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Multistate licensure: a new regulatory concept
1College of Nursing, University of South Carolina, Columbia, USA.
Advanced Practice Nursing Quarterly
|January 1, 1997
Summary
The traditional state-by-state healthcare licensure system faces challenges due to evolving healthcare delivery. Revisions are needed to balance public safety with demands for a more flexible and responsive system for employers and professionals.
Area of Science:
- Healthcare Administration
- Medical Licensure Policy
- Public Health Regulation
Background:
- The current healthcare system is undergoing significant transformation.
- Traditional state-by-state medical licensure is a long-standing but potentially outdated model.
- Licensing boards are mandated to protect public welfare and safety via practice acts.
Purpose of the Study:
- To examine the challenges and risks associated with modifying the current state-by-state medical licensure system.
- To identify components of the existing licensure system that should be preserved.
- To explore how the licensure system can adapt to increasing demands for flexibility and responsiveness.
Main Methods:
- Policy analysis of current state licensure regulations.
- Review of challenges faced by state licensing boards.
- Examination of employer and licensee pressures for system adaptation.
Main Results:
- The existing licensure framework presents obstacles to modernization.
- Balancing public safety with system flexibility is a key challenge.
- Adaptation requires careful consideration of stakeholder needs.
Conclusions:
- Modification of the state-by-state licensure system is necessary.
- A balance must be struck between established regulatory functions and the need for a more adaptable system.
- Future reforms should aim for a more responsive and efficient licensure process.
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