Joanne Spetz, PhD



Joanne Spetz, Ph.D., is a Professor at the Institute for Health Policy Studies, Department of Family and Community Medicine, and School of Nursing at the University of California, San Francisco. She is the Associate Director for Research at the Healthforce Center at UCSF and the Director of the UCSF Health Workforce Research Center for Long-Term Care. Her fields of specialty are economics of the health care workforce, shortages and supply of registered nurses, organization and quality of the hospital industry, impact of health information technology, effect of medical marijuana policy on youth substance use, and the substance use disorder treatment workforce.

Joanne's teaching is in health care financial management, health economics, and quantitative research methods. She teaches in the UCSF-UC Hastings Health Policy and Law, UCSF-UC Berkeley Masters in Translational Medicine, and UCSF Master of Science in Health Administration and Interprofessional Leadership (MS-HAIL) programs. She also serves on dissertation committees and mentors post-doctoral scholars.

Joanne is an Honorary Fellow of the American Academy of Nursing. She received a Mentorship Award from the Interdisciplinary Research Group on Nursing Issues of AcademyHealth. Joanne was a member of the Institute of Medicine Standing Committee on Credentialing Research in Nursing and a consultant to the Institute of Medicine Committee on the Future of Nursing. She frequently provides testimony and technical assistance to state and federal agencies and policymakers. Joanne received her Ph.D. in economics from Stanford University after studying economics at the Massachusetts Institute of Technology.


Honors and Awards

Mentorship Award, Interdisciplinary Research Group on Nursing Issues, AcademyHealth, 2016
Fellow, American Academy of Nursing, 2011


Mertz E, Spetz J, Moore J. Pediatric Workforce Issues. Dent Clin North Am. 2017 Jul; 61(3):577-588.
Lyndon A, Simpson KR, Spetz J. Thematic analysis of US stakeholder views on the influence of labour nurses' care on birth outcomes. BMJ Qual Saf. 2017 Oct; 26(10):824-831.
Schmidt LA, Jacobs LM, Spetz J. Schmidt et al. Respond. Am J Public Health. 2016 12; 106(12):e8-e9.
Spetz J, Dudley N, Trupin L, Rogers M, Meier DE, Dumanovsky T. Few Hospital Palliative Care Programs Meet National Staffing Recommendations. Health Aff (Millwood). 2016 09 01; 35(9):1690-7.
Yoo BK, Kim M, Lin TC, Sasaki T, Ward D, Spetz J. The effect of prior healthcare employment on the wages of registered nurses. BMC Health Serv Res. 2016 08 19; 16(1):412.
Spetz J, Skillman SM, Andrilla CHA. Nurse Practitioner Autonomy and Satisfaction in Rural Settings. Med Care Res Rev. 2017 Apr; 74(2):227-235.
Schmidt LA, Jacobs LM, Spetz J. Young People's More Permissive Views About Marijuana: Local Impact of State Laws or National Trend? Am J Public Health. 2016 Aug; 106(8):1498-503.
Chapman SA, Spetz J, Lin J, Chan K, Schmidt LA. Capturing Heterogeneity in Medical Marijuana Policies: A Taxonomy of Regulatory Regimes Across the United States. Subst Use Misuse. 2016 Jul 28; 51(9):1174-84.
Parente ST, Feldman R, Spetz J, Dowd B, Baggett EE. Wage Growth for the Health Care Workforce: Projecting the Affordable Care Act Impact. Health Serv Res. 2017 04; 52(2):741-762.
Spetz J, Cimiotti JP, Brunell ML. Improving collection and use of interprofessional health workforce data: Progress and peril. Nurs Outlook. 2016 Jul-Aug; 64(4):377-84.
Dy Bunpin JJ, Chapman S, Blegen M, Spetz J. Differences in Innovative Behavior Among Hospital-Based Registered Nurses. J Nurs Adm. 2016 Mar; 46(3):122-7.
Spetz J. The Nursing Profession, Diversity, and Wages. Health Serv Res. 2016 Apr; 51(2):505-10.
Yoo BK, Lin TC, Kim M, Sasaki T, Spetz J. Effect of Prior Health-Related Employment on the Registered Nurse Workforce Supply. Nurs Econ. 2016 Jan-Feb; 34(1):25-34.
