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Rural Health
Resources by Topic: Scope of practice

California's Physician Assistants: How Scope of Practice Laws Impact Care
Describes regulations on scope of practice for physician assistants (PAs) in California and other states and discusses research on the legislation's effect on healthcare. Examines importance of PAs providing primary care in rural, low-income, and underserved areas. Features statistics including number of PAs per 100,000 population by state as of 2017 and by California region as of 2016, California PA demographics, and PA scope of practice elements by state as of 2018.
Author(s): Timothy Bates, Joanne Spetz, Miranda Werts
Date: 09/2018
Type: Document
Sponsoring organization: Healthforce Center at UCSF
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California's Nurse Practitioners: How Scope of Practice Laws Impact Care
Describes regulations on scope of practice for nurse practitioners (NPs) in California and other states, and discusses research on the legislation's effect on healthcare. Examines importance of NPs providing primary care in rural and underserved areas. Features statistics including field of educational specialization for California NPs, demographics, and distribution of NPs per 100,000 population.
Author(s): Joanne Spetz
Date: 09/2018
Type: Document
Sponsoring organization: Healthforce Center at UCSF
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California’s Physician Assistants: How Scope of Practice Laws Impact Care
Provides an overview of physician assistants (PAs), focusing on scope of practice regulations in California and evidence for expanding their scope of practice. Discusses how PAs increase access to care, particularly in rural areas, and summarizes studies on the quality and cost-effectiveness of the care they provide. Appendix A includes data on California's PAs, such as their distribution, demographics, and practice setting. Appendix B identifies physician assistant scope of practice elements for each state.
Author(s): Timothy Bates, Joanne Spetz, Miranda Werts
Date: 09/2018
Type: Document
Sponsoring organization: Healthforce Center at UCSF
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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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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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California’s Nurse Practitioners: How Scope of Practice Laws Impact Care
Provides an overview of nurse practitioner (NP) scope of practice regulations in California and other states. Discusses how NPs increase access to care, particularly in rural areas, and reviews studies on the quality and cost-effectiveness of the care they provide. Appendix A includes data on California's NPs, such as their distribution, demographics, practice setting, and specialty.
Author(s): Joanne Spetz
Date: 09/2018
Type: Document
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
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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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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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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