国家执业范围法对高级执业注册护士劳动力供给的影响

IF 3.1 2区经济学 Q1 ECONOMICS

American Journal of Health Economics Pub Date : 2020-03-01 DOI:10.1086/716545

Sara Markowitz, Kathleen Adams

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引用次数: 13

摘要

本文研究了各州高级执业注册护士执业范围（SOP）法律的变化对个人劳动力供应决策的影响。限制性SOP会增加成本和其他可能影响这些决策的实践障碍。利用APRN的调查数据，我们分析了护理就业、工作时间、兼职状态、多份工作、自营职业、工资和移民。结果表明，SOP限制水平并不是许多劳动力市场决策的有力决定因素，但在没有监督要求的州工作的APRN更有可能是自营职业者，工作时间更长。APRN也被发现在地理上可行的情况下可以通勤到限制较少的SOP环境。在监管环境相对不受医生监督要求的情况下，护士劳动力供应的增加可能会给美国的医疗服务带来重要变化。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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The Effects of State Scope of Practice Laws on the Labor Supply of Advanced Practice Registered Nurses

This paper studies the effects of changes in states’ scope of practice (SOP) laws for advanced practice registered nurses (APRNs) on individual labor supply decisions. Restrictive SOP impose costs and other barriers to practice that may affect these decisions. Using survey data on APRNs, we analyze employment in nursing, work hours, part-time work status, multiple job holding, self-employment, wages, and migration. Results show that the level of SOP restrictions are not strong determinants of many labor market decisions but APRNs working in states without oversight requirements are much more likely to be self-employed and to work more hours. APRNs are also found to commute to less restrictive SOP environments when geographically feasible. Increases in the labor supply of nurses when regulatory environments are relatively free from physician oversight requirements can bring an important change to the delivery of health care in the United States.

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来源期刊

American Journal of Health Economics Multiple-

CiteScore

4.30

自引率

2.70%

发文量

期刊介绍： The American Journal of Health Economics (AJHE) provides a forum for the in-depth analysis of health care markets and individual health behaviors. The articles appearing in AJHE are authored by scholars from universities, private research organizations, government, and industry. Subjects of interest include competition among private insurers, hospitals, and physicians; impacts of public insurance programs, including the Affordable Care Act; pharmaceutical innovation and regulation; medical device supply; the rise of obesity and its consequences; the influence and growth of aging populations; and much more.