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Nurse Practitioner Autonomy and Complexity of Care in Rural Primary Care. | LitMetric

AI Article Synopsis

  • * It analyzes 2017 claims and electronic health records (EHR) data, showing that rural NPs have greater clinical autonomy, with more independence from physician supervision and the ability to prescribe controlled substances.
  • * Although rural NPs practice more autonomously, both rural and urban NPs provide care of similar complexity, confirming the belief that NPs have more independent practice in rural settings.

Article Abstract

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.

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Source
http://dx.doi.org/10.1177/1077558720945913DOI Listing

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