Clinical availability of the copper IUD in rural versus urban settings: A simulated patient study
Objective: To assess the proportion of Washington state clinics that offer the copper IUD in rural vs urban settings. Study design: We employed a simulated patient model to survey clinics in the Human Health Resources and Services Administration 340B database to primarily assess the availability of...
Ausführliche Beschreibung
Autor*in: |
Kristen Lilja [verfasserIn] Jennifer Chin [verfasserIn] Lyndsey S. Benson [verfasserIn] Sofia Infante [verfasserIn] Elizabeth Micks [verfasserIn] |
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Format: |
E-Artikel |
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Sprache: |
Englisch |
Erschienen: |
2021 |
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Schlagwörter: |
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Übergeordnetes Werk: |
In: Contraception: X - Elsevier, 2019, 3(2021), Seite 100059- |
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Übergeordnetes Werk: |
volume:3 ; year:2021 ; pages:100059- |
Links: |
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DOI / URN: |
10.1016/j.conx.2021.100059 |
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Katalog-ID: |
DOAJ086749463 |
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520 | |a Objective: To assess the proportion of Washington state clinics that offer the copper IUD in rural vs urban settings. Study design: We employed a simulated patient model to survey clinics in the Human Health Resources and Services Administration 340B database to primarily assess the availability of the copper IUD. Results: We successfully surveyed 194/212 (92%) clinics. More urban than rural clinics reported copper IUD availability (76/97 [78%] vs 49/97 [51%]; p < 0.01). Conclusions: Rural clinics are less likely than urban clinics to have the copper IUD available. Implications: The frequency of unintended pregnancies is high in the United States. We should focus our attention on decreasing barriers to the copper IUD as a long-acting reversible contraceptive, particularly for women living in rural settings. | ||
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10.1016/j.conx.2021.100059 doi (DE-627)DOAJ086749463 (DE-599)DOAJa410f46500764e999d8dcd68fa26679b DE-627 ger DE-627 rakwb eng RG1-991 RA1-1270 Kristen Lilja verfasserin aut Clinical availability of the copper IUD in rural versus urban settings: A simulated patient study 2021 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objective: To assess the proportion of Washington state clinics that offer the copper IUD in rural vs urban settings. Study design: We employed a simulated patient model to survey clinics in the Human Health Resources and Services Administration 340B database to primarily assess the availability of the copper IUD. Results: We successfully surveyed 194/212 (92%) clinics. More urban than rural clinics reported copper IUD availability (76/97 [78%] vs 49/97 [51%]; p < 0.01). Conclusions: Rural clinics are less likely than urban clinics to have the copper IUD available. Implications: The frequency of unintended pregnancies is high in the United States. We should focus our attention on decreasing barriers to the copper IUD as a long-acting reversible contraceptive, particularly for women living in rural settings. Access Copper IUD Emergency contraception Rural Gynecology and obstetrics Public aspects of medicine Jennifer Chin verfasserin aut Lyndsey S. Benson verfasserin aut Sofia Infante verfasserin aut Elizabeth Micks verfasserin aut In Contraception: X Elsevier, 2019 3(2021), Seite 100059- (DE-627)1690895691 25901516 nnns volume:3 year:2021 pages:100059- https://doi.org/10.1016/j.conx.2021.100059 kostenfrei https://doaj.org/article/a410f46500764e999d8dcd68fa26679b kostenfrei http://www.sciencedirect.com/science/article/pii/S259015162100006X kostenfrei https://doaj.org/toc/2590-1516 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2088 GBV_ILN_2106 GBV_ILN_2110 GBV_ILN_2112 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4393 GBV_ILN_4700 AR 3 2021 100059- |
spelling |
10.1016/j.conx.2021.100059 doi (DE-627)DOAJ086749463 (DE-599)DOAJa410f46500764e999d8dcd68fa26679b DE-627 ger DE-627 rakwb eng RG1-991 RA1-1270 Kristen Lilja verfasserin aut Clinical availability of the copper IUD in rural versus urban settings: A simulated patient study 2021 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objective: To assess the proportion of Washington state clinics that offer the copper IUD in rural vs urban settings. Study design: We employed a simulated patient model to survey clinics in the Human Health Resources and Services Administration 340B database to primarily assess the availability of the copper IUD. Results: We successfully surveyed 194/212 (92%) clinics. More urban than rural clinics reported copper IUD availability (76/97 [78%] vs 49/97 [51%]; p < 0.01). Conclusions: Rural clinics are less likely than urban clinics to have the copper IUD available. Implications: The frequency of unintended pregnancies is high in the United States. We should focus our attention on decreasing barriers to the copper IUD as a long-acting reversible contraceptive, particularly for women living in rural settings. Access Copper IUD Emergency contraception Rural Gynecology and obstetrics Public aspects of medicine Jennifer Chin verfasserin aut Lyndsey S. Benson verfasserin aut Sofia Infante verfasserin aut Elizabeth Micks verfasserin aut In Contraception: X Elsevier, 2019 3(2021), Seite 100059- (DE-627)1690895691 25901516 nnns volume:3 year:2021 pages:100059- https://doi.org/10.1016/j.conx.2021.100059 kostenfrei https://doaj.org/article/a410f46500764e999d8dcd68fa26679b kostenfrei http://www.sciencedirect.com/science/article/pii/S259015162100006X kostenfrei https://doaj.org/toc/2590-1516 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2088 GBV_ILN_2106 GBV_ILN_2110 GBV_ILN_2112 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4393 GBV_ILN_4700 AR 3 2021 100059- |
