Impact of nurse practitioners on health outcomes of Medicare and Medicaid patients

被引：75

作者：

Oliver, Gina M. ^{[1
]}

Pennington, Lila ^{[1
]}

Revelle, Sara ^{[2
]}

Rantz, Marilyn ^{[1
]}

机构：

[1] Univ Missouri, Sinclair Sch Nursing, Columbia, MO 65211 USA

[2] Boone Internal Med Associates, Columbia, MO USA

来源：

NURSING OUTLOOK | 2014年 / 62卷 / 06期

关键词：

Medicaid; Medicare; Nurse practitioners; PRIMARY-CARE OUTCOMES; PHYSICIANS; REGULATIONS;

D O I：

10.1016/j.outlook.2014.07.004

中图分类号：

R47 [护理学];

学科分类号：

1011 ;

摘要：

Strengthening health care overall is essential to the health of our nation and promoting access to health care as well as controlling health care costs in a quality cost-effective manner. Nurse practitioners have demonstrated to be effective and cost-effective providers in prior research; however, many states restrict their practice. We examined for a statistically significant relationship between the level of advanced practice registered nurse (APRN) practice (full, reduced, or restricted) allowed and results of recent nationwide, state level analyses of Medicare or Medicare-Medicaid beneficiaries of potentially avoidable hospitalizations, readmission rates after inpatient rehabilitation, and nursing home resident hospitalizations and then compared them with state health outcome rankings. States with full practice of nurse practitioners have lower hospitalization rates in all examined groups and improved health outcomes in their communities. Results indicate that obstacles to full scope of APRN practice have the potential to negatively impact our nation's health. Action should be taken to remove barriers to APRN practice.

引用

页码：440 / 447

页数：8

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