Rural Health
Resources by Topic: Scope of practice
Declining Endoscopic Care by Family Physicians in Both Rural and Urban Areas
Results of a study using data from 2014-2016 to determine whether the percentage of family physicians providing endoscopic services has declined in rural as well as urban areas. Features statistics with breakdowns by 3 types of procedures and urban or rural location.
Author(s): Lars E. Peterson, Urooj Nasim, Vashisht Madabhushi
Citation: Journal of the American Board of Family Medicine, 32(4), 460-461
Date: 07/2019
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Results of a study using data from 2014-2016 to determine whether the percentage of family physicians providing endoscopic services has declined in rural as well as urban areas. Features statistics with breakdowns by 3 types of procedures and urban or rural location.
Author(s): Lars E. Peterson, Urooj Nasim, Vashisht Madabhushi
Citation: Journal of the American Board of Family Medicine, 32(4), 460-461
Date: 07/2019
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Buprenorphine Prescribing by Nurse Practitioners, Physician Assistants and Physicians After CARA 2016
Investigates the differences in buprenorphine prescribing patterns among nurse practitioners (NPs), physician assistants (PAs) and physicians in Medicaid following implementation of the Comprehensive Addiction and Recovery Act (CARA) addressing opioid use disorder (OUD). Retail pharmacy claims from July 2017 to June 2018 were analyzed to identify prescriber type, number of patients, payer type, rural and urban differences, and Medicaid trends for FDA-approved buprenorphine drugs for the treatment of OUD.
Author(s): Rekha Varghese, Karin Johnson, Bo Feng, et al.
Date: 04/2019
Sponsoring organizations: IMPAQ International, LLC, Medicaid and CHIP Payment and Access Commission
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Investigates the differences in buprenorphine prescribing patterns among nurse practitioners (NPs), physician assistants (PAs) and physicians in Medicaid following implementation of the Comprehensive Addiction and Recovery Act (CARA) addressing opioid use disorder (OUD). Retail pharmacy claims from July 2017 to June 2018 were analyzed to identify prescriber type, number of patients, payer type, rural and urban differences, and Medicaid trends for FDA-approved buprenorphine drugs for the treatment of OUD.
Author(s): Rekha Varghese, Karin Johnson, Bo Feng, et al.
Date: 04/2019
Sponsoring organizations: IMPAQ International, LLC, Medicaid and CHIP Payment and Access Commission
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Opioid Use Disorder: Challenges and Opportunities in Rural Communities
Discusses challenges rural communities face in providing access to evidence-based treatment for opioid use disorder (OUD). Identifies federal and state strategies to address treatment capacity, including expanding the workforce authorized to prescribe buprenorphine and using technology to provide treatment. Highlights how Scott County, Indiana responded to an HIV outbreak related to OUD by addressing the barriers to care faced by people with OUD and HIV.
Date: 02/2019
Sponsoring organization: Pew Charitable Trusts
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Discusses challenges rural communities face in providing access to evidence-based treatment for opioid use disorder (OUD). Identifies federal and state strategies to address treatment capacity, including expanding the workforce authorized to prescribe buprenorphine and using technology to provide treatment. Highlights how Scott County, Indiana responded to an HIV outbreak related to OUD by addressing the barriers to care faced by people with OUD and HIV.
Date: 02/2019
Sponsoring organization: Pew Charitable Trusts
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Nurse Practitioners: A Solution to America's Primary Care Crisis
Examines trends in supply and demand of nurse practitioners (NPs), including projected supply of physicians and NPs in rural areas. Includes a table listing state-level scope-of-practice regulatory restrictions on NPs as of 2018.
Author(s): Peter Buerhaus
Date: 09/2018
Sponsoring organization: American Enterprise Institute
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Examines trends in supply and demand of nurse practitioners (NPs), including projected supply of physicians and NPs in rural areas. Includes a table listing state-level scope-of-practice regulatory restrictions on NPs as of 2018.
Author(s): Peter Buerhaus
Date: 09/2018
Sponsoring organization: American Enterprise Institute
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Addressing the Nation's Primary Care Shortage: Advanced Practice Clinicians and Innovative Care Delivery Models
Highlights gaps in primary care access and ways to address primary care shortages through advanced practice clinicians and care delivery models. Provides some data on nurse practitioners, physician assistants, certified nurse midwives, and nurse practitioner scope of practice laws.
Date: 09/2018
Sponsoring organization: UnitedHealth Group
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Highlights gaps in primary care access and ways to address primary care shortages through advanced practice clinicians and care delivery models. Provides some data on nurse practitioners, physician assistants, certified nurse midwives, and nurse practitioner scope of practice laws.
