APRN independence does not harm physicians' wages.From Nurse.com news
Copyright March 15, 2012, Nurse.com. All rights reserved. Used with permission.
Increasing the scope of practice for nurse practitioners does not lead to lower wages for primary care physicians, according to according to
1. As stated or indicated by; on the authority of: according to historians.
2. In keeping with: according to instructions.
3. a recent study.
The study by researchers with the George Washington University School of Public Health and Health Services health services Managed care The benefits covered under a health contract in Washington, DC, found no significant differences in wages of primary care physicians in states with more liberal scope of practice laws for nurse practitioners compared with states with more restrictive laws, based on wage data from the Bureau of Labor Statistics Bureau of Labor Statistics (BLS)
A research agency of the U.S. Department of Labor; it compiles statistics on hours of work, average hourly earnings, employment and unemployment, consumer prices and many other variables. .
In 2010, the Institute of Medicine recommended removing scope of practice barriers for nurse practitioners to allow them to "practice to the full extent of their education and training." Sixteen states and Washington, DC, have more liberal scope of practice laws that allow nurse practitioners to diagnose diagnose /di·ag·nose/ (di´ag-nos) to identify or recognize a disease.
1. To distinguish or identify a disease by diagnosis.
2. and treat patients without physician supervision or with the signing of a one-time collaboration Working together on a project. See collaborative software. agreement with a physician or the state board of nursing, according to a news release.
Although increased independence for nurse practitioners may help ease primary care shortages in many areas, some primary care physicians have expressed concern that competition with independent nurse practitioners could lower their incomes, which already lag far behind incomes of physician specialists.
"As we plan for the expansion of health care coverage to over 30 million people in 2014, the shortage of primary care providers will be one of the major challenges," lead researcher Patricia Pittman, PhD, associate professor in the Department of Health Policy in the GW School of Public Health and Health Services and the School of Nursing, said in the news release.
"As a result, it is important to systematically assess whether there are negative consequences for primary care doctors associated with an expanded role for nurse practitioners. Our study is a first step in that assessment. We found no evidence of negative economic impact on family physicians and internists in states that have already implemented reforms."
The study appears in the 2012 edition of Nursing Research and Practice. To read it, visit http://bit.ly/wqS6gU.