Physician Wages in States with Expanded APRN Scope of Practice

In recent years, states have looked to reforms in advanced practice nursing scope of practice (SOP) barriers as a potential means to increase access to primary care while reducing costs. Currently, 16 states and the District of Columbia permit advanced practice registered nurses to practice independ...

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Main Authors: Patricia Pittman, Benjamin Williams
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Nursing Research and Practice
Online Access:http://dx.doi.org/10.1155/2012/671974
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author Patricia Pittman
Benjamin Williams
author_facet Patricia Pittman
Benjamin Williams
author_sort Patricia Pittman
collection DOAJ
description In recent years, states have looked to reforms in advanced practice nursing scope of practice (SOP) barriers as a potential means to increase access to primary care while reducing costs. Currently, 16 states and the District of Columbia permit advanced practice registered nurses to practice independently of physicians, allowing them to perform functions such as diagnosing and prescribing under their own authority within the primary care setting. Given the resistance of many physician associations to these reforms, we asked whether the economic interests of primary care physicians might be affected by reforms. Using the Bureau of Labor Statistics data on earnings, we compared primary care physicians' earnings in states that have instituted SOP reforms to those that maintain these practice barriers. We also compared surgeons' earnings as a control group. Lastly, we compared the rate of growth in the earnings of primary care physicians and surgeons over the last ten years. This preliminary analysis revealed no evidence of differences in earnings across the two groups of states.
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spelling doaj-art-be5e66cb01a74d6ab072fe6278499a8f2025-02-03T01:22:35ZengWileyNursing Research and Practice2090-14292090-14372012-01-01201210.1155/2012/671974671974Physician Wages in States with Expanded APRN Scope of PracticePatricia Pittman0Benjamin Williams1Department of Health Policy, School of Public Health and Health Services, The George Washington University, Washington, DC 20052, USADepartment of Health Policy, School of Public Health and Health Services, The George Washington University, Washington, DC 20052, USAIn recent years, states have looked to reforms in advanced practice nursing scope of practice (SOP) barriers as a potential means to increase access to primary care while reducing costs. Currently, 16 states and the District of Columbia permit advanced practice registered nurses to practice independently of physicians, allowing them to perform functions such as diagnosing and prescribing under their own authority within the primary care setting. Given the resistance of many physician associations to these reforms, we asked whether the economic interests of primary care physicians might be affected by reforms. Using the Bureau of Labor Statistics data on earnings, we compared primary care physicians' earnings in states that have instituted SOP reforms to those that maintain these practice barriers. We also compared surgeons' earnings as a control group. Lastly, we compared the rate of growth in the earnings of primary care physicians and surgeons over the last ten years. This preliminary analysis revealed no evidence of differences in earnings across the two groups of states.http://dx.doi.org/10.1155/2012/671974
spellingShingle Patricia Pittman
Benjamin Williams
Physician Wages in States with Expanded APRN Scope of Practice
Nursing Research and Practice
title Physician Wages in States with Expanded APRN Scope of Practice
title_full Physician Wages in States with Expanded APRN Scope of Practice
title_fullStr Physician Wages in States with Expanded APRN Scope of Practice
title_full_unstemmed Physician Wages in States with Expanded APRN Scope of Practice
title_short Physician Wages in States with Expanded APRN Scope of Practice
title_sort physician wages in states with expanded aprn scope of practice
url http://dx.doi.org/10.1155/2012/671974
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