Exploring the Relationship between Nurse Practitioner Full Practice Authority, Nurse Practitioner Workforce Diversity, and Disparate Primary Care Access

Author:

Plemmons Alicia1,Shakya Shishir2,Cato Kenrick3,Sadarangani Tina4ORCID,Poghosyan Lusine3ORCID,Timmons Edward1ORCID

Affiliation:

1. West Virginia University John Chambers College of Business and Economics

2. Shippensburg University

3. Columbia University School of Nursing

4. New York University Rory Meyers College of Nursing

Abstract

In this study, we examine how full nurse practitioner (NP) practice authority affects racial and ethnic diversity of the NP workforce. Specifically, the purpose of our research is to understand the relationship between the racial and ethnic composition of the NP workforce, NP level of practice authority, and the communities they service. In this paper, we compare the ethnic and racial composition of the NP workforce to the composition of the state's population, and then observe if there are any noticeable differences in the patients served by NPs when we compare full practice authority (FPA) and non-FPA states. We also estimate how FPA affects the race and ethnicity of Medicare patients served by NPs.

Publisher

SAGE Publications

Subject

General Medicine,Issues, ethics and legal aspects,Leadership and Management

Reference42 articles.

1. Adams E. K., Markowitz S. (2018). Improving efficiency in the health-care system: Removing anticompetitive barriers for advanced practice registered nurses and physician assistants. The Brookings Institution. Published June 13, 2018. Retrieved June 10, 2019.

2. Does Diversity Matter for Health? Experimental Evidence from Oakland

3. American Association of Nurse Practitioners. (2021). Diversity, equity and inclusion. Retrieved August 22, 2021, from https://www.aanp.org/diversity-equity-and-inclusion.

4. Racial and ethnic disparities in the use of health services

5. Association of American Medical Colleges. (2021). AAMC report reinforces mounting physician shortage. https://www.aamc.org/news-insights/press-releases/aamc-report-reinforces-mounting-physician-shortage.

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