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Nurse practitioner oversight ratios and labor market outcomes

2024/11/05 by Andrew J. D. Smith, Sara Markowitz · 1 voice
Economics, Econometrics and Finance · Health Professions · Medicine · Nursing · #Business #Economics #Employment and Welfare Studies #Global Health Workforce Issues #Healthcare Policy and Management #Labour economics #Medicine #Nursing

paper · pdf · doi:10.1111/coep.12676

published in Contemporary Economic Policy 43(1), 52-78 (Wiley)

openalex publication_date 2024/11/05 · openalex created_date 2025/10/10 · openalex updated_date 2026/07/27

Abstract

Abstract Nurse practitioners are important to the US healthcare system; however, many states impose physician oversight ratios, which limit the number of NPs a physician may supervise. In this study, we evaluate the effect of eliminating physician oversight ratios on the supply of NPs by conducting case studies of three states—New York, Nevada, and Pennsylvania—using synthetic control and related approaches. Surprisingly, we find that eliminating oversight ratios had little effect on the labor supply of NPs. For New York, we also analyze the effects of eliminating oversight ratios on wages and hours worked and again find null results.

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