MPC Member Publications

This database contains a listing of population studies publications written by MPC Members. Anyone can add a publication by an MPC student, faculty, or staff member to this database; new citations will be reviewed and approved by MPC administrators.

Full Citation

Title: Nurse Practitioner Autonomy and Complexity of Care in Rural Primary Care

Citation Type: Journal Article

Publication Year: 2020

ISSN: 1077-5587

DOI: 10.1177/1077558720945913

Abstract: <p>The growing ranks of nurse practitioners (NPs) in rural areas of the United States have the potential to help alleviate existing primary care shortages. This study uses a nationwide source of claims- and EHR-data from 2017 to construct measures of NP clinical autonomy and complexity of care. Comparisons between rural and urban primary care practices reveal greater clinical autonomy for rural NPs, who were more likely to have an independent patient panel, to practice with less physician supervision, and to prescribe Schedule II controlled substances. In contrast, rural and urban NPs provided care of similar complexity. These findings provide the first claims- and EHR-based evidence for the commonly held perception that NPs practice more autonomously in rural areas than in urban areas.</p>

Url: http://journals.sagepub.com/doi/10.1177/1077558720945913

User Submitted?: No

Authors: Neprash, Hannah T.; Smith, Laura Barrie; Sheridan, Bethany; Moscovice, Ira S; Prasad, Shailendra; Kozhimannil, Katy B.

Periodical (Full): Medical Care Research and Review

Issue:

Volume:

Pages: 107755872094591

Countries:

IPUMS NHGIS NAPP IHIS ATUS Terrapop