Archives: Articles
Nurse Practitioner Services: Content and Relative Work Value
The resource-based relative value scale is used to quantify work for reimbursement of services in the Medicare Fee Schedule. This pilot study explored use of the resource-based relative value scale for services provided by nurse practitioners. Estimation of relative work values for office visits by nurse practitioners was consistent with the Medicare Fee Schedule. Content […]
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Comparison of Nurse Practitioner and Family Physician Relative Work Values
Purpose: With the enactment of the Balanced Budget Act of 1997, American nurse practitioners were granted direct Medicare reimbursement for Part B services. Payment structures in fee‐for‐service and managed care systems are physician‐based, leading to difficulties in constructing payments for other health care professionals. The purpose of this pilot study was to examine the feasibility […]
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Physician Assistant Students’ Perceptions of an Entry-Level Doctorate Degree
In recent years, a growing trend toward clinical doctorate degrees has emerged in several allied health professions. However, few studies have been conducted within the physician assistant (PA) profession related to changing the entry-level degree for PAs to a clinical doctorate. A descriptive, quantitative study assessing PA students’ perceptions of changing the entry-level credential for […]
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Practice Environment and the Employment of Nurse Practitioners, Physician Assistants, and Certified Nurse Midwives by Community Health Centers
This report examines the relation between state variations in the regulation of nurse practitioners (NPs), physician assistants (PAs), and certified nurse midwives (CNMs), and the employment of these nonphysician providers (NPPs) by community health centers (CHCs). Data for this report came from a 1991-92 survey of CHCs assessing the employment of NPPs, and secondary available […]
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The Determinants of Utilization of Nonphysician Providers in Rural Community and Migrant Health Centers
The use of nonphysician providers, such as nurse practitioners, physician assistants, and certified nurse midwives, in rural areas is critically important due to the continued primary care access problems. This study examines the major factors influencing the use of nonphysician providers in rural community and migrant health centers based on a 1991 national survey of […]
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A Rural-Urban Comparative Study of Nonphysician Providers in Community and Migrant Health Centers
This is a study of the employment of nonphysician providers–nurse practitioners, physician assistants, and certified nurse midwives–in both rural and urban Community and Migrant Health Centers and of factors associated with their employment, based on a 1991 national survey of 383 Centers. Results of the survey suggest that nonphysician providers, in particular nurse practitioners and […]
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Demographic Profiles of Certified Nurse–Midwives, Certified Registered Nurse Anesthetists, and Nurse Practitioners: Reflections on Implications for Uniform Education and Regulation
There is wide variability in regulatory authority, basic education requirements, and titling for nurses in advanced practice roles, that is, certified nurse–midwives (CNMs), certified registered nurse anesthetists (CRNAs), and nurse practitioners (NPs). There is current advocacy for a common identity for advanced practice nurses (APNs), including uniform entry into practice requirements (the doctor of nursing […]
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Nurse Practitioners in Primary Care. V. Development of the Utilization and Financial Index to Measure Effects of their Deployment
The new Utilization and Financial Index (UF-Index) was developed to measure the economic effects of deployment of new health professionals or of other changes in the provision of health services. By means of several steps, information on concurrent use of various categories of health service is converted into a single quantitative index. The index has […]
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