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Rural Health
Resources by Topic: Nurse practitioners and other advanced practice registered nurses

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
Sponsoring organization: UnitedHealth Group
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Maine's Physician, Nurse Practitioner, and Physician Assistant Workforce in 2018
Presents a report on the workforce supply of physicians, nurse practitioner, and physician assistant workforce in Maine. Compares data to a 2014 report, as well as data from rural and urban counties.
Author(s): Susan M. Skillman, Benjamin A. Stubbs, Arati Dahal
Date: 07/2018
Sponsoring organization: UW Center for Health Workforce Studies
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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
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Strategies for Expanding Primary Care Capacity in California
Addresses the need to improve the diversity, geographic distribution, and supply of primary care providers in California. Focuses on the education pipeline, recruitment and retention, nurse practitioners and physician assistants, and using data to inform workforce strategies.
Author(s): Janet Coffman, Kris Himmerick
Date: 06/2018
Sponsoring organization: Healthforce Center at UCSF
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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
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The Rural General Surgeon's Partner: Rural Certified Registered Nurse Anesthetists
Describes the role that certified registered nurse anesthetists (CRNAs) play in rural surgery.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 06/2018
Sponsoring organization: Rural Health Information Hub
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A Comparative Analysis of New York's Active Nurse Practitioners and Physician Assistants
Research brief using data drawn from survey responses collected between September 2015 - December 2017, exploring similarities and differences between New York state physician assistants and nurse practitioners. Features statistics with breakdowns by rural and urban practice locations.
Author(s): Yuhao Liu, Robert Martiniano, Jean Moore
Date: 05/2018
Sponsoring organization: Center for Health Workforce Studies
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2017 Survey of Nurse Practitioners and Certified Nurse Midwives
Reports on a survey of nurse practitioners (NPs) and certified nurse midwives (CNM) with licenses in California. Includes rural/urban differences, such as distribution by age, sex, and race/ethnicity; earnings; practice location; and more.
Additional links: Infographic
Author(s): Joanne Spetz, Lisel Blash, Matthew Jura, Lela Chu
Date: 04/2018
Sponsoring organizations: California Board of Registered Nursing, Healthforce Center at UCSF
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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
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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
Sponsoring organization: RAND Corporation
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