第36届年度APRN立法更新:改善实践范围和权威,一次一个州
1Susanne J. Phillips is a family nurse practitioner and senior associate dean and clinical professor at the Sue & Bill Gross School of Nursing, University of California, Irvine in Irvine, Calif.
The Nurse practitioner
|December 20, 2023
概括
高级实践注册护士 (APRNs) 在全国范围内正在消除实践障碍. 本研究审查了APRN实践范围和补偿的州级更新,改善患者获得护理的机会.
科学领域:
- 护理实践 护理实践
- 医疗保健政策 医疗保健政策
- 医疗保健服务研究 医疗服务研究
背景情况:
- 法律和监管障碍限制了患者在美国各地获得高级实践注册护士 (APRN) 服务的机会.
- 了解APRN实践权威的不断变化的格局对于医疗保健政策和患者护理至关重要.
- 退款政策对APRN服务的可访问性和使用有重大影响.
研究的目的:
- 综合审查所有美国州和华盛顿特区APRN实践权威的现状.
- 识别和报告有关影响APRN实践范围的法规和监管变化的最新更新.
- 记录与APRN护理相关的报销政策的变化.
主要方法:
- 对有关APRN实践的州立法和监管文件进行系统审查.
- 分析与实践范围,规范权力和独立实践相关的政策变化.
- 审查退款政策,包括直接退款和APRN的付款平价.
主要成果:
- 在许多州减少APRN的实践障碍方面取得了重大进展.
- 实践权威的更新因州而异,有些扩大范围,有些保持限制.
- 报销政策的变化也取决于国家,影响APRN服务的经济可行性.
结论:
- 需要继续努力,以消除对APRN全面实践的法律和监管障碍.
- 政策的进步正在提高患者获得全面的APRN护理的机会,但差异仍然存在.
- 监测国家层面的政策变化对于倡导公平的APRN实践和全国性报销至关重要.
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