Ulrike Muench, RN, PhD, FAAN

Photo of Ulrike Muench, RN, PhD, FAAN
Title(s)Professor, Social Behavioral Sciences
SchoolSchool of Nursing
Address490 Illinois Street
San Francisco CA 94158
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    Dr. Ulrike (Ulli) Muench is Professor in the Department of Social and Behavioral Sciences in the UCSF School of Nursing and affiliated faculty at the Philip R. Lee Institute for Health Policy Studies, Healthforce Center, and the UCSF Division of Clinical Informatics and Digital Transformation (DoC-IT). She is a health services and policy researcher with training in applied economics and a clinical background as a nurse and nurse practitioner. Her research focuses on the healthcare workforce, care delivery, and the quality and equity of care for older adults.

    Dr. Muench’s research examines healthcare workforce and policy, clinician practice, and care delivery. Her workforce research addresses gender and racial and ethnic inequities, labor market outcomes and mobility, and the effects of policies on clinical practice and care delivery. She has conducted extensive research on nurse practitioners and other clinicians, including studies of prescribing and practice patterns, scope-of-practice regulation, and clinician contributions to primary care, specialty care, behavioral health, and nursing home care.

    A growing area of her research examines care delivery for older adults, particularly people living with cognitive impairment and dementia, across primary care, nursing homes, and home health settings. Within this work, she has developed a particular focus on pain and pain treatment, including disparities in pain care, changes in treatment as cognitive and communication abilities decline, and relationships among chronic pain, depression, cognitive aging, and dementia. She is a Project MPI in the NIA-funded Triangulation of Innovative Methods to End Alzheimer’s Disease (TIME-AD) program project, where she co-leads research on depression and chronic pain as potentially modifiable factors in cognitive aging and Alzheimer’s disease and related dementias.

    Methodologically, Dr. Muench specializes in quantitative health services research using large administrative, clinical, survey, and workforce datasets and advanced data analytics. She has particular expertise in Medicare and other CMS data and EHR data, as well as extensive experience with nationally representative surveys, including the Medical Expenditure Panel Survey (MEPS), American Community Survey (ACS), American Time Use Survey (ATUS), and National Sample Survey of Registered Nurses (NSSRN). Her research includes linking data across sources, identifying clinician care in administrative claims, evaluating state policy changes, and applying causal inference methods to observational data.

    Dr. Muench led the SON AI Science and Scholarship Roadmap and serves on the steering committee for the SON AI Roadmap. As a Co-Investigator on the NIA-funded National Dementia Workforce Study (NDWS), she contributes to survey development, scope-of-practice data, and linkage of national workforce surveys with Medicare and other administrative data.

    Dr. Muench welcomes inquiries from prospective PhD students interested in quantitative health services and policy research, including healthcare workforce and policy, care delivery for older adults, aging and dementia, pain, and the use of data analytics and emerging technologies in health services research, as well as students seeking advanced training in quantitative methods.

    Collapse Biography 
    Collapse education and training
    Yale UniversityMSN2005Yale School of Nursing
    Yale UniversityPhD2012Yale School of Nursing
    Vanderbilt UniversityPostdoctoral Fellowship2014Vanderbilt School of Nursing & Center for Interdisciplinary Health Workforce Studies
    Collapse awards and honors
    Academy Health - Interdisciplinary Research Group on Nursing Issues2016New Investigator Award
    The American Academy of Nursing2018Fellow Induction
    UCSF School of Nursing2019Mentoring Award

    Collapse Research 

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    Collapse publications
    Publications listed below are automatically derived from MEDLINE/PubMed and other sources, which might result in incorrect or missing publications. Researchers can login to make corrections and additions, or contact us for help. to make corrections and additions.
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    1. Beneficiary Characteristics Associated With Volume of Skilled Clinical Nursing and Therapy Home Health. J Am Med Dir Assoc. 2026 08; 27(8):106348. Samson Z, Hunt LJ, Wagner LM, Muench U. PMID: 42391758.
