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Does State-Level Nurse Practitioner Scope-of-Practice Policy Affect Access to Care?

Esita Y Patel1, Victoria Petermann1, Barbara A Mark1

  • 11 University of North Carolina at Chapel Hill, NC, USA.

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PubMed
Summary
This summary is machine-generated.

Full nurse practitioner (NP) scope of practice (SOP) policies are linked to better healthcare access. Further research is needed to confirm causality and understand how NP SOP impacts patient access to care.

Keywords:
accessadvanced practicenurse practitionerpolicysystematic review

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Area of Science:

  • Health Services Research
  • Nursing Policy
  • Healthcare Access

Background:

  • Policy debates exist regarding full state-level nurse practitioner (NP) scope of practice (SOP).
  • NP SOP is theorized to influence healthcare access, but empirical evidence requires synthesis.
  • A systematic review is needed to assess the relationship between NP SOP and access to care.

Purpose of the Study:

  • To systematically review empirical studies examining the relationship between full state-level NP SOP and access to care.
  • To apply Aday and Andersen's Access Framework to operationalize and analyze components of healthcare access.
  • To identify how NP SOP may influence various dimensions of healthcare accessibility.

Main Methods:

  • Systematic literature review of studies investigating NP SOP and healthcare access.
  • Utilized Aday and Andersen's Access Framework to define and measure access to care.
  • Analyzed findings to map components of access influenced by NP SOP.

Main Results:

  • Full state-level NP SOP is associated with improvements in multiple components of healthcare access.
  • The review identified a positive correlation between expanded NP authority and enhanced access.
  • Causality and specific mechanisms require further investigation.

Conclusions:

  • Full NP SOP demonstrates a positive association with increased healthcare access.
  • Additional research is crucial to establish causality and elucidate the mechanisms driving this relationship.
  • Findings support aligning research, practice, and policy to enhance healthcare accessibility through NP SOP.