Scope-of-Practice for Nurse Practitioners and Adherence to Medications for Chronic Illness in Primary Care.

ABSTRACT:

Background

Nonadherence to medications is costly and improving adherence is difficult, requiring multifactorial solutions, including policy solutions.

Objective

The purpose of this study is to evaluate the effect of one policy strategy on medication adherence. Specifically, we examine the effect on adherence of expanding scope-of-practice regulations for nurse practitioners (NPs) to practice and prescribe without physician supervision.

Design

We conducted three difference-in-difference multivariable analyses of commercial insurance claims.

Participants

Patients who filled at least two prescriptions in one of three chronic therapeutic medications: anti-diabetics (n = 514,255), renin angiotensin system antagonists (RASA) (n = 1,679,957), and anti-lipidemics (n = 

SUBMITTER: Muench U 

PROVIDER: S-EPMC7878646 | biostudies-literature | 2021 Feb

REPOSITORIES: biostudies-literature