Platt M, Kwasky A, Spetz J. Filling the gap: Developing health economics competencies for baccalaureate nursing programs. Nurs Outlook. 2016 Jan-Feb; 64(1):49-60.
Xue Y, Ye Z, Brewer C, Spetz J. Impact of state nurse practitioner scope-of-practice regulation on health care delivery: Systematic review. Nurs Outlook. 2016 Jan-Feb; 64(1):71-85.
Spetz J, Brown DS, Aydin CS. Ongoing Attention to Injurious Inpatient Falls and Pressure Ulcers. JAMA Intern Med. 2015 Sep; 175(9):1580-1.
Spetz J, Trupin L, Bates T, Coffman JM. Future Demand For Long-Term Care Workers Will Be Influenced By Demographic And Utilization Changes. Health Aff (Millwood). 2015 Jun; 34(6):936-45.
Spetz J. Too Many, Too Few, or Just Right? Making Sense Of Conflicting RN Supply and Demand Forecasts. Nurs Econ. 2015 May-Jun; 33(3):176-8, 185.
Spetz J, Fraher E, Li Y, Bates T. How many nurse practitioners provide primary care? It depends on how you count them. Med Care Res Rev. 2015 Jun; 72(3):359-75.
Moriates C, Dohan D, Spetz J, Sawaya GF. Defining competencies for education in health care value: recommendations from the University of California, San Francisco Center for Healthcare Value Training Initiative. Acad Med. 2015 Apr; 90(4):421-4.
Martsolf GR, Auerbach DI, Spetz J, Pearson ML, Muchow AN. Doctor of nursing practice by 2015: an examination of nursing schools' decisions to offer a doctor of nursing practice degree. Nurs Outlook. 2015 Mar-Apr; 63(2):219-26.
Park SH, Blegen MA, Spetz J, Chapman SA, De Groot HA. Comparison of Nurse Staffing Measurements in Staffing-Outcomes Research. Med Care. 2015 Jan; 53(1):e1-8.
Spetz J, Brown DS, Aydin C. The economics of preventing hospital falls: demonstrating ROI through a simple model. J Nurs Adm. 2015 Jan; 45(1):50-7.
Coffman JM, Spetz J, Grumbach K, Fix M, Bindman AB. Electronic health record availability among advanced practice registered nurses and physicians. Am J Manag Care. 2014 Nov; 20(11 Spec No. 17):eSP31-8.
Spetz J. Nurse Credentials: What Is the Economic Value? Nurs Econ. 2014 Sep-Oct; 32(5):268-9.
Fairman J, Spetz J. Using the lens of history to understand nursing practice and policy: an interview with Julie Fairman. Nurs Econ. 2014 May-Jun; 32(3):166-9.
Ash M, Seago JA, Spetz J. What do health care unions do?: A response to Manthous. Med Care. 2014 May; 52(5):393-7.
Spetz J, Burgess JF, Phibbs CS. The effect of health information technology implementation in Veterans Health Administration hospitals on patient outcomes. Healthc (Amst). 2014 Mar; 2(1):40-7.
Spetz J, Bates T, Chu L, Lin J, Fishman NW, Melichar L. Creating a dashboard to track progress toward IOM recommendations for the future of nursing. Policy Polit Nurs Pract. 2013 Aug-Nov; 14(3-4):117-24.
Spetz J. How will health reform affect demand for RNs? Nurs Econ. 2014 Jan-Feb; 32(1):42-4.
Spetz J, Parente ST, Town RJ, Bazarko D. Scope-of-practice laws for nurse practitioners limit cost savings that can be achieved in retail clinics. Health Aff (Millwood). 2013 Nov; 32(11):1977-84.
Michtalik HJ, Pronovost PJ, Marsteller JA, Spetz J, Brotman DJ. Identifying potential predictors of a safe attending physician workload: a survey of hospitalists. J Hosp Med. 2013 Nov; 8(11):644-6.
Spetz J, Bates T. Is a baccalaureate in nursing worth it? The return to education, 2000-2008. Health Serv Res. 2013 Dec; 48(6 Pt 1):1859-78.
Seo S, Spetz J. Demand for temporary agency nurses and nursing shortages. Inquiry. 2013 Aug; 50(3):216-28.
