Figure 2-1. Factors Related to Scope of Practice of PAs, NPs, and CNMs

Increased Scope of Practice leads to
Greater Acceptance by the Public and Greater Acceptance by Physicians

Greater Acceptance by the Public leads to
Increased Interest in Entering the Profession and Increased Scope of Practice

Increased Interest in Entering the Profession leads to
More Education Programs and Graduates

More Education Programs and Graduates leads to
More Practitioners

More Practitioners leads to
More Self Regulation, Greater Political Stature, and More Lobbying

More Self Regulation leads to
Increased Scope of Practice

More Lobbying leads to
Greater Political Stature

Greater Political Stature leads to
Statutory and Regulatory Change

Statutory and Regulatory Change leads to
Increased Scope of Practice

Greater Acceptance by Physicians leads to
Hiring of More Professionals, Increased Scope of Practice, and Increased Interest in Entering the Profession

Hiring of More Professionals leads to
Increased Interest in Entering the Profession and to More Patients Being Treated Cost Effectively

More Patients Being Treated Cost Effectively leads to
Increased Physician Revenues, Better Achievement of Access Goals, and Greater Acceptance by the Public

Increased Physician Revenues leads to
Greater Acceptance by Physicians

Better Achievement of Access Goals leads to
Statutory and Regulatory Change and to Increased Scope of Practice

Increased Emphasis on Prevention leads to
Statutory and Regulatory Change