Rural Health
Resources by Topic: Scope of practice
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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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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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
Type: Document
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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
Type: Document
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Rural Family Physicians in Patient Centered Medical Homes Have a Broader Scope of Practice
Results of a study to determine whether rural family physicians in Patient Centered Medical Home (PCMH) practices have a broader scope of practice than those in non-PCMH practices. Features statistics including physician characteristics and scope of clinical services, with breakdowns by PCMH and non-PCMH and by large rural, small rural, and frontier areas.
Author(s): Lars E. Peterson, Bo Fang
Date: 02/2018
Type: Document
Sponsoring organization: Rural and Underserved Health Research Center
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Results of a study to determine whether rural family physicians in Patient Centered Medical Home (PCMH) practices have a broader scope of practice than those in non-PCMH practices. Features statistics including physician characteristics and scope of clinical services, with breakdowns by PCMH and non-PCMH and by large rural, small rural, and frontier areas.
Author(s): Lars E. Peterson, Bo Fang
Date: 02/2018
Type: Document
Sponsoring organization: Rural and Underserved Health Research Center
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Rural Family Physicians Have a Broader Scope of Practice than Urban Family Physicians
Results of a study to determine differences between rural and urban family physicians in scope of practice for clinical and procedural care in 2014 and 2015. Features statistics including physician characteristics and percentages of physicians providing various types of services and care, with breakdowns by metropolitan, large rural, small rural, and frontier areas.
Author(s): Lars E. Peterson, Bo Fang
Date: 02/2018
Type: Document
Sponsoring organization: Rural and Underserved Health Research Center
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Results of a study to determine differences between rural and urban family physicians in scope of practice for clinical and procedural care in 2014 and 2015. Features statistics including physician characteristics and percentages of physicians providing various types of services and care, with breakdowns by metropolitan, large rural, small rural, and frontier areas.
Author(s): Lars E. Peterson, Bo Fang
Date: 02/2018
Type: Document
Sponsoring organization: Rural and Underserved Health Research Center
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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
Type: Document
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
Type: Document
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
Type: Document
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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
Type: Document
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Development and Deployment of Community Health Workers in Delaware
A guide for establishing a Community Health Worker program in the state of Delaware. Includes information about certification requirements and reimbursement mechanisms, along with model programs from other states.
Date: 06/2017
Type: Document
Sponsoring organizations: Delaware Center for Health Innovation, Delaware Health and Social Services
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A guide for establishing a Community Health Worker program in the state of Delaware. Includes information about certification requirements and reimbursement mechanisms, along with model programs from other states.
Date: 06/2017
Type: Document
Sponsoring organizations: Delaware Center for Health Innovation, Delaware Health and Social Services
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