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Growth in retail-based clinics after nurse practitioner scope of practice reform
J Margo Brooks Carthon1, Therese Sammarco1, Darcy Pancir1
1Department of Family & Community Health, Center for Health Outcomes & Policy Research, University of Pennsylvania School of Nursing, Philadelphia, PA.
Background:
Retail clinics are largely staffed by nurse practitioners (NPs) and are a popular destination for nonemergent care.
Purpose:
We examined if there was a relationship between NP practice regulations and retail clinic growth after the passage of a scope of practice (SOP) reform bill in Pennsylvania.
Methods:
General linear regression models were used to compare retail clinic openings in Pennsylvania, New Jersey, and Maryland between 2006 and 2013.
Discussion:
From 2006 to 2008, Pennsylvania experienced a significant growth rate in net retail clinic openings per capita (p = .046), whereas New Jersey and Maryland experienced no significant increase (p = .109 and .053, respectively). From 2009 to 2013, Pennsylvania opened 0.20 clinics (p = .129), New Jersey opened 0.23 clinics (p = .086), and Maryland opened 0.34 clinics per capita per year (p = .017).
Conclusions:
Our study of three states with varying levels of SOP restraint reveals an association between relaxation of practice regulations and retail clinic growth.
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