State Variation in the Utilization of Nurse Practitioner-Provided Home-Based Primary Care: A Medicare Claims Analysis.
J Gerontol Nurs
; 49(5): 11-17, 2023 May.
Article
in English
| MEDLINE | ID: covidwho-2301730
ABSTRACT
Nurse practitioners (NPs) provide an increasing proportion of home-based primary care, despite restrictive scope of practice laws in approximately one half of states. We examined the relationship between scope of practice laws and state volume of NP-provided home-based primary care by performing an analysis of 2018 to 2019 Medicare claims. For each state we calculated the proportion of total home-based primary care visits by NPs and the proportion of all NPs providing home-based primary care. We used the 2018 American Association of Nurse Practitioners classification of state practice environment. We performed chi-square tests to assess the significance between volume and practice environment. We found that 42% of home-based primary care is delivered by NPs nationally, but substantial variation exists across states. We did not find a discernible or statistically significant pattern of uptake of NP-provided home-based primary care across full, reduced, or restricted states. [Journal of Gerontological Nursing, 49(5), 11-17.].
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Geriatric Nursing
/
Nurse Practitioners
Limits:
Aged
/
Humans
Country/Region as subject:
North America
Language:
English
Journal:
J Gerontol Nurs
Year:
2023
Document Type:
Article
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