State Nurse Practitioner Practice Regulations and US Health Care Delivery Outcomes: A Systematic Review

被引：79

作者：

Yang, Bo Kyum ^{[1
]}

Johantgen, Mary E. ^{[2
]}

Trinkoff, Alison M. ^{[2
]}

Idzik, Shannon R. ^{[2
]}

Wince, Jessica ^{[1
]}

Tomlinson, Carissa ^{[3
]}

机构：

[1] Towson Univ, Towson, MD USA

[2] Univ Maryland, Sch Nursing, Baltimore, MD 21201 USA

[3] Univ Minnesota, Minneapolis, MN USA

来源：

MEDICAL CARE RESEARCH AND REVIEW | 2021年 / 78卷 / 03期

关键词：

practice regulations; nurse practitioners; access to care; quality of care; health care cost; health care utilization; and workforce; SCOPE-OF-PRACTICE; PHYSICIAN ASSISTANTS; UNITED-STATES; PRACTICE LAWS; MEDICAL-CARE; QUALITY; COST; BENEFICIARIES; AUTHORITY; PATTERNS;

D O I：

10.1177/1077558719901216

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

There is a great variation across states in nurse practitioner (NP) scope of practice moderated by state regulations. The purpose of this study was to synthesize the evidence from studies of the impact of state NP practice regulations on U.S. health care delivery outcomes (e.g., health care workforce, access to care, utilization, care quality, or cost of care), guided by Donabedian's structure, process, and outcomes framework. This systematic review was performed using Medline, CINAHL, PsycINFO, and PubMed according to Preferred Reporting Items for Systematic and Meta-Analysis on the literature from January 2000 to August 2019. The results indicate that expanded state NP practice regulations were associated with greater NP supply and improved access to care among rural and underserved populations without decreasing care quality. This evidence could provide guidance for policy makers in states with more restrictive NP practice regulations when they consider granting greater practice independence to NPs.

引用

页码：183 / 196

页数：14

共 65 条

[51] State variation in opioid and benzodiazepine prescriptions between independent and nonindependent advanced practice registered nurse prescribing states
Schirle, Lori
McCabe, Brian E.
[J]. NURSING OUTLOOK, 2016, 64 (01) : 86 - 93
[52] Scope-of-practice laws and expanded health services: the case of underserved women and advanced cervical cancer diagnoses
Smith-Gagen, Julie
White, Larissa L.
Santos, Amanda
Hasty, Shaun M.
Tung, Wei-Chen
Lu, Minggen
[J]. JOURNAL OF EPIDEMIOLOGY AND COMMUNITY HEALTH, 2019, 73 (03) : 278 - 284
[53] Nurse Practitioner and Physician Assistant Waivers to Prescribe Buprenorphine and State Scope of Practice Restrictions
Spetz, Joanne
Toretsky, Christopher
Chapman, Susan
Phoenix, Bethany
Tierney, Matthew
[J]. JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2019, 321 (14): : 1407 - 1408
[54] Scope-Of-Practice Laws For Nurse Practitioners Limit Cost Savings That Can Be Achieved In Retail Clinics
Spetz, Joanne
Parente, Stephen T.
Town, Robert J.
Bazarko, Dawn
[J]. HEALTH AFFAIRS, 2013, 32 (11) : 1977 - 1984
[55] How does provider supply and regulation influence health care markets? Evidence from nurse practitioners and physician assistants
Stange, Kevin
[J]. JOURNAL OF HEALTH ECONOMICS, 2014, 33 : 1 - 27
[56] The Quality and Effectiveness of Care Provided by Nurse Practitioners
Stanik-Hutt, Julie
Newhouse, Robin P.
White, Kathleen M.
Johantgen, Meg
Bass, Eric B.
Zangaro, George
Wilson, Renee
Fountain, Lily
Steinwachs, Donald M.
Heindel, Lou
Weiner, Jonathan P.
[J]. JNP-JOURNAL FOR NURSE PRACTITIONERS, 2013, 9 (08): : 492 - +
[57] The effects of expanded nurse practitioner and physician assistant scope of practice on the cost of Medicaid patient care
Timmons, Edward Joseph
[J]. HEALTH POLICY, 2017, 121 (02) : 189 - 196
[58] Nurse practitioner independence, health care utilization, and health outcomes
Traczynski, Jeffrey
Udalova, Victoria
[J]. JOURNAL OF HEALTH ECONOMICS, 2018, 58 : 90 - 109
[59] U.S. Department of Veterans Affairs, 2016, VA GRANTS FULL PRACT
[60] Wells GA., 2000, P 3 S SYSTEMATIC REV

← 1 2 3 4 5 6 7 →