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Nurse practitioners' workforce outcomes under implementation of full practice authority.
Kelli DePriest1, Rita D'Aoust1, Laura Samuel1
1Johns Hopkins University School of Nursing, Baltimore, MD.
Nursing Outlook
|June 29, 2020
Summary
Full practice authority laws enable nurse practitioners (NPs) to practice independently. This leads to NPs being more likely to live in shortage areas and become self-employed, improving primary care access.
Area of Science:
- Health Policy
- Health Workforce Studies
- Primary Care
Background:
- Full practice authority (FPA) laws grant nurse practitioners (NPs) independent practice and prescribing capabilities.
- These laws may significantly impact NP workforce dynamics and patient access to care.
Purpose of the Study:
- To investigate the effects of FPA implementation on NP self-employment.
- To determine if FPA influences NP average earnings.
- To assess the likelihood of NPs practicing in primary care Health Professional Shortage Areas (HPSAs).
Main Methods:
- Utilized a nationally representative sample of 9,782 US NPs from 2010-2018 (American Community Survey).
- Employed difference-in-differences regression analysis to evaluate changes in NP workforce outcomes post-FPA implementation.
- Adjusted for covariates to estimate the impact of FPA.
Main Results:
- For full-time NPs, FPA was linked to a higher probability of residing in HPSAs (aOR: 2.34).
- FPA was associated with a significantly increased mean probability of NP self-employment (aOR: 4.97).
Conclusions:
- FPA implementation appears to enhance primary care provider availability in underserved areas.
- These laws may foster increased practice ownership among nurse practitioners.
Keywords:
American Community SurveySelf-employmentdifference-in-differencesearningshealth professional shortage areasMore Related Videos
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