Journal ArticleDOI
National health insurance and the new health occupations: nurse practitioners and physicians' assistants.
Dorothy Robyn,Jack Hadley +1 more
TLDR
Several issues which might arise in the context of national health insurance legislation are considered, including reimbursement rates and methods, certification and licensure, training subsidies, deployment incentives, and compatibility with an increased supply of physicians.Abstract:
This article considers a number of issues which might arise in formulating policy for new health occupations. Its particular focus is on nurse practitioners and physicians' assistants and their treatment under potential national health insurance arrangements. The development and expansion of these occupations are described, as is the evidence on their performance with respect to the quality of medical care provided, the impact on the cost of such care, and changes in access to care. We then discuss several issues which might arise in the context of national health insurance legislation, including reimbursement rates and methods, certification and licensure, training subsidies, deployment incentives, and compatibility with an increased supply of physicians.read more
Citations
More filters
Journal Article
Nurse practitioners and physician assistants as primary care providers in institutional settings
TL;DR: It is found that the larger an institution's managed care population, the greater the NPs' and PAs' scope of practice and autonomy, although patients with complex illnesses or multisystem problems usually were referred directly to a physician.
Journal ArticleDOI
Nurse practitioners in a crowded marketplace: 1965-1985.
TL;DR: Some of the factors that influence workplace encroachment experienced by a growing number of nurse practitioners are examined and strategies for mitigating the limiting effects of these factors and for achieving stable practice opportunities are suggested.
Journal ArticleDOI
The competition approach to understanding occupational autonomy: Expansion and control of nursing service*
TL;DR: In this paper, the authors examined nursing's acquisition of autonomy from the perspective of an occupational interest group competing with other occupational interest groups for a market monopoly and found that market competition is a major factor in the policy-designated distribution of autonomy among nondominant occupations providing service shared with others in a common market area.
Journal ArticleDOI
Third Party Reimbursement for Nurses in Advanced Practice
TL;DR: The author contends that nursing has a challenge ahead: to educate consumers, legislators, and insurance companies that nurses in advanced practice are cost-effective and provide quality care.
Book ChapterDOI
Licensure of Functions
Abstract: Regulation and licensing of various disciplines and professions is pervasive in our country today. By one estimate, at least 5, 000 different licenses have been granted to more than 500 occupations (United States Department of Labor [USDOL], 1969, cited in Hogan, 1983). With so many different groups being licensed in one state or another, licensing laws affect a substantial portion of the work force (USDOL, 1969, cited in Hogan, 1983), warranting the raising of questions about the effectiveness of such regulatory activity and its underlying schema in satisfying the purposes of licensure.