State regulation, payment policies, and nurse-midwife services.
State regulatory and reimbursement policies continue to exert a strong influence on health workforce policy. Surveys conducted in 1991 and 1995 for the purpose of examining the impact of state regulation on the supply and practice of certified nurse-midwives (CNMs) showed that the single best predictor of the distribution and practice activities of CNMs was the degree to which state policies facilitated or restricted CNM practice.
Declercq
E R
ER
Maternal and Child Health Department, Boston University School of Public Health, USA.
Paine
L L
LL
Simmes
D R
DR
DeJoseph
J F
JF
D005260:Female; D006297:Health Services Accessibility; D006801:Humans; D007231:Infant, Newborn; D016389:Maternal-Child Nursing / Q000191:economics / Q000331:legislation & jurisprudence; D009721:Nurse Midwives / Q000331:legislation & jurisprudence*; D011247:Pregnancy; D017009:Professional Autonomy; D012051:Reimbursement Mechanisms / Q000331:legislation & jurisprudence*; D013219:State Government; D018709:Statistics, Nonparametric; D014481:United States