      View in: PubMed   Mentions:    Fields:    Translation:Humans
    2. The hidden costs of becoming a nurse: how student debt deepens inequities in the nursing workforce pipeline. Health Aff Sch. 2026 Jun; 4(6):qxag067. Muench U, Dawson-Rose C, Spetz J. PMID: 42358437; PMCID: PMC13293376.
      View in: PubMed   Mentions:
    3. The Relationship Between Diagnosed Cancer and Self-Reported Distress and Depression: A Cross-Sectional Study Using the 2020 Medical Expenditure Panel Survey. Psychooncology. 2026 Apr; 35(4):e70451. Sloan K, Orionzi D, Muench U. PMID: 41925695; PMCID: PMC13045868.
      View in: PubMed   Mentions:    Fields:    Translation:Humans
    4. Nurses' Transitions Into and Out of the Home Health Sector. Med Care Res Rev. 2026 Aug; 83(4):261-273. Samson Z, Hunt LJ, Wagner LM, Dill J, Muench U. PMID: 41709653; PMCID: PMC13346601.
      View in: PubMed   Mentions:    Fields:    Translation:Humans
    5. Opioid Prescribing Patterns in US Nursing Homes by Race and Ethnicity. JAMA Intern Med. 2026 Jan 01; 186(1):129-131. Muench U, Jura M, Harrison KL, Rodin R, Li L, Smith AK, Covinsky KE, Hunt LJ. PMID: 41182741; PMCID: PMC12584059.
      View in: PubMed   Mentions:    Fields:    
    6. Predictors of job turnover among home health versus hospital nurses: An observational study using the National Sample Survey of Registered Nurses. Int J Nurs Stud. 2026 Feb; 174:105301. Samson Z, Wagner LM, Hunt LJ, Muench U. PMID: 41330213.
      View in: PubMed   Mentions:    Fields:    Translation:Humans
    7. Examining wage drivers for nurses and physicians in Swiss hospitals: a retrospective observational study with repeated measurements. BMC Health Serv Res. 2025 Nov 06; 25(1):1450. Holzer S, Simon M, Moffa G, Endrich O, Muench U, McIsaac M, Bartakova J. PMID: 41199274; PMCID: PMC12593790.
      View in: PubMed   Mentions:    Fields:    Translation:Humans
    8. Beyond paychecks: Unravelling the nexus of nurse and physician wages and mortality in acute care settings - A cross-sectional study using routine data. Int J Nurs Stud. 2025 Dec; 172:105226. Vasic A, Simon M, Holzer S, Endrich O, Muench U, Bartakova J. PMID: 41072335.
      View in: PubMed   Mentions:    Fields:    Translation:Humans
    9. The National Dementia Workforce Study: Development of Questionnaires for Home Care, Assisted Living, and Nursing Home Settings. J Am Geriatr Soc. 2025 11; 73(11):3344-3353. Spetz J, Wagner LM, White EM, Chapman SA, Chiong W, Friedman EM, Gerlach LB, Harrison KL, Hunt LJ, Lee SJ, Muench U, Possin K, Sideman A, Hickey JVTS, Putthinun P, Yeh J, Sandoval S, Rose A, Rothstein J, Pettit AR, Maust DT, Zimmerman S. PMID: 40891824; PMCID: PMC12407246.
      View in: PubMed   Mentions:    Fields:    Translation:Humans
    10. Direct-Entry Midwife Education, Practice, and Patients in California. Med Care Res Rev. 2025 12; 82(6):483-494. Spetz J, Dau KQ, Quan A, Bates T, DeLisser R, Muench U. PMID: 40801334; PMCID: PMC12541107.
      View in: PubMed   Mentions:    Fields:    Translation:Humans
    11. The National Dementia Workforce Study: Methods for Surveying Community Clinicians Who Provide Care to People With Dementia. J Am Geriatr Soc. 2025 11; 73(11):3327-3335. White EM, Wagner J, Stewart K, Guyer H, Nelson S, Chiong W, Muench U, Sideman A, Gerlach LB, Possin K, Pettit AR, Rothstein J, Marcus SC, Spetz J, Maust DT. PMID: 40776848; PMCID: PMC12403198.
