Just what the nurse practitioner ordered: Independent prescriptive authority and population mental health
研究了1990至2014年间允许执业护士独立开处方对人口心理健康的影响,发现能改善自评心理健康并降低相关死亡率,尤其在医生短缺地区和弱势群体中效果更明显。
We examine whether relaxing occupational licensing to allow nurse practitioners (NPs)-registered nurses with advanced degrees-to prescribe medication without physician oversight improves population mental health. Exploiting time-series variation in independent prescriptive authority for NPs from 1990 to 2014, we find that broadening prescriptive authority leads to improvements in self-reported mental health and decreases in mental health-related mortality. These improvements are concentrated in areas that are underserved by physicians and among populations that have difficulty accessing physician-provided care. Our results demonstrate that extending independent prescriptive authority to NPs can help mitigate physician shortages and extend care to disadvantaged populations.