The Impact of the Changing Scope of Practice of Physician Assistants, Nurse Practitioners, and Certified Nurse-Midwives on the Supply of Practitioners and Access to Care: Oregon Case Study


This case study in Oregon, part of a nationwide project led by the New York CHWS, investigated the nature and effects on providers’ supply and access to care of changes in nurse practitioners’, certified nurse midwives’, and physician assistants’ scope of practice between 1992 and 2000. Using data from interviews and secondary sources, the UW CHWS’ contribtution to the project traced the emergence and establishment of NP, CNM, and PA professions in Oregon, the history and content of laws governing their practice, and the relationship of scope of practice to provider supply and delivery of care to underserved populations. Funded by the New York CHWS, through a contract with HRSA, Bureau of Health Professions.






Authors Title Type Date Documents/Media
Palazzo L, Hart LG, Skillman SM The impact of the changing scope of practice of physician assistants, nurse practitioners, and certified nurse-midwives on the supply of practitioners and access to care: Oregon case study PUBLICATION 01-01-2002
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