Impact of State Nurse Practitioner Regulations on Potentially Inappropriate Medication Prescribing Between Physicians and Nurse Practitioners A National Study in the United States

被引：3

作者：

Tzeng, Huey-Ming ^{[1
,2
]}

Raji, Mukaila A. ^{[2
]}

Chou, Lin-Na ^{[4
]}

Kuo, Yong-Fang ^{[2
,3
,4
]}

机构：

[1] Univ Texas Med Branch, Sch Nursing, 301 Univ Blvd, Galveston, TX 77555 USA

[2] Univ Texas Med Branch, Sealy Ctr Aging, Galveston, TX 77555 USA

[3] Univ Texas Med Branch, Dept Prevent Med & Populat Hlth, Galveston, TX 77555 USA

[4] Univ Texas Med Branch, Off Biostat, Galveston, TX 77555 USA

来源：

JOURNAL OF NURSING CARE QUALITY | 2022年 / 37卷 / 01期

基金：

美国医疗保健研究与质量局; 美国国家卫生研究院;

关键词：

advanced practice nurse; Beers Criteria; inappropriate prescribing; nurse practitioner; primary care physician; scope of practice; PRIMARY-CARE; PRACTICE AUTHORITY; ACCESS;

D O I：

10.1097/NCQ.0000000000000595

中图分类号：

R47 [护理学];

学科分类号：

1011 ;

摘要：

Background: The American Geriatrics Society regularly updates the Beers Criteria for Potentially Inappropriate Medication (PIM) to improve prescribing safety. Purpose: This study assessed the impact of nurse practitioner (NP) practices on PIM prescribing across states in the United States and compared the change in PIM prescribing rates between 2016 and 2018. Methods: We used data from a random selection of 20% of Medicare beneficiaries (66 years or older) from 2015 to 2018 to perform multilevel logistic regression. A PIM prescription was classified as initial or refill on the basis of medication history 1 year before a visit. PIM use after an outpatient visit was the primary study outcome. Results: We included 9 000 224 visits in 2016 and 9 310 261 in 2018. The PIM prescription rate was lower in states with full NP practice and lower among NPs than among physicians; these rates for both physicians and NPs decreased from 2016 to 2018. Conclusions: Changes could be due to individual state practices.

引用

页码：6 / 13

页数：8

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