Abstract
This paper considers how the decision to enter advanced practice nursing (e.g., the occupations of nurse practitioner, certified nurse-midwife, nurse anesthetist, and clinical nurse specialist) is affected by State laws on the scope of practice of APNs. We find that enrollments in APN programs are 30 percent higher in States where APNs have a high level of professional independence. Our work differs from previous studies by estimating a fixed effects model on cross-sectional and time series data, to avoid problems of endogeneity of State laws.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Agresti, A. (1996). An Introduction to Categorical Data Analysis. New York: Wiley.
Betts, J. R. and L. L. McFarland. (1995). “Safe Port in a Storm—The Impact of Labor-Market Conditions on Community-College Enrollments.” Journal of Human Resources 30(4), 741–765.
Buerhaus, P. J. (1993). “Effects of RN Wages and Non-Wage Income on the Performance of the Hospital RN Labor.” Nursing Economics 13(3), 129–135.
Buerhaus, P. J. (1995). “Economic Pressures Building in the Hospital Employed RN Labor Market.” Nursing Economics 13(3), 137–141.
Declerq, E. R., L. L. Paine, D. R. Simmes and J. F. DeJoseph. (1998). “State Regulation, Payment Policies, and Nurse-Midwife Services.” Health Affairs 17, 190–200.
Dueker, M. J., S. J. Spurr, A. K. Jacox and D. E. Kalist. (2002). “The Practice Boundaries of Advanced Practice Nurses: An Economic and Legal Analysis.” Working paper.
Freeman, R. B. (1971). The Market for College-Trained Manpower: A Study in the Economics of Career Choice. Cambridge, MA: Harvard University Press.
Freeman, R. B. (1972). “Labor Market Adjustments in Psychology.” American Psychologist, 384–392.
Freeman, R. B. (1975a). “Legal Cobwebs: A Recursive Model of the Market for New Lawyers.” The Review of Economics and Statistics 57, 171–179.
Freeman, R. B. (1975b). “Supply and Salary Adjustments to the Changing Science Manpower Market: Physics 1948–1973.” American Economic Review 65, 27–39.
Gaumer, G. L. (1984). “Regulating Health Professionals: AReviewof the Empirical Literature.” Milbank Memorial Fund Quarterly/ Health and Society 62, 380–416.
Harper, D. C. and J. Johnson. (1998). “The New Generation of Nurse Practitioners: Is More Enough?” Health Affairs 17, 157–164.
Henderson, J. (2002). Health Economics and Policy. South-Western Publishing.
Kalist, D. E., N. Molinari and S. J. Spurr. (2002). “The Practice Boundaries of Nurse Anesthetists: An Economic and Legal Analysis.” Working paper.
Link, C. R. and R. F. Settle. (1979). “Labor Supply Responses of Married Professional Nurses: New Evidence.” Journal of Human Resources 14(2), 256–266.
Mason, D. J., S. S. Cohen, J. P. O'Donnell, K. Baxter and A. B. Chase. (1997). “Managed Care Organizations'; Arrangements with Nurse Practitioners.” Nursing Economics 15, 306–314.
Mattila, J. P. (1982). “Determinants of Male School Enrollments: A Time-Series Analysis.” The Review of Eco-nomics and Statistics 64(2), 242–251.
Maurizi, A. (1975). “Rates of Return to Dentistry and the Decision to Enter Dental School.” Journal of Human Resources 10(4), 521–528.
National League for Nursing (various years). Data Book.New York: NLN Press.
National League for Nursing. (1996). Nursing DataSource.Vol. II, New York: NLN Press.
Paul, C. (1984). “Physician Licensure Legislation and the Quality of Medical Care.” Atlantic Economic Journal 12, 18–30.
Ryoo, J. and S. Rosen. (1992). “The Market for Engineers.” Working Paper No. 83, Center for the Study of the Economy and the State, The University of Chicago.
Sass, T. R. and M. W. Nichols. (1996). “Scope-of-Practice Regulation: Physician Control and the Wages of Non-Physician Health Care Providers.” Journal of Regulatory Economics 9, 61–81.
Sekscenski, E. S., S. Sansom, C. Bazell, M. E. Slamon and F. Mullan. (1994). “State Practice Environments and the Supply of Physician Assistants, Nurse Practitioners, and Certified Nurse-Midwives.” New England Journal of Medicine 331, 1266–1271.
Spetz, J. (1999). “The Effects of Managed Care and Prospective Payment on the Demand for Hospital Nurses: Evidence from California.” Health Services Research 34(5), 993–1010.
Stigler, G. J. (1971). “The Theory of Economic Regulation.” Bell Journal of Economics 2, 3–21.
U.S. General Accounting Office. (1992). “Medicare: Payments for Medically Directed Anesthesia Services Should Be Reduced.” Washington, D.C.: U.S. Government Printing Office, GAO/HRD-92-95, 1–28.
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Kalist, D.E., Spurr, S.J. The Effect of State Laws on the Supply of Advanced Practice Nurses. International Journal of Health Care Finance and Economics 4, 271–281 (2004). https://doi.org/10.1023/B:IHFE.0000043758.12051.98
Issue Date:
DOI: https://doi.org/10.1023/B:IHFE.0000043758.12051.98