State Variation in the Utilization of Nurse Practitioner–Provided Home-Based Primary Care: A Medicare Claims Analysis
| Autor: | Monica O'Reilly-Jacob, Jennifer Perloff, Meera Srinivasan, Michelle Alvarez, Alex Hoyt |
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| Rok vydání: | 2023 |
| Předmět: | |
| Zdroj: | Journal of Gerontological Nursing. 49:11-17 |
| ISSN: | 1938-243X 0098-9134 |
| Popis: | Nurse practitioners (NPs) provide an increasing proportion of home-based primary care, despite restrictive scope of practice laws in approximately one half of states. We examined the relationship between scope of practice laws and state volume of NP-provided home-based primary care by performing an analysis of 2018 to 2019 Medicare claims. For each state we calculated the proportion of total home-based primary care visits by NPs and the proportion of all NPs providing home-based primary care. We used the 2018 American Association of Nurse Practitioners classification of state practice environment. We performed chi-square tests to assess the significance between volume and practice environment. We found that 42% of home-based primary care is delivered by NPs nationally, but substantial variation exists across states. We did not find a discernible or statistically significant pattern of uptake of NP-provided home-based primary care across full, reduced, or restricted states. [ Journal of Gerontological Nursing, 49 (5), 11–17.] |
| Databáze: | OpenAIRE |
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