Competitive effects of scope of practice restrictions: Public health or public harm?

Markowitz Sara; Adams E. Kathleen; Lewitt Mary Jane; Dunlop Anne L.

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Competitive effects of scope of practice restrictions: Public health or public harm?

机译：业务范围限制的竞争影响：公共卫生还是公共危害？

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The demand for healthcare professionals is predicted to grow significantly over the next decade. Securing an adequate workforce is of primary importance to ensure the health and wellbeing of the population in an efficient manner. Occupational licensing laws and related restrictions on scope of practice (SOP) are features of the market for healthcare professionals and are also controversial. At issue is a balance between protecting the public health and removing anticompetitive barriers to entry and practice. In this paper, we examine the case of SOP restrictions for certified nurse midwives (CNMs) and evaluate the effects of changes in states' SOP laws on markets for CNMs and on maternal and infant outcomes. We find that SOP laws are neither helpful nor harmful in regards to health outcomes but states that have no SOP-based barriers have lower rates of induced labor and Cesarean section births. We discuss the implications for state policy. (C) 2017 Elsevier B.V. All rights reserved.

机译：预计在未来十年中，对医疗保健专业人员的需求将显着增长。确保充足的劳动力对于有效地确保人民的健康和福祉至关重要。职业执照法和相关的执业范围限制（SOP）是医疗保健专业人员的市场特征，并且也引起争议。在保护公众健康与消除进入和实践的反竞争壁垒之间取得平衡是一个问题。在本文中，我们研究了认证护士助产士（CNM）的SOP限制情况，并评估了州SOP法律的变化对CNM市场以及母婴结局的影响。我们发现，SOP法律对健康结果既无助益也无害，但没有基于SOP的障碍的州的引产和剖宫产率较低。我们讨论了对国家政策的影响。（C）2017 Elsevier B.V.保留所有权利。

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来源
《Journal of health economics》 |2017年第9期|201-218|共18页
作者
Markowitz Sara; Adams E. Kathleen; Lewitt Mary Jane; Dunlop Anne L.;
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作者单位

Emory Univ, Atlanta, GA 30322 USA|NBER, Cambridge, MA 02138 USA;

Emory Univ, Atlanta, GA 30322 USA;

Emory Univ, Atlanta, GA 30322 USA;

Emory Univ, Atlanta, GA 30322 USA;

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正文语种 eng
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关键词
Scope of Practice; Infant health; Maternal health; Occupational licensing; Certified nurse midwife;

机译：业务范围;婴儿健康;孕产妇健康;职业执照;经认证的助产士;

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Competitive effects of scope of practice restrictions: Public health or public harm?

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