Spetz J, Kovner CT. How can we obtain data on the demand for nurses? Nurs Econ. 2013 Jul-Aug; 31(4):203-7.
Spetz J, Gates M, Jones CB. Internationally educated nurses in the United States: Their origins and roles. Nurs Outlook. 2014 Jan-Feb; 62(1):8-15.
Spetz J. The research and policy importance of nursing sample surveys and minimum data sets. Policy Polit Nurs Pract. 2013 Feb; 14(1):33-40.
Michtalik HJ, Pronovost PJ, Marsteller JA, Spetz J, Brotman DJ. Developing a model for attending physician workload and outcomes. JAMA Intern Med. 2013 Jun 10; 173(11):1026-8.
Spetz J, Brown DS, Aydin C, Donaldson N. The value of reducing hospital-acquired pressure ulcer prevalence: an illustrative analysis. J Nurs Adm. 2013 Apr; 43(4):235-41.
Spetz J, Harless DW, Herrera CN, Mark BA. Using minimum nurse staffing regulations to measure the relationship between nursing and hospital quality of care. Med Care Res Rev. 2013 Aug; 70(4):380-99.
Blegen MA, Goode CJ, Park SH, Vaughn T, Spetz J. Baccalaureate education in nursing and patient outcomes. J Nurs Adm. 2013 Feb; 43(2):89-94.
Serratt T, Spetz J, Harrington C. Are staffing changes in California's hospitals sensitive to individual hospital characteristics? Nurs Econ. 2012 Nov-Dec; 30(6):339-46.
Mark BA, Harless DW, Spetz J, Reiter KL, Pink GH. California's minimum nurse staffing legislation: results from a natural experiment. Health Serv Res. 2013 Apr; 48(2 Pt 1):435-54.
Seago JA, Keane D, Chen E, Spetz J, Grumbach K. Predictors of students' success in community college nursing programs. J Nurs Educ. 2012 Sep; 51(9):489-95.
Park SH, Blegen MA, Spetz J, Chapman SA, De Groot H. Patient turnover and the relationship between nurse staffing and patient outcomes. Res Nurs Health. 2012 Jun; 35(3):277-88.
White MC, Tulsky JP, Lee JR, Chen L, Goldenson J, Spetz J, Kawamura LM. Isoniazid vs. rifampin for latent tuberculosis infection in jail inmates: toxicity and adherence. J Correct Health Care. 2012 Apr; 18(2):131-42.
Spetz J, Burgess JF, Phibbs CS. What determines successful implementation of inpatient information technology systems? Am J Manag Care. 2012 Mar; 18(3):157-62.
Pittman P, Herrera C, Spetz J, Davis CR. Immigration and contract problems experienced by foreign-educated nurses. Med Care Res Rev. 2012 Jun; 69(3):351-65.
Goode CJ, Blegen MA, Park SH, Vaughn T, Spetz J. Comparison of patient outcomes in Magnet® and non-Magnet hospitals. J Nurs Adm. 2011 Dec; 41(12):517-23.
Serratt T, Harrington C, Spetz J, Blegen M. Staffing changes before and after mandated nurse-to-patient ratios in California's hospitals. Policy Polit Nurs Pract. 2011 Aug; 12(3):133-40.
Blegen MA, Goode CJ, Spetz J, Vaughn T, Park SH. Nurse staffing effects on patient outcomes: safety-net and non-safety-net hospitals. Med Care. 2011 Apr; 49(4):406-14.
Seago JA, Spetz J, Ash M, Herrera CN, Keane D. Hospital RN job satisfaction and nurse unions. J Nurs Adm. 2011 Mar; 41(3):109-14.
Spetz J, Kovner CT. How should we collect data on the nursing workforce? Nurs Econ. 2011 Mar-Apr; 29(2):97-100.
Reiter KL, Harless DW, Pink GH, Spetz J, Mark B. The effect of minimum nurse staffing legislation on uncompensated care provided by California hospitals. Med Care Res Rev. 2011 Jun; 68(3):332-51.
Waneka R, Spetz J. Hospital information technology systems' impact on nurses and nursing care. J Nurs Adm. 2010 Dec; 40(12):509-14.