      View in: PubMed   Mentions:    Fields:    Translation:Humans
    12. Continued Use of Cholinesterase Inhibitors and Memantine in Hospice. JAMA Intern Med. 2025 May 01; 185(5):595-597. Hunt LJ, Gan S, Boscardin WJ, Harrison KL, Growdon ME, Muench UU, Gerlach LB, Smith AK, Steinman MA. PMID: 40126467; PMCID: PMC11933991.
      View in: PubMed   Mentions: 1     Fields:    
    13. The 2016 CDC Opioid Guideline and Analgesic Prescribing Patterns in Older Adults With Cancer. JAMA Netw Open. 2025 05 01; 8(5):e259043. Rodin R, Li L, McKendrick K, Harrison K, Hunt LJ, Muench U, Smith CB, Aldridge MD, Morrison RS. PMID: 40332933; PMCID: PMC12059969.
      View in: PubMed   Mentions:    Fields:    Translation:Humans
    14. 190 Initial Validity Testing of a Tool to Identify Risk for Unidentified Pain. Journal of Pain. 2025 Apr 1; 29:104988. Boon BJ, Failla FM, Anderson AA, Melnyk MB, Bruehl BS, Muench MU, Carter CM, Monroe MT. .
      View in: Publisher Site   Mentions:
    15. 190 Initial Validity Testing of a Tool to Identify Risk for Unidentified Pain. Journal of Pain. 2025 Apr 1; 29:104988. Boon BJ, Failla FM, Anderson AA, Melnyk MB, Bruehl BS, Muench MU, Carter CM, Monroe MT. .
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    16. Impact of COVID-19 on Trends in Physician Payments from Traditional Medicare from 2017-2021. J Gen Intern Med. 2025 Sep; 40(13):3279-3282. Mendez X, Muench U, Lewis CP, Fraze TK. PMID: 40067637; PMCID: PMC12508299.
      View in: PubMed   Mentions:    Fields:    
    17. Clinician type and care setting for treatment of Medicare beneficiaries with dementia. Alzheimers Dement. 2025 03; 21(3):e70102. Maust DT, Davis RC, Muench U, Marcus SC, Spetz J. PMID: 40145303; PMCID: PMC11947733.
      View in: PubMed   Mentions: 2     Fields:    Translation:Humans
    18. CLINICIAN TYPE AND SETTING OF CARE DELIVERED TO MEDICARE BENEFICIARIES WITH DEMENTIA IN THE U.S. Innovation in Aging. 2024 Dec 31; 8(Supplement_1):1343-1344. Maust MD, Davis DR, Muench MU, Marcus MS, Spetz SJ. .
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    19. Nurse practitioner race and ethnicity and interest in independent primary care practice and serving Medicaid enrollees. Health Aff Sch. 2024 Dec; 2(12):qxae153. Muench U, Quan A, de Lisser R, Bates T, Spetz J. PMID: 39664475; PMCID: PMC11630004.
      View in: PubMed   Mentions:
    20. A conceptual model for assessing the risk of unidentified pain. J Pain. 2025 02; 27:104722. Boon JT, Failla MD, Anderson AR, Melnyk BM, Bruehl S, Von Ah D, Muench U, McElfresh J, Carter M, Monroe TB. PMID: 39461456; PMCID: PMC11807754.
      View in: PubMed   Mentions:    Fields:    Translation:Humans
    21. Differences in setting of initial dementia diagnosis among fee-for-service Medicare beneficiaries. J Am Geriatr Soc. 2025 01; 73(1):39-49. White EM, Bayer T, Kosar CM, Santostefano CM, Muench U, Oh H, Gadbois EA, Gozalo PL, Rahman M. PMID: 39434608; PMCID: PMC11735312.
      View in: PubMed   Mentions: 4     Fields:    Translation:Humans
    22. Patterns of Migration Following Dementia Diagnosis. JAMA Netw Open. 2024 10 01; 7(10):e2439499. Rahman M, Thapa BB, Santostefano C, Gozalo P, Muench U, Kosar CM, Oh H, White E, Mor V. PMID: 39401033; PMCID: PMC11474419.
