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Multistate licensure: a new regulatory concept

R S Loquist1

  • 1College of Nursing, University of South Carolina, Columbia, USA.

Advanced Practice Nursing Quarterly
|January 1, 1997
PubMed
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.

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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  • Traditional state-by-state medical licensure is a long-standing but potentially outdated model.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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