Variations in Nurse Practitioner full practice authority in the United States: Difference in difference analysis of access and health Performance at a national level
Joyce J Fitzpatrick e outros, 2026 · Health Policy OPEN
State adoption of nurse practitioner full practice authority led to an estimated 1.03 percentage point increase in primary care visits with a nurse practitioner in the fully controlled specification, but the effect was not statistically significant.
Estimativa · Primary care visits with a nurse practitioner, probability (0-1)
0,0103 [-0,0246; 0,0452]
change in probability (0-1) · calculado a partir do erro-padrão
- Desenho
- Diferenças em diferenças. Staggered difference-in-differences using restricted MEPS data
- População
- Individuals in three US states enacting full practice authority compared to states without changes, 1997–2018
- Amostra
- 5.146 · patient observations in the Medical Expenditure Panel Survey
Onde está o número
Table 1, row 'Overall ATT', column 'Model 3'
Overall ATT | 0.0271* (0.0151) | 0.0254 (0.0156) | 0.0103 (0.0178)
Contexto
What changed: Adoption of state legislation granting nurse practitioners full practice authority to evaluate, diagnose, and prescribe without physician supervision in Connecticut, Maryland, and Minnesota. Comparison: States maintaining restrictions on nurse practitioner practice throughout the 1997–2018 period. Limits: Restricted to three treatment states due to MEPS sample size thresholds; point estimates lose statistical significance once county-level demographic controls are added.
Caminho no grafo
- FamíliaRegras e regulação
- TipoLicenciamento e autorizações
- EixoSaúde
MAGI só cita evidência deste instrumento
Lugares do estudo
- Connecticut · Estado ou região · US
- Maryland · Estado ou região · US
- Minnesota · Estado ou região · US
- Licença
- CC-BY
- Revisão
- Extraído por máquina, não revisadoExtraído por: gemini-3.8-flash, 2026-10-23