BMC Health Services Research | |
Evidence-based family planning services among publicly funded providers in Texas | |
Research | |
Elizabeth Ela1  Kristine Hopkins1  Elsa Vizcarra1  Joseph E. Potter1  Liana J. Petruzzi2  Shetal Vohra-Gupta2  Kari White3  | |
[1] Population Research Center, University of Texas at Austin, 305 E. 23Rd Street, 78712, Austin, TX, USA;Texas Policy Evaluation Project, The University of Texas at Austin, 116 Inner Campus Dr., 78712, Austin, TX, USA;Steve Hicks School of Social Work, The University of Texas at Austin, 1925 San Jacinto Blvd, 78712, Austin, TX, USA;Steve Hicks School of Social Work, The University of Texas at Austin, 1925 San Jacinto Blvd, 78712, Austin, TX, USA;Population Research Center, University of Texas at Austin, 305 E. 23Rd Street, 78712, Austin, TX, USA;Texas Policy Evaluation Project, The University of Texas at Austin, 116 Inner Campus Dr., 78712, Austin, TX, USA; | |
关键词: Health policy; Women’s health; Reproductive health services; Family planning; Contraception; Health surveys; | |
DOI : 10.1186/s12913-022-08889-0 | |
received in 2022-06-14, accepted in 2022-11-25, 发布年份 2022 | |
来源: Springer | |
【 摘 要 】
BackgroundHealthy Texas Women (HTW) is a fee-for-service family planning program that excludes affiliates of abortion providers. The HTW network includes providers who participate in Title X or the state Family Planning Program (FPP) and primary care providers without additional family planning funding (HTW-only). The objective of this study is to compare client volume and use of evidence-based practices among HTW providers.MethodsClient volume was determined from administrative data on unduplicated HTW clients served in fiscal year (FY) 2017. A sample of 114 HTW providers, stratified by region, completed a 2018 survey about contraceptive methods offered, adherence to evidence-based contraceptive provision, barriers to offering IUDs and implants, and counseling/referrals for pregnant patients. Differences by funding source were assessed using t-tests and chi-square tests.ResultsAlthough HTW-only providers served 58% of HTW clients, most (72%) saw < 50 clients in FY2017. Only 5% of HTW providers received Title X or FPP funding, but 46% served ≥ 500 HTW clients. HTW-only providers were less likely than Title X providers to offer hormonal IUDs (70% vs. 92%) and implants (66% vs 96%); offer same-day placement of IUDs (21% vs 79%) and implants (21% vs 83%); and allow patients to delay cervical cancer screening when initiating contraception (58% vs 83%; all p < 0.05). There were few provider-level differences in counseling/referrals for unplanned pregnancy (p > 0.05).ConclusionsHTW-only providers served fewer clients and were less likely to follow evidence-based practices. Program modifications that strengthen the provider network and quality of care are needed to support family planning services for low-income Texans.
【 授权许可】
CC BY
© The Author(s) 2022
【 预 览 】
Files | Size | Format | View |
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RO202305065943664ZK.pdf | 1063KB | download | |
40517_2022_243_Article_IEq20.gif | 1KB | Image | download |
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【 参考文献 】
- [1]
- [2]
- [3]
- [4]
- [5]
- [6]
- [7]
- [8]
- [9]
- [10]
- [11]
- [12]
- [13]
- [14]
- [15]
- [16]
- [17]
- [18]
- [19]
- [20]
- [21]
- [22]
- [23]
- [24]
- [25]
- [26]
- [27]
- [28]
- [29]