Determinants of contraceptive availability at medical facilities in the Department of Veterans Affairs.

Journal of General Internal Medicine
Jacqueline R CopeDonna L Washington

Abstract

To describe the variation in provision of hormonal and intrauterine contraception among Veterans Affairs (VA) facilities. Key informant, cross-sectional survey of 166 VA medical facilities. Data from public use data sets and VA administrative databases were linked to facility data to further characterize their contextual environments. All VA hospital-based and affiliated community-based outpatient clinics delivering services to at least 400 unique women during fiscal year 2000. Onsite availability of hormonal contraceptive prescription and intrauterine device (IUD) placement. Ninety-seven percent of facilities offered onsite prescription and management of hormonal contraception whereas 63% offered placement of IUDs. After adjusting for facility caseload of reproductive-aged women, 3 organizational factors were independently associated with onsite IUD placement: (1) onsite gynecologist (adjusted odds ratio [OR], 20.35; 95% confidence interval [CI], 7.02 to 58.74; P<.001); (2) hospital-based in contrast to community-based practice (adjusted OR, 5.49; 95% CI, 1.16 to 26.10; P=.03); and (3) availability of a clinician providing women's health training to other clinicians (adjusted OR, 3.40; 95% CI 1.19 to 9.76; P=.02). VA's provisi...Continue Reading

References

Oct 14, 1992·JAMA : the Journal of the American Medical Association·C M Clancy, C T Massion
Jan 1, 1989·American Journal of Epidemiology·R M Mickey, S Greenland
Jan 1, 1995·Women's Health Issues : Official Publication of the Jacobs Institute of Women's Health·C S WeismanA J Khoury
Dec 1, 1996·Obstetrical & Gynecological Survey·J D Forrest
Jan 24, 1998·Women's Health Issues : Official Publication of the Jacobs Institute of Women's Health·E HoffmanK Johnson
Apr 22, 2000·The British Journal of Family Planning·S Gupta, J E Miller
Aug 12, 2000·Journal of General Internal Medicine·P Charney
Jan 30, 2002·Obstetrics and Gynecology·Nancy L StanwoodThomas R Konrad
Jul 27, 2002·Medical Care·Michael K ChapkoCarol VanDeusen Lukas
Jul 27, 2002·Medical Care·John C FortneyMichael K Chapko
Jul 27, 2002·Medical Care·Ashley N HedeenMichael K Chapko
Feb 6, 2003·American Journal of Preventive Medicine·Alan W Cross
May 7, 2003·Women's Health Issues : Official Publication of the Jacobs Institute of Women's Health·Donna L WashingtonElizabeth M Yano
May 7, 2003·Women's Health Issues : Official Publication of the Jacobs Institute of Women's Health·Elizabeth M YanoCarole Turner
Mar 18, 2004·American Journal of Preventive Medicine·Dhruti ContractorScott Kellerman

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Citations

Jul 5, 2007·Journal of General Internal Medicine·Jasvinder A Singh, Maureen Murdoch
Jul 3, 2013·Journal of General Internal Medicine·Jodie KatonElizabeth M Yano
Aug 14, 2013·Women & Health·Thomas ByrneMelissa E Dichter
Jul 8, 2011·Women's Health Issues : Official Publication of the Jacobs Institute of Women's Health·Bevanne Bean-MayberryPaul G Shekelle
Jul 8, 2011·Women's Health Issues : Official Publication of the Jacobs Institute of Women's Health·Donna L WashingtonElizabeth M Yano
Dec 20, 2011·Contraception·Sonya BorreroPatricia Hayes
Dec 28, 2011·American Journal of Obstetrics and Gynecology·Vinita GoyalEleanor Bimla Schwarz
Mar 26, 2013·American Journal of Obstetrics and Gynecology·Sonya BorreroWalid F Gellad
Oct 18, 2016·Women's Health Issues : Official Publication of the Jacobs Institute of Women's Health·Shivani M ReddyElizabeth M Yano
Sep 9, 2009·BJOG : an International Journal of Obstetrics and Gynaecology·X-J ZhangD-Q Ye
Mar 15, 2006·BMC Public Health·George Thomson, Nick Wilson
Apr 23, 2017·Journal of General Internal Medicine·Sonya BorreroE Bimla Schwarz
Oct 14, 2011·Biomedical Instrumentation & Technology·Nick Mankovich, Brian Fitzgerald

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