      View in: PubMed   Mentions:    Fields:    Translation:Humans
    23. Nurse Practitioner Care, Scope of Practice, and End-of-Life Outcomes for Nursing Home Residents With Dementia. JAMA Health Forum. 2024 05 03; 5(5):e240825. Kosar CM, Thapa BB, Muench U, Santostefano C, Gadbois EA, Oh H, Gozalo PL, Rahman M, White EM. PMID: 38728021; PMCID: PMC11087831.
      View in: PubMed   Mentions: 2     Fields:    Translation:Humans
    24. Racial disparities in inpatient palliative care consultation among frail older patients undergoing high-risk elective surgical procedures in the United States: a cross-sectional study of the national inpatient sample. Health Aff Sch. 2023 Aug; 1(2):qxad026. Kim KM, Muench U, Maki JE, Yefimova M, Oh A, Jopling JK, Rinaldo F, Shah NR, Giannitrapani KF, Williams MY, Lorenz KA. PMID: 38756238; PMCID: PMC10986263.
      View in: PubMed   Mentions:
    25. New psychotropic medication use among Medicare beneficiaries with dementia after hospital discharge. J Am Geriatr Soc. 2023 04; 71(4):1134-1144. Growdon ME, Gan S, Yaffe K, Lee AK, Anderson TS, Muench U, Boscardin WJ, Steinman MA. PMID: 36514208; PMCID: PMC10089969.
      View in: PubMed   Mentions: 6     Fields:    Translation:Humans
    26. Rural-urban prescribing patterns by primary care and behavioral health providers in older adults with serious mental illness. BMC Health Serv Res. 2022 Nov 29; 22(1):1440. Muench U, Jura M, Thomas CP, Perloff J, Spetz J. PMID: 36447260; PMCID: PMC9706942.
      View in: PubMed   Mentions: 9     Fields:    Translation:Humans
    27. Physician and Nurse Practitioner Teamwork and Job Satisfaction: Gender and Profession. The Journal for Nurse Practitioners. 2022 Sep 1; 18(8):819-824. Poghosyan PL, Brooks BJ, Liu LJ, Lee LY, Bilazarian BA, Muench MU. .
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    28. Climate Change, Public Health, Health Policy, and Nurses Training. Am J Public Health. 2022 06; 112(S3):S321-S327. Harris OO, Bialous SA, Muench U, Chapman S, Dawson-Rose C. PMID: 35679559; PMCID: PMC9184906.
      View in: PubMed   Mentions: 8     Fields:    Translation:HumansPHPublic Health
    29. Racial Disparities in Financial Security, Work and Leisure Activities, and Quality of Life Among the Direct Care Workforce. Gerontologist. 2021 08 13; 61(6):838-850. Muench U, Spetz J, Jura M, Harrington C. PMID: 33216901.
      View in: PubMed   Mentions: 4     Fields:    Translation:Humans
    30. Evaluation of Clinical and Economic Outcomes Following Implementation of a Medicare Pay-for-Performance Program for Surgical Procedures. JAMA Netw Open. 2021 08 02; 4(8):e2121115. Kim KM, White JS, Max W, Chapman SA, Muench U. PMID: 34406402; PMCID: PMC8374611.
      View in: PubMed   Mentions: 6     Fields:    Translation:Humans
    31. The Association Between Scope of Practice Regulations and Nurse Practitioner Prescribing of Buprenorphine After the 2016 Opioid Bill. Med Care Res Rev. 2022 04; 79(2):290-298. Nguyen T, Muench U, Andraka-Christou B, Simon K, Bradford WD, Spetz J. PMID: 33792414; PMCID: PMC8594929.
      View in: PubMed   Mentions: 18     Fields:    Translation:Humans
    32. Hospital Admissions Associated With Cancer Pain in Older Adults With and Without Dementia. Pain Manag Nurs. 2021 08; 22(4):496-502. Strassels SA, Moss KO, Mallow PJ, Tamer RM, Monroe TB, Williams NO, Levine AS, Muench U. PMID: 33741261; PMCID: PMC9128229.
