Health Manpower

California Trends and Policy Issues

by Albert J. Lipson


Purchase Print Copy

 FormatList Price Price
Add to Cart Paperback12 pages $20.00 $16.00 20% Web Discount

Discusses major RAND findings and recommendations concerning health personnel No consensus exists on how to measure health personnel requirements, since we lack adequate measures of how health care services affect health. Unlike other states, California uses few foreign medical graduates — it retains its own and attracts those of other states. However, three areas are "physician poor": Bakersfield, Imperial Valley, and San Joaquin Valley. The numbers of RNs and LVNs have increased substantially, but the supply/demand ratio fluctuates erratically. California's Nurse Practitioner training programs were undermined by the Board of Medical Examiners, which telegraphed the medical school deans to stop training nurse practitioners. Licensure issues are discussed. Implementing a RAND recommendation, the Office of Planning and Intergovernmental Relations was established under the State Health Director. RAND also recommended appointing public representatives to develop and update a unified health sciences education plan responsive to societal needs. (Presented at Regional Health Manpower Conference, Los Angeles, January 1975.) (See also R-1572.)

This report is part of the RAND Corporation Paper series. The paper was a product of the RAND Corporation from 1948 to 2003 that captured speeches, memorials, and derivative research, usually prepared on authors' own time and meant to be the scholarly or scientific contribution of individual authors to their professional fields. Papers were less formal than reports and did not require rigorous peer review.

Our mission to help improve policy and decisionmaking through research and analysis is enabled through our core values of quality and objectivity and our unwavering commitment to the highest level of integrity and ethical behavior. To help ensure our research and analysis are rigorous, objective, and nonpartisan, we subject our research publications to a robust and exacting quality-assurance process; avoid both the appearance and reality of financial and other conflicts of interest through staff training, project screening, and a policy of mandatory disclosure; and pursue transparency in our research engagements through our commitment to the open publication of our research findings and recommendations, disclosure of the source of funding of published research, and policies to ensure intellectual independence. For more information, visit

The RAND Corporation is a nonprofit institution that helps improve policy and decisionmaking through research and analysis. RAND's publications do not necessarily reflect the opinions of its research clients and sponsors.