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
Type: Document
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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
Type: Document
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Briefing - Expanding the Role of Nurse Practitioners
Webinar recording and slides on expanding the role of nurse practitioners, focusing on models from Nevada, Colorado, and New Mexico, and what California can learn from them. Includes information on nurse practitioners providing care in rural and frontier areas, as well as what they are doing to help combat the opioid epidemic.
Date: 05/2019
Type: Video/Multimedia
Sponsoring organization: California Health Care Foundation
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Webinar recording and slides on expanding the role of nurse practitioners, focusing on models from Nevada, Colorado, and New Mexico, and what California can learn from them. Includes information on nurse practitioners providing care in rural and frontier areas, as well as what they are doing to help combat the opioid epidemic.
Date: 05/2019
Type: Video/Multimedia
Sponsoring organization: California Health Care Foundation
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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
Type: Document
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
Type: Document
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
Type: Document
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
Type: Document
Sponsoring organization: Pew Charitable Trusts
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California's Physician Assistants: How Scope of Practice Laws Impact Care
Provides an overview of physician assistants (PAs), focusing on scope of practice regulations in California and evidence for expanding their scope of practice. Discusses how PAs increase access to care, particularly in rural areas, and summarizes studies on the quality and cost-effectiveness of the care they provide. Appendix A includes data on California's PAs, such as their distribution, demographics, and practice setting. Appendix B identifies physician assistant scope of practice elements for each state.
Author(s): Timothy Bates, Joanne Spetz, Miranda Werts
Date: 09/2018
Type: Document
Sponsoring organization: Healthforce Center at UCSF
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Provides an overview of physician assistants (PAs), focusing on scope of practice regulations in California and evidence for expanding their scope of practice. Discusses how PAs increase access to care, particularly in rural areas, and summarizes studies on the quality and cost-effectiveness of the care they provide. Appendix A includes data on California's PAs, such as their distribution, demographics, and practice setting. Appendix B identifies physician assistant scope of practice elements for each state.
Author(s): Timothy Bates, Joanne Spetz, Miranda Werts
Date: 09/2018
Type: Document
Sponsoring organization: Healthforce Center at UCSF
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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
Type: Document
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
Type: Document
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
Type: Document
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
Type: Document
Sponsoring organization: UnitedHealth Group
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California's Nurse Practitioners: How Scope of Practice Laws Impact Care
Provides an overview of nurse practitioner (NP) scope of practice regulations in California and other states. Discusses how NPs increase access to care, particularly in rural areas, and reviews studies on the quality and cost-effectiveness of the care they provide. Appendix A includes data on California's NPs, such as their distribution, demographics, practice setting, and specialty.
Author(s): Joanne Spetz
Date: 09/2018
Type: Document
Sponsoring organizations: California Health Care Foundation, Healthforce Center at UCSF
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Provides an overview of nurse practitioner (NP) scope of practice regulations in California and other states. Discusses how NPs increase access to care, particularly in rural areas, and reviews studies on the quality and cost-effectiveness of the care they provide. Appendix A includes data on California's NPs, such as their distribution, demographics, practice setting, and specialty.
Author(s): Joanne Spetz
Date: 09/2018
Type: Document
Sponsoring organizations: California Health Care Foundation, Healthforce Center at UCSF
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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
Type: Document
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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
Type: Document
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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
Type: Document
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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
Type: Document
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