Counting Midwives Providing Clinical Care in Nevada

IF 1.8 4区医学 Q3 HEALTH POLICY & SERVICES International Journal of Health Planning and Management Pub Date : 2025-03-06 DOI:10.1002/hpm.3921

Jennifer Vanderlaan, Janice Enriquez, Melva Thompson-Robinson

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Abstract

Objective

To estimate the number of midwives providing care primarily in Nevada.

Study Setting and Design

A cross-sectional study of Nevada was conducted in May, 2024 to compare the agreement between two lists of midwives in Nevada. Midwives were considered as providing care primarily in Nevada if they (1) had an active licence with a Nevada address and (2) listed a Nevada practice site in their National Provider Identifier file.

Data Sources and Analytic Sample

The sample of midwives associated with Nevada was created by combining (1) the State Board of Nursing list of nurse-midwife licensees and (2) the National Plan & Provider Enumeration System Data Dissemination file enumerates identified as advanced practice midwives with a Nevada licence or practice location in Nevada.

Principle Findings

Only 55% of nurse-midwives with active Nevada licences are providing care full-time in Nevada.

Conclusions

Nurse-midwife licensee lists may overstate the number of nurse-midwives practicing full-time in the state. States may consider nurse licence compacts with registration for telehealth or hub-and-spoke models of care to identify the extent to which out-of-state midwives are filling gaps in access to care.

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统计内华达州提供临床护理的助产士。

目的：估计主要在内华达州提供护理的助产士数量。研究设置和设计：2024年5月，内华达州进行了一项横断面研究，以比较内华达州两份助产士名单之间的协议。助产士被认为主要在内华达州提供护理，如果他们(1)有一个有效的执照，有内华达州的地址，(2)在他们的国家提供者标识符文件中列出了内华达州的执业地点。数据来源和分析样本：与内华达州有关的助产士样本是通过结合(1)国家护理委员会护士助产士执照持有人名单和(2)国家计划和提供者枚举系统数据传播文件创建的，这些文件被确定为具有内华达州执照或在内华达州执业地点的高级执业助产士。主要发现：只有55%持有内华达州有效执照的护士助产士在内华达州全职提供护理。结论：持牌护士助产士名单可能夸大了该州全职执业护士助产士的数量。各州可考虑将护士执照契约与远程保健或中心辐射式护理模式的注册结合起来，以确定州外助产士在多大程度上填补了获得护理方面的空白。

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来源期刊

International Journal of Health Planning and Management Multiple-

CiteScore

4.50

自引率

3.70%

发文量

197

期刊介绍： Policy making and implementation, planning and management are widely recognized as central to effective health systems and services and to better health. Globalization, and the economic circumstances facing groups of countries worldwide, meanwhile present a great challenge for health planning and management. The aim of this quarterly journal is to offer a forum for publications which direct attention to major issues in health policy, planning and management. The intention is to maintain a balance between theory and practice, from a variety of disciplines, fields and perspectives. The Journal is explicitly international and multidisciplinary in scope and appeal: articles about policy, planning and management in countries at various stages of political, social, cultural and economic development are welcomed, as are those directed at the different levels (national, regional, local) of the health sector. Manuscripts are invited from a spectrum of different disciplines e.g., (the social sciences, management and medicine) as long as they advance our knowledge and understanding of the health sector. The Journal is therefore global, and eclectic.