{"title":"Expanding full practice authority for nurse practitioners in the United States.","authors":"Rachel Hetzner, Megan Keiser","doi":"10.1057/s41271-025-00582-w","DOIUrl":null,"url":null,"abstract":"<p><p>Physician shortages lead to longer wait times, shorter patient visits, and lower-quality patient interactions, resulting in a greater risk for misdiagnosis and an overall decrease in the quality of care they provide. In this viewpoint, we reviewed the issues surrounding full practice authority (FPA) for nurse practitioners (NPs) in the United States (US). We summarized evidence regarding the safety, quality, and efficacy of NPs in states that have enacted FPA and describes the role of NPs in closing the gap of unmet healthcare needs of the US population. We also described the success of states with FPA in their legislative efforts while other states are still plagued by barriers to FPA, providing context on the political environment surrounding FPA bills. The analysis of FPA for NPs meeting the healthcare needs of the US population can further inform policy to aid in similar healthcare needs globally.</p>","PeriodicalId":50070,"journal":{"name":"Journal of Public Health Policy","volume":" ","pages":""},"PeriodicalIF":2.3000,"publicationDate":"2025-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Public Health Policy","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1057/s41271-025-00582-w","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"HEALTH CARE SCIENCES & SERVICES","Score":null,"Total":0}
引用次数: 0
Abstract
Physician shortages lead to longer wait times, shorter patient visits, and lower-quality patient interactions, resulting in a greater risk for misdiagnosis and an overall decrease in the quality of care they provide. In this viewpoint, we reviewed the issues surrounding full practice authority (FPA) for nurse practitioners (NPs) in the United States (US). We summarized evidence regarding the safety, quality, and efficacy of NPs in states that have enacted FPA and describes the role of NPs in closing the gap of unmet healthcare needs of the US population. We also described the success of states with FPA in their legislative efforts while other states are still plagued by barriers to FPA, providing context on the political environment surrounding FPA bills. The analysis of FPA for NPs meeting the healthcare needs of the US population can further inform policy to aid in similar healthcare needs globally.
期刊介绍：
The Journal of Public Health Policy (JPHP) will continue its 35 year tradition: an accessible source of scholarly articles on the epidemiologic and social foundations of public health policy, rigorously edited, and progressive.
JPHP aims to create a more inclusive public health policy dialogue, within nations and among them. It broadens public health policy debates beyond the ''health system'' to examine all forces and environments that impinge on the health of populations. It provides an exciting platform for airing controversy and framing policy debates - honing policies to solve new problems and unresolved old ones.
JPHP welcomes unsolicited original scientific and policy contributions on all public health topics. New authors are particularly encouraged to enter debates about how to improve the health of populations and reduce health disparities.
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