      View in: PubMed   Mentions:    Fields:    Translation:Humans
    33. Do penalty-based pay-for-performance programs improve surgical care more effectively than other payment strategies? A systematic review. Ann Med Surg (Lond). 2020 Dec; 60:623-630. Kim KM, Max W, White JS, Chapman SA, Muench U. PMID: 33304576; PMCID: PMC7711081.
      View in: PubMed   Mentions: 6  
    34. Time trends in the regional distribution of physicians, nurses and midwives in Europe. BMC Health Serv Res. 2020 Oct 12; 20(1):937. Winkelmann J, Muench U, Maier CB. PMID: 33046077; PMCID: PMC7549210.
      View in: PubMed   Mentions: 21     Fields:    Translation:Humans
    35. Pain Management in Home Health Care: Relationship With Dementia and Facility Admissions. Pain Manag Nurs. 2021 02; 22(1):36-43. Wang J, Monroe TB, Simning A, Conwell Y, Caprio TV, Cai X, Temkin-Greener H, Muench U, Yu F, Ge S, Li Y. PMID: 32680825; PMCID: PMC8985238.
      View in: PubMed   Mentions: 15     Fields:    Translation:Humans
    36. Scope-of-Practice for Nurse Practitioners and Adherence to Medications for Chronic Illness in Primary Care. J Gen Intern Med. 2021 02; 36(2):478-486. Muench U, Whaley C, Coffman J, Spetz J. PMID: 32583346; PMCID: PMC7878646.
      View in: PubMed   Mentions: 8     Fields:    Translation:Humans
    37. Financial Vulnerability and Worker Well-Being: A Comparison of Long-Term Services and Supports Workers With Other Health Workers. Med Care Res Rev. 2021 10; 78(5):607-615. Muench U, Jura M, Spetz J, Mathison R, Herrington C. PMID: 32567500.
      View in: PubMed   Mentions: 6     Fields:    Translation:Humans
    38. Preventable hospitalizations from ambulatory care sensitive conditions in nursing homes: evidence from Switzerland. Int J Public Health. 2019 Dec; 64(9):1273-1281. Muench U, Simon M, Guerbaai RA, De Pietro C, Zeller A, Kressig RW, Zúñiga F, INTERCARE Research Group. PMID: 31482196; PMCID: PMC6867979.
      View in: PubMed   Mentions: 15     Fields:    Translation:Humans
    39. Opioid-prescribing Outcomes of Medicare Beneficiaries Managed by Nurse Practitioners and Physicians. Med Care. 2019 06; 57(6):482-489. Muench U, Spetz J, Jura M, Guo C, Thomas C, Perloff J. PMID: 31008896.
      View in: PubMed   Mentions: 8     Fields:    Translation:Humans
    40. Opioid prescribing patterns after dental visits among beneficiaries of Medicaid in Washington state in 2014 and 2015. J Am Dent Assoc. 2019 04; 150(4):259-268.e1. Obadan-Udoh E, Lupulescu-Mann N, Charlesworth CJ, Muench U, Jura M, Kim H, Schwarz E, Mertz E, Sun BC. PMID: 30922457; PMCID: PMC6519087.
      View in: PubMed   Mentions: 5     Fields:    Translation:Humans
    41. Medication adherence, costs, and ER visits of nurse practitioner and primary care physician patients: Evidence from three cohorts of Medicare beneficiaries. Health Serv Res. 2019 02; 54(1):187-197. Muench U, Guo C, Thomas C, Perloff J. PMID: 30284237; PMCID: PMC6338303.
      View in: PubMed   Mentions: 16     Fields:    Translation:Humans
    42. California Nurse Practitioners Are Positioned To Fill The Primary Care Gap, But They Face Barriers To Practice. Health Aff (Millwood). 2018 09; 37(9):1466-1474. Spetz J, Muench U. PMID: 30179564.
      View in: PubMed   Mentions: 3     Fields:    Translation:Humans
    43. The male-female earnings gap for nurses in Germany: A pooled cross-sectional study of the years 2006 and 2012. Int J Nurs Stud. 2019 Jan; 89:125-131. Muench U, Dietrich H. PMID: 28716298.
