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Impact of New York state nurse practitioners modernization act on quality of care

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  • RoyChoudhury, Agnitra
  • Petrova, Kameliia

Abstract

In 2015, NY State introduced a bill allowing nurse practitioners full scope of practice to address the shortages in primary care services. We use a difference-in-differences model to estimate the effect of the policy on mortality due to heart disease and diabetes from 1999 to 2019. We control for age, race, and sex, and use nearby reduced practice authority states as a control. Our results indicate that average mortality rate decreases or remains statistically comparable following NY’s implementation of the policy, suggesting that NY’s policy does not statistically lower quality of care.

Suggested Citation

  • RoyChoudhury, Agnitra & Petrova, Kameliia, 2023. "Impact of New York state nurse practitioners modernization act on quality of care," Economics Letters, Elsevier, vol. 230(C).
    • Handle: RePEc:eee:ecolet:v:230:y:2023:i:c:s0165176523002896
    DOI: 10.1016/j.econlet.2023.111264
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    References listed on IDEAS

    as
    1. McMichael, Benjamin J., 2023. "Supply-side health policy: The impact of scope-of-practice laws on mortality," Journal of Public Economics, Elsevier, vol. 222(C).
    2. Laura Barrie Smith, 2022. "The effect of nurse practitioner scope of practice laws on primary care delivery," Health Economics, John Wiley & Sons, Ltd., vol. 31(1), pages 21-41, January.
    3. MacKinnon, James G. & Nielsen, Morten Ørregaard & Webb, Matthew D., 2023. "Cluster-robust inference: A guide to empirical practice," Journal of Econometrics, Elsevier, vol. 232(2), pages 272-299.
    4. Alexander, Diane & Schnell, Molly, 2019. "Just what the nurse practitioner ordered: Independent prescriptive authority and population mental health," Journal of Health Economics, Elsevier, vol. 66(C), pages 145-162.
    5. Nolte, Ellen & McKee, Martin, 2011. "Variations in amenable mortality—Trends in 16 high-income nations," Health Policy, Elsevier, vol. 103(1), pages 47-52.
    6. Traczynski, Jeffrey & Udalova, Victoria, 2018. "Nurse practitioner independence, health care utilization, and health outcomes," Journal of Health Economics, Elsevier, vol. 58(C), pages 90-109.
    7. Shishir Shakya & Alicia Plemmons, 2020. "Does Scope of Practice Affect Mobility of Nurse Practitioners Serving Medicare Beneficiaries?," Journal of Labor Research, Springer, vol. 41(4), pages 421-434, December.
    Full references (including those not matched with items on IDEAS)

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    More about this item

    Keywords

    Scope of practice; Nurse practitioners; Mortality rate; New York;
    All these keywords.

    JEL classification:

    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • I38 - Health, Education, and Welfare - - Welfare, Well-Being, and Poverty - - - Government Programs; Provision and Effects of Welfare Programs
    • K29 - Law and Economics - - Regulation and Business Law - - - Other

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