The practice boundaries of advanced practice nurses: an economic and legal analysis
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.
|Date of creation:||2005|
|Publication status:||Published in Journal of Regulatory Economics, May 2005, 27(3), pp. 309-30|
|Contact details of provider:|| Postal: P.O. Box 442, St. Louis, MO 63166|
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- A. Frank Adams III & Robert B. Ekelund Jr. & John D. Jackson, 2003. "Occupational Licensing of a Credence Good: The Regulation of Midwifery," Southern Economic Journal, Southern Economic Association, vol. 69(3), pages 659-675, January.
- George J. Stigler, 1971. "The Theory of Economic Regulation," Bell Journal of Economics, The RAND Corporation, vol. 2(1), pages 3-21, Spring.
- Rosen, Sherwin, 1992.
"The Market for Lawyers,"
Journal of Law and Economics,
University of Chicago Press, vol. 35(2), pages 215-246, October.
- Sherwin Rosen, 1991. "The Market for Lawyers," University of Chicago - George G. Stigler Center for Study of Economy and State 72, Chicago - Center for Study of Economy and State.
- Rosen, S., 1991. "The Market for Lawyers," University of Chicago - Economics Research Center 91-10, Chicago - Economics Research Center.
- Chang-Jin Kim & Charles R. Nelson, 1998. "Business Cycle Turning Points, A New Coincident Index, And Tests Of Duration Dependence Based On A Dynamic Factor Model With Regime Switching," The Review of Economics and Statistics, MIT Press, vol. 80(2), pages 188-201, May.
- Breslaw, Jon A. & McIntosh, James, 1998. "Simulated latent variable estimation of models with ordered categorical data," Journal of Econometrics, Elsevier, vol. 87(1), pages 25-47, August.
- LaVonne A. Booton & Julia I. Lane, 1985. "Hospital Market Structure and the Return to Nursing Education," Journal of Human Resources, University of Wisconsin Press, vol. 20(2), pages 184-196.
- Edward J. Schumacher & Barry T. Hirsch, 1997. "Compensating Differentials and Unmeasured Ability in the Labor Market for Nurses: Why Do Hospitals Pay More?," ILR Review, Cornell University, ILR School, vol. 50(4), pages 557-579, July.
- Edward J. Schumacher & Barry T. Hirsch, "undated". "Compensating Differentials and Unmeasured Ability in the Labor Market For Nurses: Why Do Hospitals Pay More?," Working Papers 9604, East Carolina University, Department of Economics.
- Stephen T. Mennemeyer & Gary Gaumer, 1983. "Nursing Wages and the Value of Educational Credentials," Journal of Human Resources, University of Wisconsin Press, vol. 18(1), pages 32-48.
- Edward J. Schumacher, "undated". "Relative Wages and the Returns to Education in the Labor Market for Registered Nurses," Working Papers 9720, East Carolina University, Department of Economics.
- Sass, Tim R & Nichols, Mark W, 1996. "Scope-of-Practice Regulation: Physician Control and the Wages of Non-Physician Health-Care Professionals," Journal of Regulatory Economics, Springer, vol. 9(1), pages 61-81, January. Full references (including those not matched with items on IDEAS)