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Table 1 The SWOT analysis of the US case

From: Regulating health professional scopes of practice: comparing institutional arrangements and approaches in the US, Canada, Australia and the UK

Strengths
Supports workforce innovation responsive to local needs
Licensure compacts allowing licensure recognition and sharing of regulatory data across jurisdictions
Weaknesses
Patchwork of approaches and reforms across jurisdictions
Process for changing state regulations is slow, adversarial and costly
Failure to reconcile legal scope of practice with professional competency in state regulation
Opportunities
Increasing use of interprofessional team-based models of care
Enables the ‘testing’ of innovative models in one state for potential implantation across other states
Payment reform
Focus on population health
Threats
Restrictive scopes of practice are inefficient and can limit access to care
Failure to systematically evaluate workforce innovation
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