Holmes LeAnn R, Waltman Nancy
College of Nursing, University of Nebraska Medical Center, Lincoln, Nebraska.
J Am Assoc Nurse Pract. 2019 May;31(5):288-292. doi: 10.1097/JXX.0000000000000153.
Nebraska is a largely rural state with many communities defined as medically underserved by primary care providers. In 2014, the state legislature voted to eliminate the requirement for an integrated practice agreement (IPA) between nurse practitioners (NPs) and physicians. This report describes changes in access to primary health care in rural and underserved areas of Nebraska after removal of the IPA barrier to practice. The report compares the number of primary care NPs working in medically underserved areas before and after the legislation that ended the required IPA. In addition, anecdotes will be provided of NP and patient experiences in rural, NP-owned practices in Nebraska after IPA requirements were eliminated.
内布拉斯加州主要是一个农村州，许多社区被定义为初级保健提供者服务不足的地区。2014年，该州立法机构投票决定取消执业护士（NP）与医生之间的综合执业协议（IPA）要求。本报告描述了取消IPA执业障碍后，内布拉斯加州农村和服务不足地区初级卫生保健可及性的变化。该报告比较了结束所需IPA的立法前后，在医疗服务不足地区工作的初级保健NP的数量。此外，还将提供内布拉斯加州农村地区NP拥有的诊所取消IPA要求后的NP和患者经历的轶事。
