Table 3.
NP presence in a practice and 100% NP Medicaid reimbursement main effects |
Interaction model with main effects |
|||
---|---|---|---|---|
Odds ratio | 95% CI | Odds ratio | 95% CI | |
NP present in practice | 1.17*** | [1.14, 1.20] | 1.10*** | [1.06, 1.14] |
100% NP Medicaid reimbursement |
1.13*** | [1.11, 1.15] | 1.11*** | [1.09, 1.13] |
NP present in practice × 100% NP Medicaid reimbursement |
— | — | 1.12*** | [1.06, 1.18] |
Full SOP | 1.24*** | [1.20, 1.28] | 1.24*** | [1.20, 1.28] |
Primary care | 0.77*** | [0.76, 0.78] | 0.77*** | [0.76, 0.78] |
Practice size | ||||
1-3 | 0.28*** | [0.27, 0.29] | 0.28*** | [0.27, 0.29] |
4-9 | 0.45*** | [0.43, 0.48] | 0.45*** | [0.43, 0.48] |
≥10 (ref.) | 1 | — | 1 | — |
% Population in poverty | 1.05*** | [1.04, 1.05] | 1.05*** | [1.04, 1.05] |
Rural location | 3.63*** | [3.42, 3.87] | 3.64*** | [3.42, 3.87] |
N | 252,657 | 252,657 |
Note. NP = nurse practitioner; CI = confidence interval; SOP = scope of practice. Primary care was established based on the presence of at least two-third primary care physicians in a practice. Primary care physicians included the following: adolescent medicine, family practice, general practitioner, geriatrician, internist, and pediatrician. Practice size was calculated as the number of physicians, nurse practitioners, and physician assistants in each practice. Rural location was established using core-based statistical area (Office of Management and Budget).
p < .001.