How Collaborative Practice Agreements Impede the Administration of Vital Women's Health Services

This study used univariable and multivariable logistic regression to examine the financial and administrative constraints collaborative practice agreements place on NPs and CNMs.ResultsThe median fee to establish a collaborative agreement was $500 (n = 25; interquartile range [IQR], $175 ‐$1200; range, $30‐$3000). The monthly median fee to maintain a collaborative agreement was $500 (n = 29; IQR, $250‐$1200; range, $100‐$2000). NPs and CNMs working in rural areas and remotely are more likely to encounter barriers to practice. Similarly, the loss or lack of supervising physic ians and fees were also identified as impediments to care.DiscussionRemoving unnecessary regulatory requirements permits NPs and CNMs to be full market participants, thereby allowing them to address health care disparities in women's health and primary care settings. Targeted legislative efforts should seek to improve access to these vital services and re ‐establish evidence‐based patient care and safety best practices as the drivers of health care regulation.
Source: Journal of Midwifery and Women's Health - Category: Midwifery Authors: Tags: Original Research Source Type: research