Patient and counselor satisfaction with structured contraceptive counseling by health center staff in federally qualified health centers

Huysman, Bridget C.; Paul, Rachel; Rivera, Adriana Nigaglioni; Tal, Elana; Maddipati, Ragini; Madden, Tessa

doi:10.1016/j.contraception.2020.10.020

Cited by 6 publications

(1 citation statement)

References 29 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“… 10 , 11 Within FQHCs and in other primary care settings, provider perspectives regarding the challenges in the delivery of high-quality contraceptive care integrated with other primary care services, have been documented. 12 – 14 In an FQHC in Maryland that serves roughly 40,000 annually, 2 different sets of providers deliver contraceptive services: primary care providers (PCPs; family practitioners) and reproductive health care providers who serve as specialists within the organization. This study sought to characterize the quality of contraceptive counseling according to the IQFP and further describe whether the contraceptive care planned at counseling encounters was eventually received, through the objective lens of the medical record.…”

Section: Introductionmentioning

confidence: 99%

A Mixed Methods Study of Contraceptive Counseling and Care at a Federally Qualified Health Center in Maryland

Hart

Parsons

Beaudoin

et al. 2023

Journal of Patient Experience

View full text Add to dashboard Cite

This study examined the experience of contraceptive counseling and care in a Federally Qualified Health Center in Maryland. Patients attending medical visits in 2021 were surveyed using the Interpersonal Quality of Family Planning scale to assess the quality of contraceptive counseling. Medical chart reviews were performed to identify alignment between contraceptive care received, and preferences patients had expressed. Primary care providers, reproductive health providers, and a subgroup of patients were interviewed to further contextualize survey and chart review findings. The average item score for the 94 survey participants was 4.39 (SD: 0.9) out of 5. Factor analysis showed high internal consistency reliability (alpha = 0.96). Eighty percent of patients received contraceptive care that aligned with their preferences, 4% did not, and 16% lacked clear contraceptive preferences. Qualitative analysis revealed that patients desired more guidance from providers in selecting a contraceptive method, while providers noted logistical and insurance-related barriers to care. While the quality of contraceptive counseling was high, patient experience of care may be improved by implementing team-based care.

show abstract