Spetz J, Ash M, Konstantinidis C, Herrera C. The effect of unions on the distribution of wages of hospital-employed registered nurses in the United States. J Clin Nurs. 2011 Jan; 20(1-2):60-7.
Chapman SA, Wides CD, Spetz J. Payment regulations for advanced practice nurses: implications for primary care. Policy Polit Nurs Pract. 2010 May; 11(2):89-98.
Spetz J, Herrera C. Changes in nurse satisfaction in California, 2004 to 2008. J Nurs Manag. 2010 Jul; 18(5):564-72.
Black L, Spetz J, Harrington C. Nurses who do not nurse: factors that predict non-nursing work in the U.S. registered nursing labor market. Nurs Econ. 2010 Jul-Aug; 28(4):245-54.
Aiken LH, Sloane DM, Cimiotti JP, Clarke SP, Flynn L, Seago JA, Spetz J, Smith HL. Implications of the California nurse staffing mandate for other states. Health Serv Res. 2010 Aug; 45(4):904-21.
Spetz J. The importance of good data: how The National Sample Survey of Registered Nurses has been used to improve knowledge and policy. Annu Rev Nurs Res. 2010; 28:1-18.
Tellez M, Spetz J, Seago JA, Harrington CM, Kitchener M. Do wages matter?: a backward bend in the 2004 California RN labor supply. Policy Polit Nurs Pract. 2009 Aug; 10(3):195-203.
Spetz J. An interview with health economist and labor expert Joanne Spetz, PhD. Interview by Peter I Buerhaus. Nurs Econ. 2009 Nov-Dec; 27(6):412-5.
Chapman SA, Spetz J, Seago JA, Kaiser J, Dower C, Herrera C. How have mandated nurse staffing ratios affected hospitals? Perspectives from California hospital leaders. J Healthc Manag. 2009 Sep-Oct; 54(5):321-33; discussion 334-5.
Spetz J, Keane D. Information technology implementation in a rural hospital: a cautionary tale. J Healthc Manag. 2009 Sep-Oct; 54(5):337-47; discussion 348.
Donaldson N, Shapiro S, Scott M, Foley M, Spetz J. Leading successful rapid response teams: A multisite implementation evaluation. J Nurs Adm. 2009 Apr; 39(4):176-81.
Mark B, Harless DW, Spetz J. California's minimum-nurse-staffing legislation and nurses' wages. Health Aff (Millwood). 2009 Mar-Apr; 28(2):w326-34.
Spetz J, Keane D. Evaluating success. Strategies and challenges for understanding IT implementation in a rural hospital. J Healthc Inf Manag. 2009; 23(1):62-7.
Spetz J, Rickles J, Chapman S, Ong PM. Job and industry turnover for registered and licensed vocational nurses. J Nurs Adm. 2008 Sep; 38(9):372-8.
Black L, Spetz J, Harrington C. Nurses working outside of nursing: societal trend or workplace crisis? Policy Polit Nurs Pract. 2008 Aug; 9(3):143-57.
Spetz J, Donaldson N, Aydin C, Brown DS. How many nurses per patient? Measurements of nurse staffing in health services research. Health Serv Res. 2008 Oct; 43(5 Pt 1):1674-92.
Spetz J. Nurse satisfaction and the implementation of minimum nurse staffing regulations. Policy Polit Nurs Pract. 2008 Feb; 9(1):15-21.
Seago JA, Spetz J. Minority nurses' experiences on the job. J Cult Divers. 2008; 15(1):16-23.
Spetz J, Jacobs J, Hatler C. Cost effectiveness of a medical vigilance system to reduce patient falls. Nurs Econ. 2007 Nov-Dec; 25(6):333-8, 352.
Spetz J, Dyer WT, Chapman S, Seago JA. Hospital demand for licensed practical nurses. West J Nurs Res. 2006 Oct; 28(6):726-39.
Seago JA, Spetz J, Chapman S, Dyer W. Can the use of LPNs alleviate the nursing shortage? Yes, the authors say, but the issues--involving recruitment, education, and scope of practice--are complex. Am J Nurs. 2006 Jul; 106(7):40-9; quiz 50.
Seago JA, Spetz J, Keane D, Grumbach K. College students' perceptions of nursing: a GEE approach. Nurs Leadersh (Tor Ont). 2006 May; 19(2):56-74.
