The rise of advanced practice provider independence bills: a misguided attempt to address the physician shortage.

Autor: Bohler F; Oakland University William Beaumont School of Medicine, Rochester, MI, USA., Peters G; Oakland University William Beaumont School of Medicine, Rochester, MI, USA., Aggarwal N; Oakland University William Beaumont School of Medicine, Rochester, MI, USA., Harvey K; University of California Los Angeles, Los Angeles, CA, USA., Bohler JD; Gastroenterologist, Bitterroot Health Hospital, Hamilton, MT, USA.
Jazyk: angličtina
Zdroj: Journal of osteopathic medicine [J Osteopath Med] 2024 Aug 27; Vol. 124 (12), pp. 555-558. Date of Electronic Publication: 2024 Aug 27 (Print Publication: 2024).
DOI: 10.1515/jom-2024-0110
Abstrakt: In the past decade, the rise of state legislation that allows for advanced practice provider (APP) independence has grown steadily across the country. Most recently, Montana has enacted House Bill 313, which allows for physician assistant independent practice in primary care services. This is a concerning trend because there is a multitude of studies that demonstrate worsened patient outcomes and increased healthcare expenditures for care delivered by nonphysicians. There are also many unintended consequences that are likely to occur due to this inappropriate expansion of scope of practice for APPs. In this commentary, we outline the ramifications that are likely to occur in states such as Montana that enact legislation that expands the scope of practice for nonphysicians.
(© 2024 the author(s), published by De Gruyter, Berlin/Boston.)
Databáze: MEDLINE