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Benefits of Less Restrictive Regulation of Advance Practice Registered Nurses in Florida.

Authors
  • Unruh, Lynn1
  • Rutherford, Ashley2
  • Schirle, Lori3
  • Brunell, Mary Lou4
  • 1 Health Services Administration, Department of Health Management & Informatics, University of Central Florida, Orlando, FL. Electronic address: [email protected]
  • 2 628th Aerospace Medicine Squadron, United States Air Force, Joint Base Charleston, North Charleston, SC. , (United States)
  • 3 Vanderbilt University School of Nursing, Nashville, TN.
  • 4 Florida Center for Nursing, Orlando, FL.
Type
Published Article
Journal
Nursing outlook
Publication Date
Nov 01, 2018
Volume
66
Issue
6
Pages
539–550
Identifiers
DOI: 10.1016/j.outlook.2018.09.002
PMID: 30314844
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

Advanced Practice Registered Nurses (APRNs) provide access to cost-effective, high quality care. APRNs are underutilized in states that restrict their practice. Removing restrictions could expand access to quality health care, cost-effectively relieve the physician shortage, and contribute economically. This study forecasts the health system and economic impacts of reducing practice restrictions for Florida APRNs. The analysis utilized a number of data sources and IMPLAN software and estimated changes in APRN supply given less restrictive practice laws, and consequential health system and economic benefits. Between 2013 and 2025 APRN full time equivalents could increase an additional 11% with less restrictive practice regulations. This could eliminate or reduce the shortage of different types of physicians. Health care cost-savings could be $50 to $493 per resident. There would be a number of general economic benefits. A number of health system and economic benefits would ensue from less restrictive APRN regulation. Copyright © 2018. Published by Elsevier Inc.

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