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Related Experiment Videos

State regulatory board structure, regulations, and nurse practitioner availability

M Wilken1

  • 1Curry County Home Health Hospice, Gold Beach, OR, USA.

The Nurse Practitioner
|October 1, 1995
PubMed
Summary

State boards influence nurse practitioner (NP) practice by impacting reimbursement and prescribing authority. Consumer representation on boards boosts reimbursement, while NP committees enhance prescribing rights.

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Area of Science:

  • Health Policy
  • Nursing Practice
  • Healthcare Regulation

Background:

  • State boards of nursing (BON) and medicine (BOM) establish regulations influencing nurse practitioner (NP) scope of practice.
  • Key barriers to NP practice include lack of direct third-party reimbursement and prescriptive authority.

Purpose of the Study:

  • To examine how state board structures affect NP practice barriers.
  • To identify characteristics of BONs and BOMs that promote NP reimbursement and prescribing authority.

Main Methods:

  • Analysis of state-level regulations and board compositions.
  • Correlation of board characteristics (e.g., consumer representation, NP committees) with NP practice facilitators.

Main Results:

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  • Increased consumer percentage on BONs and BOMs correlates with higher likelihood of direct third-party reimbursement for NPs.
  • Presence of an NP committee positively influences the likelihood of NPs gaining prescribing authority.
  • NP availability is associated with NP educational programs, state recruitment/retention efforts, and direct reimbursement.
  • Conclusions:

    • State board composition and specific committees significantly impact NP practice autonomy and accessibility.
    • Policy recommendations should consider board structure to reduce barriers and enhance NP workforce availability.