Supply-side health policy: The impact of scope-of-practice laws on mortality

• 成果类型: Article
• 署名作者: McMichael, Benjamin J.
• 署名单位: University of Alabama System; University of Alabama Tuscaloosa
• 刊物名称: JOURNAL OF PUBLIC ECONOMICS
• ISSN/ISSBN: 0047-2727
• DOI: 10.1016/j.jpubeco.2023.104901
• 发表日期: 2023
• 关键词: Scope-of-practice; Nurse practitioner; Physician assistant; mortality

摘要

The increased use of nurse practitioners (NPs) and physician assistants/associates (PAs) to provide healthcare represents an important supply-side policy option to expand access to care. However, restrictive scope-of-practice laws limit their ability to deliver care. I examine the effect of relaxing these scopeof-practice laws on healthcare amenable deaths, which are sensitive to access to care. Analyzing deaths in the United States between 2005 and 2019, I find that relaxing NP scope-of-practice laws reduces healthcare amenable deaths by 12 per 100,000 individuals and that relaxing PA scope-of-practice laws reduces these deaths by 10 per 100,000, with larger reductions in rural areas. (c) 2023 Elsevier B.V. All rights reserved.