State scope of practice restrictions and nurse practitioner practice in nursing homes: 2012-2019.

ABSTRACT: Increased engagement of nurse practitioners (NPs) has been recommended as a way to address care delivery challenges in settings that struggle to attract physicians, such as primary care and rural areas. Nursing homes also face such physician shortages. We evaluated the role of state scope of practice regulations on NP practice in nursing homes in 2012-2019. Using linear probability models, we estimated the proportion of NP-delivered visits to patients in nursing homes as a function of state scope of practice regulations. Control variables included county demographic, socioeconomic, and health care workforce characteristics; state fixed effects; and year indicators. The proportion of nursing home visits conducted by NPs increased from 24% in 2012 to 42% in 2019. Expanded scope of practice r

SUBMITTER: Ryskina KL 

PROVIDER: S-EPMC10901290 | biostudies-literature | 2024 Feb

REPOSITORIES: biostudies-literature