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Growth in retail-based clinics after nurse practitioner scope of practice reform

Published:November 16, 2016DOI:https://doi.org/10.1016/j.outlook.2016.11.001

      Highlights

      • Scope of practice (SOP) policies may influence efforts to increase access to care.
      • Our findings suggest a link between SOP and retail clinic growth.
      • Our results using a regional analysis suggest the need for a national scale study.

      Abstract

      Background

      Retail clinics are largely staffed by nurse practitioners (NPs) and are a popular destination for nonemergent care.

      Purpose

      We examined if there was a relationship between NP practice regulations and retail clinic growth after the passage of a scope of practice (SOP) reform bill in Pennsylvania.

      Methods

      General linear regression models were used to compare retail clinic openings in Pennsylvania, New Jersey, and Maryland between 2006 and 2013.

      Discussion

      From 2006 to 2008, Pennsylvania experienced a significant growth rate in net retail clinic openings per capita (p = .046), whereas New Jersey and Maryland experienced no significant increase (p = .109 and .053, respectively). From 2009 to 2013, Pennsylvania opened 0.20 clinics (p = .129), New Jersey opened 0.23 clinics (p = .086), and Maryland opened 0.34 clinics per capita per year (p = .017).

      Conclusions

      Our study of three states with varying levels of SOP restraint reveals an association between relaxation of practice regulations and retail clinic growth.

      Keywords

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