A comprehensive women's health care center: are gynecologists offering primary care?

American Journal of Obstetrics and Gynecology
Gretchen M LentzLinda O Eckert

Abstract

The purpose of this study was to compare patient characteristics and diagnoses in a comprehensive Women's Health Care Clinic between gynecologists and internal medicine physicians. This retrospective cohort study evaluated International Classification of Diseases, 9th Revision, codes that were recorded between January 1, 2001, and January 4, 2004, at the Women's Health Care Clinic. We compared demographics and prevalence of diagnosis codes for patients who were seen by obstetricians/gynecologists and internal medicine physicians and compared these data with national survey statistics. A sampling of charts was reviewed for coding verification. We analyzed 13,462 visits at the Women's Health Care Clinic. Patients who were seen by internists were older, had greater racial diversity, and had more gender-nonspecific medical disorders (hypertension, depression). Gynecologists saw more specific women's health problems (P < .05). The diagnoses of menstrual disorders, menopause, pelvic pain, and abnormal cytologic findings within the Women's Health Care Clinic follow closely with the national ambulatory survey data. Within this multispecialty Women's Health Care Clinic, internal medicine physicians are practicing primary care and obstet...Continue Reading

References

Jan 1, 1995·Women's Health Issues : Official Publication of the Jacobs Institute of Women's Health·C S WeismanA J Khoury
Mar 1, 1995·Obstetrics and Gynecology·S Leader, P J Perales
Jan 1, 1993·Women's Health Issues : Official Publication of the Jacobs Institute of Women's Health·P Looker
Sep 12, 2000·Women's Health Issues : Official Publication of the Jacobs Institute of Women's Health·C S Weisman, G L Squires

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Citations

Jul 10, 2013·Annals of Family Medicine·Katy B Kozhimannil, Patricia Fontaine
Jul 14, 2007·Journal of Women's Health·Julie BolenDouglas Shenson
Mar 28, 2008·Fertility and Sterility·Rebecca GreeneNinet Sinaii
Sep 9, 2017·Obstetrics and Gynecology·Alan E Simon, Sayeedha F G Uddin
Oct 6, 2021·Journal of Women's Health·Mary White, Swati Shroff

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