State-Granted Practice Authority: Do Nurse Practitioners Vote with Their Feet?

Nurse practitioners have become an increasingly important part of the US medical workforce as they have gained greater practice authority through state-level regulatory changes. This study investigates one labor market impact of this large change in nurse practitioner regulation. Using data from the...

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Main Author: John J. Perry
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Nursing Research and Practice
Online Access:http://dx.doi.org/10.1155/2012/482178
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author John J. Perry
author_facet John J. Perry
author_sort John J. Perry
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description Nurse practitioners have become an increasingly important part of the US medical workforce as they have gained greater practice authority through state-level regulatory changes. This study investigates one labor market impact of this large change in nurse practitioner regulation. Using data from the National Sample Survey of Registered Nurses and a dataset of state-level nurse practitioner prescribing authority, a multivariate estimation is performed analysing the impact of greater practice authority on the probability of a nurse practitioner moving from a state. The empirical results indicate that nurse practitioners in states that grant expanded practice are less likely to move from the state than nurse practitioners in states that have not granted expanded practice authority. The estimated effect is robust and is statistically and economically meaningful. This finding is in concert with and strengthens the wider literature which finds states that grant expanded practice authority to nurse practitioners tend to have larger nurse practitioner populations.
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spelling doaj-art-dc63d327a8e64ca7a2be24d308db82f22025-02-03T06:48:17ZengWileyNursing Research and Practice2090-14292090-14372012-01-01201210.1155/2012/482178482178State-Granted Practice Authority: Do Nurse Practitioners Vote with Their Feet?John J. Perry0Economics Program, Centre College, 600 West Walnut Street, Danville, KY 40422, USANurse practitioners have become an increasingly important part of the US medical workforce as they have gained greater practice authority through state-level regulatory changes. This study investigates one labor market impact of this large change in nurse practitioner regulation. Using data from the National Sample Survey of Registered Nurses and a dataset of state-level nurse practitioner prescribing authority, a multivariate estimation is performed analysing the impact of greater practice authority on the probability of a nurse practitioner moving from a state. The empirical results indicate that nurse practitioners in states that grant expanded practice are less likely to move from the state than nurse practitioners in states that have not granted expanded practice authority. The estimated effect is robust and is statistically and economically meaningful. This finding is in concert with and strengthens the wider literature which finds states that grant expanded practice authority to nurse practitioners tend to have larger nurse practitioner populations.http://dx.doi.org/10.1155/2012/482178
spellingShingle John J. Perry
State-Granted Practice Authority: Do Nurse Practitioners Vote with Their Feet?
Nursing Research and Practice
title State-Granted Practice Authority: Do Nurse Practitioners Vote with Their Feet?
title_full State-Granted Practice Authority: Do Nurse Practitioners Vote with Their Feet?
title_fullStr State-Granted Practice Authority: Do Nurse Practitioners Vote with Their Feet?
title_full_unstemmed State-Granted Practice Authority: Do Nurse Practitioners Vote with Their Feet?
title_short State-Granted Practice Authority: Do Nurse Practitioners Vote with Their Feet?
title_sort state granted practice authority do nurse practitioners vote with their feet
url http://dx.doi.org/10.1155/2012/482178
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