allfields_unstemmed |
10.1016/j.conx.2021.100059 doi (DE-627)DOAJ086749463 (DE-599)DOAJa410f46500764e999d8dcd68fa26679b DE-627 ger DE-627 rakwb eng RG1-991 RA1-1270 Kristen Lilja verfasserin aut Clinical availability of the copper IUD in rural versus urban settings: A simulated patient study 2021 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objective: To assess the proportion of Washington state clinics that offer the copper IUD in rural vs urban settings. Study design: We employed a simulated patient model to survey clinics in the Human Health Resources and Services Administration 340B database to primarily assess the availability of the copper IUD. Results: We successfully surveyed 194/212 (92%) clinics. More urban than rural clinics reported copper IUD availability (76/97 [78%] vs 49/97 [51%]; p < 0.01). Conclusions: Rural clinics are less likely than urban clinics to have the copper IUD available. Implications: The frequency of unintended pregnancies is high in the United States. We should focus our attention on decreasing barriers to the copper IUD as a long-acting reversible contraceptive, particularly for women living in rural settings. Access Copper IUD Emergency contraception Rural Gynecology and obstetrics Public aspects of medicine Jennifer Chin verfasserin aut Lyndsey S. Benson verfasserin aut Sofia Infante verfasserin aut Elizabeth Micks verfasserin aut In Contraception: X Elsevier, 2019 3(2021), Seite 100059- (DE-627)1690895691 25901516 nnns volume:3 year:2021 pages:100059- https://doi.org/10.1016/j.conx.2021.100059 kostenfrei https://doaj.org/article/a410f46500764e999d8dcd68fa26679b kostenfrei http://www.sciencedirect.com/science/article/pii/S259015162100006X kostenfrei https://doaj.org/toc/2590-1516 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2088 GBV_ILN_2106 GBV_ILN_2110 GBV_ILN_2112 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4393 GBV_ILN_4700 AR 3 2021 100059- |
allfieldsGer |
10.1016/j.conx.2021.100059 doi (DE-627)DOAJ086749463 (DE-599)DOAJa410f46500764e999d8dcd68fa26679b DE-627 ger DE-627 rakwb eng RG1-991 RA1-1270 Kristen Lilja verfasserin aut Clinical availability of the copper IUD in rural versus urban settings: A simulated patient study 2021 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objective: To assess the proportion of Washington state clinics that offer the copper IUD in rural vs urban settings. Study design: We employed a simulated patient model to survey clinics in the Human Health Resources and Services Administration 340B database to primarily assess the availability of the copper IUD. Results: We successfully surveyed 194/212 (92%) clinics. More urban than rural clinics reported copper IUD availability (76/97 [78%] vs 49/97 [51%]; p < 0.01). Conclusions: Rural clinics are less likely than urban clinics to have the copper IUD available. Implications: The frequency of unintended pregnancies is high in the United States. We should focus our attention on decreasing barriers to the copper IUD as a long-acting reversible contraceptive, particularly for women living in rural settings. Access Copper IUD Emergency contraception Rural Gynecology and obstetrics Public aspects of medicine Jennifer Chin verfasserin aut Lyndsey S. Benson verfasserin aut Sofia Infante verfasserin aut Elizabeth Micks verfasserin aut In Contraception: X Elsevier, 2019 3(2021), Seite 100059- (DE-627)1690895691 25901516 nnns volume:3 year:2021 pages:100059- https://doi.org/10.1016/j.conx.2021.100059 kostenfrei https://doaj.org/article/a410f46500764e999d8dcd68fa26679b kostenfrei http://www.sciencedirect.com/science/article/pii/S259015162100006X kostenfrei https://doaj.org/toc/2590-1516 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2088 GBV_ILN_2106 GBV_ILN_2110 GBV_ILN_2112 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4393 GBV_ILN_4700 AR 3 2021 100059- |
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10.1016/j.conx.2021.100059 doi (DE-627)DOAJ086749463 (DE-599)DOAJa410f46500764e999d8dcd68fa26679b DE-627 ger DE-627 rakwb eng RG1-991 RA1-1270 Kristen Lilja verfasserin aut Clinical availability of the copper IUD in rural versus urban settings: A simulated patient study 2021 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Objective: To assess the proportion of Washington state clinics that offer the copper IUD in rural vs urban settings. Study design: We employed a simulated patient model to survey clinics in the Human Health Resources and Services Administration 340B database to primarily assess the availability of the copper IUD. Results: We successfully surveyed 194/212 (92%) clinics. More urban than rural clinics reported copper IUD availability (76/97 [78%] vs 49/97 [51%]; p < 0.01). Conclusions: