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来源类型Dissertations
规范类型其他
DOIhttps://doi.org/10.7249/RGSD396
来源IDRGSD-396
The Impact of Nurse Practitioner Scope-of-Practice Regulations in Primary Care
Aziza Arifkhanova
发表日期2018
出版者RAND Corporation
出版年2018
页码238
语种英语
摘要

The costs of primary care have been rising and access to it may become limited because of a possible shortage in primary care physicians. Some state governments have addressed this issue by allowing Advanced Practice Registered Nurses (APRNs) to serve the population without the supervision of physicians. About half of the states permit nurse practitioners (NPs) to practice and/or prescribe drugs without physician supervision or collaboration. NPs in primary care charge lower prices than physicians and provide satisfactory quality of care, supported by existent literature. Moreover, increasing the number of NPs could alleviate access problems from a low supply of physicians. NP scope-of-practice (SOP) regulations have been changing in many states. The dissertation focuses on access to health care and addresses three research questions: what is the impact of NP SOP regulations on NP employment, access to primary health care in areas characterized by a relatively low supply of primary care physicians, and how does the Center for Medicaid and Medicare Innovation's Comprehensive Primary Care Initiative affect the use of NPs given state SOP regulations?

目录

Table of Contents

  • Chapter One

    Introduction

  • Chapter Two

    Background and Literature Review

  • Chapter Three

    Theory and Conceptual Framework for Nurse Practitioner Scope-of-Practice

  • Chapter Four

    The Impact of Nurse Practitioner Scope-of-Practice on Nurse Practitioner Employment

  • Chapter Five

    The Impact of Nurse Practitioner Scope-of-Practice on Patient Volume

  • Chapter Six

    The Center for Medicare and Medicaid Innovation's Comprehensive Primary Care Initiative and Nurse Practitioner Scope-of-Practice in Primary Care

  • Chapter Seven

    Conclusion

  • Appendix A1

    Description of steps for cleaning SK&A data

  • Appendix A2

    CMMI's CPCI: Background

  • Appendix A3

    Tables and Figures

主题Health Care Access ; Nurses and Nursing ; Primary Care
URLhttps://www.rand.org/pubs/rgs_dissertations/RGSD396.html
来源智库RAND Corporation (United States)
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条目标识符http://119.78.100.153/handle/2XGU8XDN/112031
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Aziza Arifkhanova. The Impact of Nurse Practitioner Scope-of-Practice Regulations in Primary Care. 2018.
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