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- Title
Scope-of-Practice Regulation and Nurse Practitioners as Usual Source of Care Providers.
- Authors
Xue, Ying; Mullaney, Teraisa; Smith, Brian; Cai, Xueya; Spetz, Joanne
- Abstract
Several trends suggest that the nurse practitioner (NP) workforce has untapped potential to expand healthcare capacity to increase access to care. The aim of this study was to examine NPs as usual source of care providers and investigate their relationship with state scope-of-practice (SOP) regulations. A retrospective analysis was performed using data from the Medical Expenditure Panel Survey on a sample of U.S. adults from 2010 to 2016. Modest growth in the proportion of U.S. adults who self-reported having an NP as their usual source of care provider was found from 2010 to 2016. Despite this growth, the national average of the percentage of adults with an NP as their usual source of care provider remained small. Full SOP regulation was shown to be associated with increased odds of having an NP as a usual source of care provider. In particular, adults who were on public health insurance, uninsured, and resided in nonmetropolitan areas benefited from having an NP as a usual source of care provider. Our study provides empirical evidence on the link between full SOP regulation and increased odds of having an NP as a usual source of care provider.
- Subjects
UNITED States; CONFIDENCE intervals; HEALTH services accessibility; HEALTH insurance; NURSING practice; RESEARCH funding; RURAL population; SELF-evaluation; PUBLIC sector; PROFESSIONAL standards; GOVERNMENT regulation; RETROSPECTIVE studies; DATA analysis software; STATISTICAL models; DESCRIPTIVE statistics; ODDS ratio
- Publication
Journal of Nursing Regulation, 2020, Vol 11, Issue 3, p13
- ISSN
2155-8256
- Publication type
Article
- DOI
10.1016/S2155-8256(20)30130-7