The impact of nurse practitioner regulations on population access to care
| Autor: | Donna Felber Neff, Michael D. Bumbach, Damian Everhart, Ilir Bejleri, Jeffrey S. Harman, Sul Hee Yoon, Ruth L. Steiner |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
Nurse practitioners media_common.quotation_subject Population Economic shortage Logistic regression Health Services Accessibility Odds 03 medical and health sciences 0302 clinical medicine Surveys and Questionnaires medicine Humans Nurse Practitioners 030212 general & internal medicine education General Nursing American Medical Association media_common education.field_of_study 030504 nursing Primary Health Care business.industry Censuses United States Travel time Logistic Models Family medicine Workforce Government Regulation 0305 other medical science business Autonomy |
| Zdroj: | Nursing outlook. 66(4) |
| ISSN: | 1528-3968 |
| Popis: | Background By 2025, experts estimate a significant shortage of primary care providers in the United States, and expansion of the nurse practitioner (NP) workforce may reduce this burden. However, barriers imposed by state NP regulations could reduce access to primary care. Purpose The objectives of this study were to examine the association between three levels of NP state practice regulation (independent, minimum restrictive, and most restrictive) and the proportion of the population with a greater than 30-min travel time to a primary care provider using geocoding. Methods Logistic regression models were conducted to calculate the adjusted odds of having a greater than 30-min drive time. Findings Compared with the most restrictive NP states, states with independent practice had 19.2% lower odds (p = .001) of a greater than 30-min drive to the closest primary care provider. Discussion Allowing NPs full autonomy to practice may be a relatively simple policy mechanism for states to improve access to primary care. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect