Abstract
BackgroundFull practice authority laws that permit nurse practitioners (NPs) to practice independently and prescribe medications may influence NPs’ workforce outcomes. PurposeTo examine whether implementation of full practice authority laws affect NP self-employment, average earnings, and likelihood of residing in a primary care health professional shortage area (HPSA). MethodsA nationally representative U.S. sample of 9,782 NPs employed in health care during 2010 to 2018 was drawn from the American Community Survey. Difference-in-differences regression was used to estimate covariate-adjusted mean differences in NPs’ workforce outcomes after full practice authority implementation. FindingsAmong full-time employed NPs, full practice authority was associated with an increased probability of residing in a HPSA (adjusted odds ratio [aOR]:2.34, 95%CI 1.14, 4.83) and with a higher mean probability of self-employment (aOR:4.97, 95%CI 1.00, 24.86). DiscussionFull practice authority implementation improves access to primary care providers in health professional shortage areas and may increase practice ownership among NPs.
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