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Supply-side health policy: The impact of scope-of-practice laws on mortality

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  • McMichael, Benjamin J.

Abstract

The increased use of nurse practitioners (NPs) and physician assistants/associates (PAs) to provide healthcare represents an important supply-side policy option to expand access to care. However, restrictive scope-of-practice laws limit their ability to deliver care. I examine the effect of relaxing these scope-of-practice laws on healthcare amenable deaths, which are sensitive to access to care. Analyzing deaths in the United States between 2005 and 2019, I find that relaxing NP scope-of-practice laws reduces healthcare amenable deaths by 12 per 100,000 individuals and that relaxing PA scope-of-practice laws reduces these deaths by 10 per 100,000, with larger reductions in rural areas.

Suggested Citation

  • 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).
    • Handle: RePEc:eee:pubeco:v:222:y:2023:i:c:s004727272300083x
    DOI: 10.1016/j.jpubeco.2023.104901
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    Cited by:

    1. RoyChoudhury, Agnitra & Petrova, Kameliia, 2023. "Impact of New York state nurse practitioners modernization act on quality of care," Economics Letters, Elsevier, vol. 230(C).

    More about this item

    Keywords

    Scope-of-practice; Nurse practitioner; Physician assistant; Mortality;
    All these keywords.

    JEL classification:

    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health

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