Rural Health
Resources by Topic: Nurse practitioners and other advanced practice registered nurses
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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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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Evaluation of a Potential New Health Sciences School at The University of North Carolina at Pembroke to Meet the Needs of the Region and State
Results of a study exploring the feasibility of establishing a School of Health Sciences and Health Care in Robeson County, a rural high-poverty area ranked among the worst for health outcomes in North Carolina in 2016. Features statistics on the North Carolina workforce and education programs in optometry, occupational therapy, nutrition and dietetics, as well as physician assistants and nurse practitioners.
Author(s): Julie C. Spero, Thomas J. Bacon, Evan M. Galloway, et al.
Date: 12/2017
Type: Document
Sponsoring organization: The Cecil G. Sheps Center for Health Services Research
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Results of a study exploring the feasibility of establishing a School of Health Sciences and Health Care in Robeson County, a rural high-poverty area ranked among the worst for health outcomes in North Carolina in 2016. Features statistics on the North Carolina workforce and education programs in optometry, occupational therapy, nutrition and dietetics, as well as physician assistants and nurse practitioners.
Author(s): Julie C. Spero, Thomas J. Bacon, Evan M. Galloway, et al.
Date: 12/2017
Type: Document
Sponsoring organization: The Cecil G. Sheps Center for Health Services Research
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Trends in Primary Care Provision to Medicare Beneficiaries by Physicians, Nurse Practitioners, or Physician Assistants: 2008-2014
Examines trends in elderly patients receiving primary care from physicians alone, physicians with nurse practitioners (NPs) and/or physician assistants (PAs), and NPs/PAs without physicians. Considered these models for delivering primary care to Medicare patients with multiple chronic conditions and Medicare patients in rural and health professional shortage areas (HPSAs).
Author(s): Ying Xue, James S. Goodwin, Deepak Adhikari, Mukaila A. Raji, Yong-Fang Kuo
Citation: Journal of Primary Care and Community Health, 8(4), 256-263
Date: 10/2017
Type: Document
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Examines trends in elderly patients receiving primary care from physicians alone, physicians with nurse practitioners (NPs) and/or physician assistants (PAs), and NPs/PAs without physicians. Considered these models for delivering primary care to Medicare patients with multiple chronic conditions and Medicare patients in rural and health professional shortage areas (HPSAs).
Author(s): Ying Xue, James S. Goodwin, Deepak Adhikari, Mukaila A. Raji, Yong-Fang Kuo
Citation: Journal of Primary Care and Community Health, 8(4), 256-263
Date: 10/2017
Type: Document
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A Profile of New York State Nurse Practitioners, 2017
Describes active nurse practitioners (NPs) in New York, based on information from NPs who recertified from September 2015 through December 2016. Includes map of New York Population Health Improvement Program (PHIP) regions and table with practice settings of active NPs by PHIP region, both with breakdowns by urban or rural status.
Author(s): Robert Martiniano, Shen Wang, Jean Moore
Date: 10/2017
Type: Document
Sponsoring organization: Center for Health Workforce Studies
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Describes active nurse practitioners (NPs) in New York, based on information from NPs who recertified from September 2015 through December 2016. Includes map of New York Population Health Improvement Program (PHIP) regions and table with practice settings of active NPs by PHIP region, both with breakdowns by urban or rural status.
Author(s): Robert Martiniano, Shen Wang, Jean Moore
Date: 10/2017
Type: Document
Sponsoring organization: Center for Health Workforce Studies
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The Influence of the Degree of Rurality on EMR Adoption, by Physician Specialty
Study examining the adoption of electronic medical record (EMR) technology based on degree of rurality using Rural-Urban Continuum Codes. Analyzes 2012 data from over 270,000 physician practices on rates of EMR technology adoption and provider specializations. Presents data based on average daily patient volume and type of provider, including nurse practitioners and physician assistants.
