Impact of New York state nurse practitioners modernization act on quality of care

In 2015, NY State introduced a bill allowing nurse practitioners full scope of practice to address the shortages in primary care services. We use a difference-in-differences model to estimate the effect of the policy on mortality due to heart disease and diabetes from 1999 to 2019. We control for ag...

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Bibliographic Details
Published in:Economics letters 2023-09, Vol.230, p.111264, Article 111264
Main Authors: RoyChoudhury, Agnitra, Petrova, Kameliia
Format: Article
Language:English
Subjects:
Mortality rate
New York
Nurse practitioners
Scope of practice
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Summary:In 2015, NY State introduced a bill allowing nurse practitioners full scope of practice to address the shortages in primary care services. We use a difference-in-differences model to estimate the effect of the policy on mortality due to heart disease and diabetes from 1999 to 2019. We control for age, race, and sex, and use nearby reduced practice authority states as a control. Our results indicate that average mortality rate decreases or remains statistically comparable following NY’s implementation of the policy, suggesting that NY’s policy does not statistically lower quality of care. •We study the impact of NY’s Modernization Act, relaxing NPs Scope of Practice.•We analyze changes in mortality due to heart disease or diabetes.•Mortality decreases by 6 to 13 percent after policy implementation.•Our results are mainly driven by non-Hispanic White population.
ISSN:0165-1765
1873-7374
DOI:10.1016/j.econlet.2023.111264