      View in: PubMed   Mentions: 6     Fields:    Translation:Humans
    44. Prescribing Practices by Nurse Practitioners and Primary Care Physicians: A Descriptive Analysis of Medicare Beneficiaries. Journal of Nursing Regulation. 2017; 8(1):21-30. Muench U, Perloff J, Thomas C, Buerhaus P.
    45. Prescribing Practices by Nurse Practitioners and Primary Care Physicians: A Descriptive Analysis of Medicare Beneficiaries. Journal of Nursing Regulation. 2017 Apr 1; 8(1):21-30. Muench MU, Perloff PJ, Thomas TC, Buerhaus BP. .
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    46. Does independent scope of practice affect prescribing outcomes, healthcare costs, and utilization?. Health Care Cost Institute Issue Brief. 2016. Muench U, Spetz J, Coffman J.
    47. Exploring Explanations for the Female-Male Earnings Difference Among Registered Nurses in the United States. Nurs Econ. 2016 Sep-Oct; 34(5):214-23. Muench U, Busch SH, Sindelar J, Buerhaus PI. PMID: 29975036.
      View in: PubMed   Mentions: 4     Fields:    Translation:Humans
    48. How do long-term care workers spend their time? Answers from the American Time-Use Survey. UCSF Healthforce Center Report. 2016. Muench U, Jura M, Spetz J.
    49. Projections of the Long-Term Growth of the Registered Nurse Workforce: A Regional Analysis. J Nurs Adm. 2015 Oct; 45(10 Suppl):S5-9. Buerhaus PI, Auerbach DI, Staiger DO, Muench U. PMID: 26426137.
      View in: PubMed   Mentions:    Fields:    Translation:Humans
    50. Salary differences between male and female registered nurses in the United States. JAMA. 2015 Mar 24-31; 313(12):1265-7. Muench U, Sindelar J, Busch SH, Buerhaus PI. PMID: 25803350.
      View in: PubMed   Mentions: 29     Fields:    Translation:Humans
    51. Policy solutions to address the foreign-educated and foreign-born health care workforce in the United States. Health Aff (Millwood). 2013 Nov; 32(11):1906-13. Chen PG, Auerbach DI, Muench U, Curry LA, Bradley EH. PMID: 24191079.
      View in: PubMed   Mentions: 8     Fields:    Translation:Humans
    52. The nursing workforce in an era of health care reform. N Engl J Med. 2013 Apr 18; 368(16):1470-2. Auerbach DI, Staiger DO, Muench U, Buerhaus PI. PMID: 23594001.
      View in: PubMed   Mentions: 15     Fields:    Translation:Humans
    53. Projections of the long-term growth of the registered nurse workforce: a regional analysis. Nurs Econ. 2013 Jan-Feb; 31(1):13-7. Buerhaus PI, Auerbach DI, Staiger DO, Muench U. PMID: 23505738.
      View in: PubMed   Mentions: 1     Fields:    Translation:Humans
    54. The nursing workforce: a comparison of three national surveys. Nurs Econ. 2012 Sep-Oct; 30(5):253-60; quiz 261. Auerbach DI, Staiger DO, Muench U, Buerhaus PI. PMID: 23198607.
      View in: PubMed   Mentions: 3     Fields:    Translation:Humans
    55. Nursing testimony before Congress, 1993-2011. Policy Polit Nurs Pract. 2012 Aug; 13(3):170-8. Cohen SS, Muench U. PMID: 23416631.
      View in: PubMed   Mentions:    Fields:    Translation:Humans
    56. Implementation of a lifestyle program in primary care by nurse practitioners. J Am Acad Nurse Pract. 2010 Dec; 22(12):684-93. Whittemore R, Melkus GD, Alexander N, Zibel S, Visone E, Muench U, Magenheimer E, Wilborne S. PMID: 21129077; PMCID: PMC3058230.
      View in: PubMed   Mentions: 3     Fields:    Translation:Humans
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