Author(s): Brian E. Whitacre
Citation: Health Services Research, 52(2), 616-633
Date: 04/2017
Type: Document
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Study examining the adoption of electronic medical record (EMR) technology based on degree of rurality using Rural-Urban Continuum Codes. Analyzes 2012 data from over 270,000 physician practices on rates of EMR technology adoption and provider specializations. Presents data based on average daily patient volume and type of provider, including nurse practitioners and physician assistants.
Author(s): Brian E. Whitacre
Citation: Health Services Research, 52(2), 616-633
Date: 04/2017
Type: Document
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Veterans Health Administration: Actions Needed to Better Recruit and Retain Clinical and Administrative Staff
Testimony before the House Subcommittee on Health and the House Committee on Veterans' Affairs detailing the Veterans Health Administration's (VHA) challenges in attracting, hiring, and retaining top healthcare talent, including in rural locations. Also discusses the VHA's capacity to perform key human resources functions and makes recommendations for future improvements.
Additional links: Full Report
Date: 03/2017
Type: Document
Sponsoring organization: Government Accountability Office
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Testimony before the House Subcommittee on Health and the House Committee on Veterans' Affairs detailing the Veterans Health Administration's (VHA) challenges in attracting, hiring, and retaining top healthcare talent, including in rural locations. Also discusses the VHA's capacity to perform key human resources functions and makes recommendations for future improvements.
Additional links: Full Report
Date: 03/2017
Type: Document
Sponsoring organization: Government Accountability Office
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California's Primary Care Workforce: Current Supply, Characteristics, and Pipeline of Trainees
Describes the supply, distribution, and characteristics of California's primary care clinicians with rural-relevant information included throughout. Addresses primary care residency program distribution and training.
Additional links: Executive Summary
Author(s): Janet Coffman, Igor Geyn, Kristine Himmerick
Date: 02/2017
Type: Document
Sponsoring organization: Healthforce Center at UCSF
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Describes the supply, distribution, and characteristics of California's primary care clinicians with rural-relevant information included throughout. Addresses primary care residency program distribution and training.
Additional links: Executive Summary
Author(s): Janet Coffman, Igor Geyn, Kristine Himmerick
Date: 02/2017
Type: Document
Sponsoring organization: Healthforce Center at UCSF
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Accountable Care Organization Implementation Experiences and Rural Participation: Considerations for Nurses
Examines implications of Accountable Care Organization (ACO) development for advanced practice nurses and other primary care clinicians employed by rural practices such as Rural Health Clinics that may be considering ACO participation.
Author(s): Matt Thomas Bagwell, Angeline Bushy, Judith Ortiz
Citation: The Journal of Nursing Administration, 47(1), 30-34
Date: 01/2017
Type: Document
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Examines implications of Accountable Care Organization (ACO) development for advanced practice nurses and other primary care clinicians employed by rural practices such as Rural Health Clinics that may be considering ACO participation.
Author(s): Matt Thomas Bagwell, Angeline Bushy, Judith Ortiz
Citation: The Journal of Nursing Administration, 47(1), 30-34
Date: 01/2017
Type: Document
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State-Level Projections of Supply and Demand for Primary Care Practitioners: 2013-2025
Presents projections for supply and demand of physicians, nurse practitioners, and physician assistants in 2025, using 2013 data as baseline. Features statistics with breakdowns by provider type and state-level maps showing projected supply versus demand for each of these provider types.
Date: 11/2016
Type: Document
Sponsoring organizations: Bureau of Health Workforce, Health Resources and Services Administration, National Center for Health Workforce Analysis
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Presents projections for supply and demand of physicians, nurse practitioners, and physician assistants in 2025, using 2013 data as baseline. Features statistics with breakdowns by provider type and state-level maps showing projected supply versus demand for each of these provider types.
Date: 11/2016
Type: Document
Sponsoring organizations: Bureau of Health Workforce, Health Resources and Services Administration, National Center for Health Workforce Analysis
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