Documentation of Contraception and Pregnancy Intention In Medicaid Managed Care:

Health Services Research & Managerial Epidemiology

HeikeThiel de Bocanegra¹ 

关键词: pregnancy intention;    contraception;    quality of care;    service providers;    United States;   

DOI  :  10.1177/2333392817748870

学科分类：医学（综合）

来源: Sage Journals

【 摘 要 】

Context:Clinical guidelines recommend the documentation of pregnancy intention and family planning needs during primary care visits. Prior to the 2014 Medicaid expansion and release of these guidelines, the documentation practices of Medicaid managed care providers are unknown.Methods:We performed a chart review of 1054 Medicaid managed care visits of women aged 13 to 49 to explore client, provider, and visit characteristics associated with documentation of immediate or future plans for having children and contraceptive method use. Five managed care plans used Current Procedural Terminology and International Classificationof Diseases, Ninth Revision codes to identify providers with at least 15 women who had received family planning or well-woman care in 2013. We conducted multilevel logistic regression analyses with documentation of contraceptive method and pregnancy intention as outcome variables and clinic site as the level 2 random effect.Results:Only 12% of charts had documentation of pregnancy intent...

【 授权许可】

CC BY