全职执业权力对执业护士薪酬,协作和计费的影响
Christine Tracy1, Nancy G Russell2, Kelli DePriest2,3
1The American Association of Nurse Practitioners, Austin, Texas.
Journal of the American Association of Nurse Practitioners
|August 21, 2023
概括
执业护士 (NP) 的全职执业权限 (FPA) 与更好的薪酬和更多的执业所有权有关. 对于NP来说,这些好处随着FPA在一个州实施的时间越长,就越大.
科学领域:
- 卫生政策 卫生政策
- 护理实践 护理实践
- 医疗保健经济学 医疗经济学
背景情况:
- 关于执业护士 (NP) 许可法如何影响他们作为临床医生,员工和领导者的角色的研究有限.
- 现有的证据主要集中在全面实践权威 (FPA) 对医疗保健获取和质量的影响上.
研究的目的:
- 调查各州的FPA实施是否与改善的NP补偿,企业所有权,患者小组分配和计费透明度相关.
- 为了确定FPA对NP的好处是否会随着时间的推移在FPA实施时间较长的州中积累.
主要方法:
- 利用了对5770个持牌NP的全国调查数据.
- 在FPA和非FPA州的NP之间的就业条件比较.
- 在对人口因素进行平衡后,使用加权多变量回归来估计结果差异.
主要成果:
- 在FPA州的NP报告了更高的平均收益,更有可能拥有实践或是股东,并根据自己的NPI收取更大比例的访问费用.
- 与不到10年实施的FPA相比,FPA在10年或更长时间内实施的FPA与就业条件的更大改善有关.
结论:
- 国家对NP采用FPA与改善就业条件有关.
- 消除医生领导的NP实践障碍可能会导致收入和实践所有权的增量增长,这需要进一步的纵向研究.
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