执业护士执业范围改革后基于零售诊所的发展。
Growth in retail-based clinics after nurse practitioner scope of practice reform.
作者信息
Brooks Carthon J Margo, Sammarco Therese, Pancir Darcy, Chittams Jesse, Wiltse Nicely Kelly
机构信息
Department of Family & Community Health, Center for Health Outcomes & Policy Research, University of Pennsylvania School of Nursing, Philadelphia, PA.
Department of Family & Community Health, Center for Health Outcomes & Policy Research, University of Pennsylvania School of Nursing, Philadelphia, PA.
出版信息
Nurs Outlook. 2017 Mar-Apr;65(2):195-201. doi: 10.1016/j.outlook.2016.11.001. Epub 2016 Nov 16.
BACKGROUND
Retail clinics are largely staffed by nurse practitioners (NPs) and are a popular destination for nonemergent care.
PURPOSE
We examined if there was a relationship between NP practice regulations and retail clinic growth after the passage of a scope of practice (SOP) reform bill in Pennsylvania.
METHODS
General linear regression models were used to compare retail clinic openings in Pennsylvania, New Jersey, and Maryland between 2006 and 2013.
DISCUSSION
From 2006 to 2008, Pennsylvania experienced a significant growth rate in net retail clinic openings per capita (p = .046), whereas New Jersey and Maryland experienced no significant increase (p = .109 and .053, respectively). From 2009 to 2013, Pennsylvania opened 0.20 clinics (p = .129), New Jersey opened 0.23 clinics (p = .086), and Maryland opened 0.34 clinics per capita per year (p = .017).
CONCLUSIONS
Our study of three states with varying levels of SOP restraint reveals an association between relaxation of practice regulations and retail clinic growth.
背景
零售诊所主要由执业护士（NPs）提供人员配备，是接受非紧急护理的热门场所。
目的
我们研究了宾夕法尼亚州通过执业范围（SOP）改革法案后，执业护士的执业规定与零售诊所发展之间是否存在关联。
方法
使用一般线性回归模型比较2006年至2013年宾夕法尼亚州、新泽西州和马里兰州零售诊所的开业情况。
讨论
2006年至2008年，宾夕法尼亚州人均零售诊所净开业率显著增长（p = 0.046），而新泽西州和马里兰州没有显著增长（分别为p = 0.109和0.053）。2009年至2013年，宾夕法尼亚州每年人均开设0.20家诊所（p = 0.129），新泽西州每年人均开设0.23家诊所（p = 0.086），马里兰州每年人均开设0.34家诊所（p = 0.017）。
结论
我们对三个执业范围限制程度不同的州进行的研究表明，执业规定的放宽与零售诊所的发展之间存在关联。
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