Ulrike Muench, RN, PhD, FAAN

Title(s)Associate Professor, Social Behavioral Sciences
SchoolSchool of Nursing
Address490 Illinois Street, #122H
San Francisco CA 94158
Phone415-502-3165
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    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 Overview 
    Collapse Overview
    Dr. Muench is an Associate Professor with tenure in the Department of Social and Behavioral Sciences in the School of Nursing, and affiliated faculty at the Philip R. Lee Institute for Health Policy Studies and Healthforce Center. As a nurse, nurse practitioner, and health services researcher, her program of research is centered on the nursing workforce. She has over a decade of experience conducting studies on the nursing labor market, examining prescribing patterns in primary care and the nursing home, and assessing the contributions of nurse practitioners across diverse settings and populations. Her research interests include populations living with opioid use disorder, serious mental illness, older adults with dementia, and those experiencing chronic pain.

    She has expertise working with large Medicare administrative claims data, the electronic medical record, and numerous large survey data, including the Medical Expenditure Panel Survey (MEPS), Current Population Survey (CPS), American Community Survey (ACS), American Time Use Survey (ATUS), National Sample Survey or Registered Nurses (NSSRN) and many others. Her research has been published in leading health care journals, including JAMA, NEJM, and Health Affairs.

    Dr. Muench trained as a registered nurse in the UK and completed her nurse practitioner training in Adult and Women’s health at Yale University. Her doctoral degree is also from Yale with a focus on health policy and health care systems. She completed a postdoctoral fellowship at Vanderbilt University before joining UCSF.

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    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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    Altmetrics Details PMC Citations indicate the number of times the publication was cited by articles in PubMed Central, and the Altmetric score represents citations in news articles and social media. (Note that publications are often cited in additional ways that are not shown here.) Fields are based on how the National Library of Medicine (NLM) classifies the publication's journal and might not represent the specific topic of the publication. Translation tags are based on the publication type and the MeSH terms NLM assigns to the publication. Some publications (especially newer ones and publications not in PubMed) might not yet be assigned Field or Translation tags.) Click a Field or Translation tag to filter the publications.
    1. Nurse Practitioner Care, Scope of Practice, and End-of-Life Outcomes for Nursing Home Residents With Dementia. JAMA Health Forum. 2024 May 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:    Fields:    Translation:Humans
    2. The association between cognitive ability and opioid prescribing in vulnerable older adults with chronic pain in ambulatory care: a secondary data analysis using the Medical Expenditure Panel Survey. BMC Med. 2023 11 16; 21(1):446. Muench U, Kim KM, Zimmer Z, Monroe TB. PMID: 37974164; PMCID: PMC10655447.
      View in: PubMed   Mentions: 1     Fields:    Translation:Humans
    3. 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:
    4. Advanced practice clinician care and end-of-life outcomes for community- and nursing home-dwelling Medicare beneficiaries with dementia. Alzheimers Dement. 2023 09; 19(9):3946-3964. Oh H, White EM, Muench U, Santostefano C, Thapa B, Kosar C, Gadbois EA, Osakwe ZT, Gozalo P, Rahman M. PMID: 37070972; PMCID: PMC10523969.
      View in: PubMed   Mentions:    Fields:    Translation:Humans
    5. 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: 1     Fields:    Translation:Humans
    6. 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: 4     Fields:    Translation:Humans
    7. Workforce Trends of Underrepresented Minority Nurses in the United States Over the Last Decade: Progress Towards Equal Representation? Policy Polit Nurs Pract. 2022 Nov; 23(4):215-227. Hynson E, Bloomer J, Samson Z, Price K, Tran D, Muench U. PMID: 36067059; PMCID: PMC9647315.
      View in: PubMed   Mentions: 1     Fields:    Translation:Humans
    8. 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. .
      View in: Publisher Site   Mentions:
    9. The Future of Behavioral Health-Harnessing the Potential of Psychiatric Mental Health Nurse Practitioners. JAMA Netw Open. 2022 07 01; 5(7):e2224365. Muench U, Fraze TK. PMID: 35904788.
      View in: PubMed   Mentions: 2     Fields:    Translation:Humans
    10. 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: 4     Fields:    Translation:HumansPHPublic Health
    11. A longitudinal cohort study of opioid prescriptions associated with nonsurgical dental visits among Oregon and New York state Medicaid beneficiaries, 2014-2016. J Am Dent Assoc. 2022 05; 153(5):460-469. Obadan-Udoh E, Jura M, Wang S, Werts M, Martiniano R, Muench U, Mertz E. PMID: 35151429.
      View in: PubMed   Mentions:    Fields:    Translation:Humans
    12. Pain treatment and functional improvement in home health care: Relationship with dementia. J Am Geriatr Soc. 2021 12; 69(12):3545-3556. Wang J, Cato K, Conwell Y, Yu F, Heffner K, Caprio TV, Nathan K, Monroe TB, Muench U, Li Y. PMID: 34418061.
      View in: PubMed   Mentions: 4     Fields:    Translation:Humans
    13. 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: 1     Fields:    Translation:Humans
    14. 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: 2     Fields:    Translation:Humans
    15. 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: 13     Fields:    Translation:Humans
    16. 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
    17. 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: 3  
    18. 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: 11     Fields:    Translation:Humans
    19. 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: 10     Fields:    Translation:Humans
    20. 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
    21. 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
    22. 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: 10     Fields:    Translation:Humans
    23. The Interdisciplinary Research Group on Nursing Issues: Advancing Health Services Research, Policy, Regulation, and Practice. J Nurs Regul. 2019 Jul; 10(2):55-59. Squires A, Germack H, Muench U, Stolldorf D, Witkoski-Stimpfel A, Yakusheva O, Brom H, Harrison J, Patel E, Riman K, Martsolf G. PMID: 36844480; PMCID: PMC9957562.
      View in: PubMed   Mentions:
    24. 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
    25. 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: 4     Fields:    Translation:Humans
    26. 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: 12     Fields:    Translation:Humans
    27. 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
    28. 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: 4     Fields:    Translation:Humans
    29. 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.
    30. 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. .
      View in: Publisher Site   Mentions:
    31. 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.
    32. 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: 2     Fields:    Translation:Humans
    33. 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.
    34. 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
    35. 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: 24     Fields:    Translation:Humans
    36. 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: 7     Fields:    Translation:Humans
    37. 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: 14     Fields:    Translation:Humans
    38. 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
    39. 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
    40. 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
    41. 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: 2     Fields:    Translation:Humans
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