State Policies and Buprenorphine Prescribing by Nurse Practitioners and Physician Assistants.
State Policies and Buprenorphine Prescribing by Nurse Practitioners and Physician Assistants.
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护士从业者和医师助理的国家政策和丁丙诺啡处方。
DOI：
10.1177/10775587221086489
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发表时间：
2022-12
期刊：
影响因子：
--
通讯作者：
Stein BD
中科院分区：
文献类型：
--
作者：
Harrison JM;Kerber R;Andraka-Christou B;Sorbero M;Stein BD
执业护士（NP）和医生助理（PA）处方可以增加阿片类药物使用障碍的丁丙诺啡治疗。在这项横断面研究中，我们使用了大约90%的美国零售药店（2017-2018年）的去识别索赔，以检查国家政策与NP/PA与医生接受丁丙诺啡治疗的几率之间的关联，总体上并按城市/农村状态分层。从2017年到2018年，NP/PA规定的丁丙诺啡治疗事件的百分比在各州之间差异很大，从亚拉巴马的0.4%到蒙大拿州的57.2%。与NP/PA的丁丙诺啡治疗可能性更大相关的政策包括NP的完整实践范围（SOP），PA的完整SOP，NP的医疗补助支付平价（以100%的服务费医生费率报销）和医疗补助扩展。虽然大多数调查结果方面的政策是类似的城市和农村环境，医疗补助扩展与NP/PA丁丙诺啡治疗的关联是由农村县。
Nurse practitioner (NP) and physician assistant (PA) prescribing can increase access to buprenorphine treatment for opioid use disorder. In this cross-sectional study, we used deidentified claims from approximately 90% of U.S. retail pharmacies (2017–2018) to examine the association of state policies with the odds of receiving buprenorphine treatment from an NP/PA versus a physician, overall and stratified by urban/rural status. From 2017 to 2018, the percentage of buprenorphine treatment episodes prescribed by NPs/PAs varied widely across states, from 0.4% in Alabama to 57.2% in Montana. Policies associated with greater odds of buprenorphine treatment from an NP/PA included full scope of practice (SOP) for NPs, full SOP for PAs, Medicaid pay parity for NPs (reimbursement at 100% of the fee-for-service physician rate), and Medicaid expansion. Although most findings with respect to policies were similar in urban and rural settings, the association of Medicaid expansion with NP/PA buprenorphine treatment was driven by rural counties.
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影响因子：
2.5
作者：
Germack, Hayley D.;Harrison, Jordan;Martsolf, Grant R.
通讯作者：
Martsolf, Grant R.
影响因子：
3.8
作者：
Abraham, Amanda J.;Lawler, Emily C.;Bradford, W. David
通讯作者：
Bradford, W. David
DOI：
10.1377/hlthaff.2017.1158
发表时间：
2018-06
期刊：
Health affairs (Project Hope)
影响因子：
--
作者：
Barnes H;Richards MR;McHugh MD;Martsolf G
通讯作者：
Martsolf G
影响因子：
4.9
作者：
Andrilla, C. Holly A.;Patterson, Davis G.
通讯作者：
Patterson, Davis G.
DOI：
10.1097/01.jaa.0000475463.23218.c9
发表时间：
2016-01-01
影响因子：
1.1
作者：
Cawley, James F.;Lane, Steven;Bush, Elizabeth
通讯作者：
Bush, Elizabeth