Seago JA, Spetz J, Alvarado A, Keane D, Grumbach K. The nursing shortage: is it really about image? J Healthc Manag. 2006 Mar-Apr; 51(2):96-108; discussion 109-10.
Kirby PB, Spetz J, Maiuro L, Scheffler RM. Changes in service availability in california hospitals, 1995 to 2002. J Healthc Manag. 2006 Jan-Feb; 51(1):26-38; discussion 38-9.
Spetz J, Adams S. How can employment-based benefits help the nurse shortage? Health Aff (Millwood). 2006 Jan-Feb; 25(1):212-8.
Seago JA, Spetz J. California's minority majority and the White face of nursing. J Nurs Educ. 2005 Dec; 44(12):555-62.
Spetz J. The cost and cost-effectiveness of nursing services in health care. Nurs Outlook. 2005 Nov-Dec; 53(6):305-9.
Spetz J. Public policy and nurse staffing: what approach is best? J Nurs Adm. 2005 Jan; 35(1):14-6.
Spetz J. California's minimum nurse-to-patient ratios: the first few months. J Nurs Adm. 2004 Dec; 34(12):571-8.
Spetz J. Hospital nurse wages and staffing, 1977 to 2002: cycles of shortage and surplus. J Nurs Adm. 2004 Sep; 34(9):415-22.
Seago JA, Spetz J, Mitchell S. Nurse staffing and hospital ownership in California. J Nurs Adm. 2004 May; 34(5):228-37.
Phillips KA, Haas JS, Liang SY, Baker LC, Tye S, Kerlikowske K, Sakowski J, Spetz J. Are gatekeeper requirements associated with cancer screening utilization? Health Serv Res. 2004 Feb; 39(1):153-78.
Seago JA, Spetz J, Chapman S, Dyer W, Grumbach K. NAPNES board of directors position paper regarding supply, demand, and use of licensed practical nurses. J Pract Nurs. 2004; 54(2):4.
Phillips KA, Stotland NE, Liang SY, Spetz J, Haas JS, Oren E. Out-of-pocket expenditures for oral contraceptives and number of packs per purchase. J Am Med Womens Assoc (1972). 2004; 59(1):36-42.
Spetz J, Given R. The future of the nurse shortage: will wage increases close the gap? Health Aff (Millwood). 2003 Nov-Dec; 22(6):199-206.
Seago JA, Spetz J, Coffman J, Rosenoff E, O'Neil E. Minimum staffing ratios: the California workforce initiative survey. Nurs Econ. 2003 Mar-Apr; 21(2):65-70.
Coffman JM, Seago JA, Spetz J. Minimum nurse-to-patient ratios in acute care hospitals in California. Health Aff (Millwood). 2002 Sep-Oct; 21(5):53-64.
Seago JA, Spetz J. Registered nurse pre-licensure education in California. Nurs Econ. 2002 May-Jun; 20(3):113-7, 125.
Grumbach K, Ash M, Seago JA, Spetz J, Coffman J. Measuring shortages of hospital nurses: how do you know a hospital with a nursing shortage when you see one? Med Care Res Rev. 2001 Dec; 58(4):387-403.
Seago JA, Ash M, Spetz J, Coffman J, Grumbach K. Hospital registered nurse shortages: environmental, patient, and institutional predictors. Health Serv Res. 2001 Oct; 36(5):831-52.
Spetz J, Smith MW, Ennis SF. Physician incentives and the timing of cesarean sections: evidence from California. Med Care. 2001 Jun; 39(6):536-50.
Spetz J. What should we expect from California's minimum nurse staffing legislation? J Nurs Adm. 2001 Mar; 31(3):132-40.
Spetz J, Baker L, Phibbs C, Pedersen R, Tafoya S. The effect of passing an "anti-immigrant" ballot proposition on the use of prenatal care by foreign-born mothers in California. J Immigr Health. 2000 Oct; 2(4):203-12.
Coffman J, Spetz J. Maintaining an adequate supply of RNs in California. Image J Nurs Sch. 1999; 31(4):389-93.
Joanne Spetz
+1 415 502-4443
3333 California Street, Rm 266P
UCSF Box 0936
San Francisco, CA 94118
United States