Just What the Nurse Practitioner Ordered: Independent Prescriptive Authority and Population Mental Health
72 Pages Posted: 15 Jun 2017 Last revised: 29 Apr 2020
Date Written: 2016-12-20
We examine whether relaxing occupational licensing to allow nurse practitioners (NPs)â€”registered nurses with advanced degreesâ€”to prescribe medication without physician oversight is associated with improved population mental health. Exploiting time-series variation in independent prescriptive authority for NPs from 1990â€“2014, we find that broadening prescriptive authority is associated with improvements in self-reported mental health and decreases in mental-health-related mortality, including suicides. These improvements are concentrated in areas underserved by psychiatrists and among populations traditionally underserved by mental health providers. Our results demonstrate that extending prescriptive authority to NPs can help mitigate physician shortages and extend care to disadvantaged populations.
Keywords: C-sections, Disability insurance, Medically underserved areas, Mental health, Nurse practitioner, Population
JEL Classification: I12, I13, I14
Suggested Citation: Suggested Citation