040 and 12.7 million by 2050, which means mortality, morbidity, and healthcare costs will only continue to go up. Without new treatments and advancements in care, study authors estimated the cost will reach $1 trillion in 2050.

The report also waded into the issue of workforce deficits. Between 2012 and 2022, the number of direct care workers in the United States increased from 3.2 million to 4.8 million. Study authors estimated more than 1 million additional direct care workers will be needed before 2031. Several IHPS faculty study dementia care.

Alissa Bernstein Sideman, PhD, MPH, MA, along with colleagues Na’amah Razon at UC Davis and Tala Al Rousan at UC San Diego, are collaborating on a project to examine dementia-related health and needs among California’s diverse refugee and migrant communities. Their work will be supported for four years by the California Department of Public Health. More than a quarter of California’s residents are born outside the US. Krista Harrison, PhD has received an R01 grant from the National Institutes on Aging for research to improve hospice care for racial and ethnic minoritized older adults living with Alzheimer’s Disease and Related Dementias. IHPS faculty Dan Dohan, PhD and Jen James, PhD, MS, MSW are part of the research team. Krista seeks to develop recommendations for improving equity in hospice care — recommendations that reflect the lived experiences of people living with dementia as well as respond to the organizational and structural dynamics of inequity.

IHPS faculty Alissa Sideman, Krista Harrison, and Lauren Hunt, PhD, RN, FNP contribute to the study, The Care Ecosystem, a telephone- and web-based dementia collaborative care model developed at the University of California, San Francisco and the University of Nebraska Medical Center. The Care Ecosystem model provides personalized, cost-efficient dementia care for people with dementia and their caregivers. The team includes care team navigators (CTNs) and licensed clinicians with dementia expertise in nursing, pharmacy, and social work. The CTN, a trained, yet unlicensed person, is the main point of contact for people with dementia and caregivers for support and information. This model allows the dementia specialists to maximize their reach to a greater number of patients and their families. The Care Ecosystem is supporting health systems who are interested in implementing CMS’s new GUIDE model, a dementia care management model.  Interest in Care Ecosystem has grown - it is currently being tested in a pragmatic clinical trial across six health systems and is also being implemented in, or is in the planning stages of implementation, at over 30 additional sites across the country.
IHPS Faculty Spotlight
Dr. Jennifer Yarger is an Assistant Professor in the Philip R. Lee Institute for Health Policy Studies and the Department of Epidemiology and Biostatistics, affiliated with the Bixby Center for Global Reproductive Health.

Her research focuses on access to sexual and reproductive health information and services and disparities in reproductive health outcomes, particularly among adolescents and young adults. She also develops and tests interventions to improve youth access to care and support reproductive autonomy.

Dr. Yarger was selected as a scholar in the UCSF-KPNC Urologic Epidemiology (UroEpi) K12 Career Development Program in 2023. She is expanding her research to include youth access to care for urinary tract infections (UTI) and other genitourinary conditions.
Upcoming Events
2024 UCSF Health Services Research Symposium
May 23, 2024
Mission Bay Conference Center
Register Here

Keynote: Health Spending Growth Has Slowed: Will the Bend in the Curve Continue?" will be given by Joseph P. Newhouse, PhD, John D. MacArthur Research Professor of Health Policy and Management, Harvard University
Research Highlights
Media Mentions
Naomi Bardach:
(Kids Considered Podcast)

Dean Schillinger:
(Here's the Thing with Alec Baldwin podcast)

Leslie Suen:
Philip R. Lee Fellowship Fund Endowed
Since its founding 50 years ago, IHPS has been dedicated to training the next generation of leaders in interdisciplinary research to solve our most important health policy issues. In celebration of our 50th anniversary and to honor our founders, Phil Lee and Lew Butler, we established an endowment fund for the Philip R. Lee Fellowship. We are pleased to announce the fund has been endowed! We hope to continue to keep this fund and our fellowship program robust. Please consider donating at our dedicated webpage!