Rural clinics are less likely than urban clinics to have the copper IUD available. Implications: The frequency of unintended pregnancies is high in the United States. We should focus our attention on decreasing barriers to the copper IUD as a long-acting reversible contraceptive, particularly for women living in rural settings. Access Copper IUD Emergency contraception Rural Gynecology and obstetrics Public aspects of medicine Jennifer Chin verfasserin aut Lyndsey S. Benson verfasserin aut Sofia Infante verfasserin aut Elizabeth Micks verfasserin aut In Contraception: X Elsevier, 2019 3(2021), Seite 100059- (DE-627)1690895691 25901516 nnns volume:3 year:2021 pages:100059- https://doi.org/10.1016/j.conx.2021.100059 kostenfrei https://doaj.org/article/a410f46500764e999d8dcd68fa26679b kostenfrei http://www.sciencedirect.com/science/article/pii/S259015162100006X kostenfrei https://doaj.org/toc/2590-1516 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_31 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2007 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2026 GBV_ILN_2027 GBV_ILN_2034 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2049 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2059 GBV_ILN_2061 GBV_ILN_2064 GBV_ILN_2088 GBV_ILN_2106 GBV_ILN_2110 GBV_ILN_2112 GBV_ILN_2122 GBV_ILN_2129 GBV_ILN_2143 GBV_ILN_2152 GBV_ILN_2153 GBV_ILN_2190 GBV_ILN_2232 GBV_ILN_2336 GBV_ILN_2470 GBV_ILN_2507 GBV_ILN_4012 GBV_ILN_4035 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4242 GBV_ILN_4249 GBV_ILN_4251 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4326 GBV_ILN_4333 GBV_ILN_4334 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4393 GBV_ILN_4700 AR 3 2021 100059- |
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RG1-991 RA1-1270 Clinical availability of the copper IUD in rural versus urban settings: A simulated patient study Access Copper IUD Emergency contraception Rural |
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Clinical availability of the copper IUD in rural versus urban settings: A simulated patient study |
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Clinical availability of the copper IUD in rural versus urban settings: A simulated patient study |
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Kristen Lilja |
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Kristen Lilja Jennifer Chin Lyndsey S. Benson Sofia Infante Elizabeth Micks |
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clinical availability of the copper iud in rural versus urban settings: a simulated patient study |
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Clinical availability of the copper IUD in rural versus urban settings: A simulated patient study |
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Objective: To assess the proportion of Washington state clinics that offer the copper IUD in rural vs urban settings. Study design: We employed a simulated patient model to survey clinics in the Human Health Resources and Services Administration 340B database to primarily assess the availability of the copper IUD. Results: We successfully surveyed 194/212 (92%) clinics. More urban than rural clinics reported copper IUD availability (76/97 [78%] vs 49/97 [51%]; p < 0.01). Conclusions: Rural clinics are less likely than urban clinics to have the copper IUD available. Implications: The frequency of unintended pregnancies is high in the United States. We should focus our attention on decreasing barriers to the copper IUD as a long-acting reversible contraceptive, particularly for women living in rural settings. |
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Objective: To assess the proportion of Washington state clinics that offer the copper IUD in rural vs urban settings. Study design: We employed a simulated patient model to survey clinics in the Human Health Resources and Services Administration 340B database to primarily assess the availability of the copper IUD. Results: We successfully surveyed 194/212 (92%) clinics. More urban than rural clinics reported copper IUD availability (76/97 [78%] vs 49/97 [51%]; p < 0.01). Conclusions: Rural clinics are less likely than urban clinics to have the copper IUD available. Implications: The frequency of unintended pregnancies is high in the United States. We should focus our attention on decreasing barriers to the copper IUD as a long-acting reversible contraceptive, particularly for women living in rural settings. |
abstract_unstemmed |
Objective: To assess the proportion of Washington state clinics that offer the copper IUD in rural vs urban settings. Study design: We employed a simulated patient model to survey clinics in the Human Health Resources and Services Administration 340B database to primarily assess the availability of the copper IUD. Results: We successfully surveyed 194/212 (92%) clinics. More urban than rural clinics reported copper IUD availability (76/97 [78%] vs 49/97 [51%]; p < 0.01). Conclusions: Rural clinics are less likely than urban clinics to have the copper IUD available. Implications: The frequency of unintended pregnancies is high in the United States. We should focus our attention on decreasing barriers to the copper IUD as a long-acting reversible contraceptive, particularly for women living in rural settings. |
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