practitioners who largely staff retail-based clinics can provide a wider range of services. Just as primary care provider shortages are becoming acute,
retail-based clinics in pharmacies and grocery stores are set to fill
the gap in accessible patient care.
Yet in some states, access to this
convenient care is constrained due to restrictive scope-of-practice
A new University of Pennsylvania School of Nursing's Center for
Health Outcomes & Policy Research (CHOPR) study has investigated
scope-of-practice regulatory environments and retail-based clinic
‘Optimization of innovative healthcare sites such as retail based clinics will require moving toward adoption of policies that standardize the scope of practice for nurse practitioners.’
Data indicate that optimization of innovative healthcare sites
such as retail based clinics will require moving toward adoption of
policies that standardize the scope of practice for nurse practitioners,
who largely staff retail-based clinics. The study, "Growth in
retail-based clinics after nurse practitioner scope of practice reform,"
has been published in Nursing Outlook
J. Margo Brooks Carthon, Assistant Professor of
Nursing and a Senior Fellow at CHOPR and the Leonard Davis Institute of
Health Economics, led the study that examined the association between
scope-of-practice regulations and retail-based clinic growth in
Pennsylvania before and after the passage of Prescription for
Pennsylvania (Rx4PA) health reform. The reform was linked, in part, to
removal of practice barriers for advanced practice nurses.
"Our finding of a net increase in retail clinics in Pennsylvania
post-legislation suggests a relationship between the ability of nurse
practitioners to provide a wider range of services and the growth of an
innovative model that aims to increase access to care," says Brooks
Carthon. "This new data underscores the importance of careful scrutiny
of overly restrictive practice regulations."