The Practice Boundaries of Advanced Practice Nurses: An Economic and Legal Analysis |
| |
Authors: | Michael J Dueker Ada K Jacox David E Kalist Stephen J Spurr |
| |
Institution: | (1) Federal Reserve Bank of St. Louis, USA;(2) Wayne State University, College of Nursing, USA;(3) Department of Economics, Shippensburg University, USA;(4) Department of Economics, Wayne State University, USA |
| |
Abstract: | The purpose of this study is to examine the effects of State regulation that determines the extent of professional independence of advanced practice nurses (APNs). We find that in States where APNs have acquired a substantial amount of professional independence, the earnings of APNs are substantially lower, and those of physicians assistants (PAs) are substantially higher, than in other States. These results are striking since PAs are in direct competition with APNs; the only real operational difference between these groups is that PAs are salaried employees who must work under the supervision of a physician. The implication is that physicians have responded to an increase in professional independence of APNs by hiring fewer APNs and more PAs. The finding that earnings of APNs decline when they attain more professional autonomy vis-à-vis physicians reinforces work by Sass and Nichols on physical therapists.The content is the responsibility of the authors and does
not represent official positions of the Federal Reserve Bank of St. Louis or the Federal
Reserve SystemJEL classification: I11, I18, J31, J44, L51 |
| |
Keywords: | regulation professions nursing panel data |
本文献已被 SpringerLink 等数据库收录! |
|