Date: 09/2018
Sponsoring organization: UnitedHealth Group
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Impact of Nurse Practitioner Practice Regulations on Rural Population Health Outcomes
Analyzes data from Rural Health Clinics (RHCs) in eight Southeastern states to determine if clinical outcomes of Medicare beneficiaries vary by level of practice autonomy that states grant to nurse practitioners (NPs).
Author(s): Judith Ortiz, Richard Hofler, Angeline Bushy, et al.
Citation: Healthcare, 6(2), 65
Date: 06/2018
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Analyzes data from Rural Health Clinics (RHCs) in eight Southeastern states to determine if clinical outcomes of Medicare beneficiaries vary by level of practice autonomy that states grant to nurse practitioners (NPs).
Author(s): Judith Ortiz, Richard Hofler, Angeline Bushy, et al.
Citation: Healthcare, 6(2), 65
Date: 06/2018
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Rural and Nonrural Primary Care Physician Practices Increasingly Rely on Nurse Practitioners
Details a study comparing rural and urban reliance on nurse practitioners as providers of primary care. Discusses the role of Medicaid expansion and scope of practice in findings.
Author(s): Hilary Barnes, Michael R. Richards, Matthew D. McHugh, Grant Martsolf
Citation: Health Affairs, 37(6)
Date: 06/2018
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Details a study comparing rural and urban reliance on nurse practitioners as providers of primary care. Discusses the role of Medicaid expansion and scope of practice in findings.
Author(s): Hilary Barnes, Michael R. Richards, Matthew D. McHugh, Grant Martsolf
Citation: Health Affairs, 37(6)
Date: 06/2018
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Leveraging Health Care Reform to Accelerate Nurse Practitioner Full Practice Authority
Presents a descriptive study of legislation from 1994 to 2016 impacting the scope of practice for nurse practitioners (NPs). Discusses how supporting full practice authority (FPA) where physician involvement is not required can lessen the concern over the lack of primary care providers by allowing NPs to offer comprehensive healthcare services to rural and vulnerable patients. Identifies barriers and limitations to FPA.
Author(s): Heather M. Brom, Pamela J. Salsberry, Margaret Clark Graham
Citation: Journal of the American Association of Nurse Practitioners, 30(3), 120-130
Date: 03/2018
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Presents a descriptive study of legislation from 1994 to 2016 impacting the scope of practice for nurse practitioners (NPs). Discusses how supporting full practice authority (FPA) where physician involvement is not required can lessen the concern over the lack of primary care providers by allowing NPs to offer comprehensive healthcare services to rural and vulnerable patients. Identifies barriers and limitations to FPA.
Author(s): Heather M. Brom, Pamela J. Salsberry, Margaret Clark Graham
Citation: Journal of the American Association of Nurse Practitioners, 30(3), 120-130
Date: 03/2018
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The Impact of Nurse Practitioner Scope-of-Practice Regulations in Primary Care
Examines the current and projected role of nurse practitioners (NPs) in rural and primary care settings, and discusses how changes in scope-of-practice (SOP) regulations for NPs may help alleviate healthcare access issues caused by a limited supply of physicians.
Author(s): Aziza Arifkhanova
Date: 2018
Sponsoring organization: RAND Corporation
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Examines the current and projected role of nurse practitioners (NPs) in rural and primary care settings, and discusses how changes in scope-of-practice (SOP) regulations for NPs may help alleviate healthcare access issues caused by a limited supply of physicians.
Author(s): Aziza Arifkhanova
Date: 2018
Sponsoring organization: RAND Corporation
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Rural Curricular Guidelines Based on Practice Scope of Recent Residency Graduates Practicing in Small Communities
Study using data from surveys self-administered between 2007-2014, exploring scope of practice of 586 recent graduates practicing in rural areas. Features statistics on demographics and various types of clinical activities, with breakdowns by small, medium, or large practice community size.
Author(s): Joe M. Skariah, Carl Rasmussen, Joyce Hollander-Rodriguez, et al.
Citation: Family Medicine, 49(8), 594-599
Date: 09/2017
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Study using data from surveys self-administered between 2007-2014, exploring scope of practice of 586 recent graduates practicing in rural areas. Features statistics on demographics and various types of clinical activities, with breakdowns by small, medium, or large practice community size.
Author(s): Joe M. Skariah, Carl Rasmussen, Joyce Hollander-Rodriguez, et al.
Citation: Family Medicine, 49(8), 594-599
Date: 09/2017
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