{"title":"执业护士执业范围法对糖尿病医疗费用的影响","authors":"Alexandra Wallace, Moiz Bhai, Danny R. Hughes","doi":"10.1111/coep.12655","DOIUrl":null,"url":null,"abstract":"<p>Type 2 Diabetes mellitus patients require regular monitoring and preventive care from healthcare professionals to avoid costly and potentially life-threatening complications. One approach for expanding access to primary care for diabetic patients is to change scope of practice laws for nurse practitioners to allow full practice authority (FPA). We find that state-level implementation of FPA reduces total health care costs for diabetics by approximately 20% in urban areas and reduces rural usage of advanced medical services for diabetics by about 10%. However, we see no effects of FPA on primary care claims, high A1c tests, or diabetic debridements.</p>","PeriodicalId":47364,"journal":{"name":"Contemporary Economic Policy","volume":"43 1","pages":"93-115"},"PeriodicalIF":1.7000,"publicationDate":"2024-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/coep.12655","citationCount":"0","resultStr":"{\"title\":\"The effects of nurse practitioner scope of practice laws on diabetic health care costs\",\"authors\":\"Alexandra Wallace, Moiz Bhai, Danny R. Hughes\",\"doi\":\"10.1111/coep.12655\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p>Type 2 Diabetes mellitus patients require regular monitoring and preventive care from healthcare professionals to avoid costly and potentially life-threatening complications. One approach for expanding access to primary care for diabetic patients is to change scope of practice laws for nurse practitioners to allow full practice authority (FPA). We find that state-level implementation of FPA reduces total health care costs for diabetics by approximately 20% in urban areas and reduces rural usage of advanced medical services for diabetics by about 10%. However, we see no effects of FPA on primary care claims, high A1c tests, or diabetic debridements.</p>\",\"PeriodicalId\":47364,\"journal\":{\"name\":\"Contemporary Economic Policy\",\"volume\":\"43 1\",\"pages\":\"93-115\"},\"PeriodicalIF\":1.7000,\"publicationDate\":\"2024-06-08\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://onlinelibrary.wiley.com/doi/epdf/10.1111/coep.12655\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Contemporary Economic Policy\",\"FirstCategoryId\":\"96\",\"ListUrlMain\":\"https://onlinelibrary.wiley.com/doi/10.1111/coep.12655\",\"RegionNum\":4,\"RegionCategory\":\"经济学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"ECONOMICS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Contemporary Economic Policy","FirstCategoryId":"96","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1111/coep.12655","RegionNum":4,"RegionCategory":"经济学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"ECONOMICS","Score":null,"Total":0}
The effects of nurse practitioner scope of practice laws on diabetic health care costs
Type 2 Diabetes mellitus patients require regular monitoring and preventive care from healthcare professionals to avoid costly and potentially life-threatening complications. One approach for expanding access to primary care for diabetic patients is to change scope of practice laws for nurse practitioners to allow full practice authority (FPA). We find that state-level implementation of FPA reduces total health care costs for diabetics by approximately 20% in urban areas and reduces rural usage of advanced medical services for diabetics by about 10%. However, we see no effects of FPA on primary care claims, high A1c tests, or diabetic debridements.
期刊介绍：
Contemporary Economic Policy publishes scholarly economic research and analysis on issues of vital concern to business, government, and other decision makers. Leading western scholars, including three Nobel laureates, are among CEP"s authors. The objectives are to communicate results of high quality economic analysis to policymakers, focus high quality research and analysis on current policy issues of widespread concern, increase knowledge among economists of features of the economy key to understanding the impact of policy, and to advance methods of policy analysis.
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