Home About Latest Browse RSS Advanced Search

Federal Reserve Bank of St. Louis
Working Papers
The practice boundaries of advanced practice nurses: an economic and legal analysis
Michael J. Dueker
Stephen J. Spurr
Ada K. Jacox
David E. Kalist
Abstract

The purpose of this study is to examine the causes and effects of State regulation that determines the extent of professional independence of advanced practice nurses (APNs). We analyze determinants of these regulations in panel data across States. We find that in States where APNs have acquired a substantial amount of professional independence, the earnings of APNs are substantially lower, and those of physicians' assistants are substantially higher, than in other States. These results are striking since physicians' assistants are in direct competition with APNs; the only real operational difference between these groups is that physicians' assistants are salaried employees who must work under the supervision of a physician. The implication is that physicians have responded to an increase in professional independence of APNs by hiring fewer APNs and more physicians' assistants.


Download Full text
Cite this item
Michael J. Dueker & Stephen J. Spurr & Ada K. Jacox & David E. Kalist, The practice boundaries of advanced practice nurses: an economic and legal analysis, Federal Reserve Bank of St. Louis, Working Papers 2005-071, 2005.
More from this series
JEL Classification:
Subject headings:
For corrections, contact Anna Oates ()
Fed-in-Print is the central catalog of publications within the Federal Reserve System. It is managed and hosted by the Economic Research Division, Federal Reserve Bank of St. Louis.

Privacy Legal