Evidence map›Paper›PMID 31722816›Full record

ArticleWomen's health issues : official publication of the Jacobs Institute of Women's Health

Gynecologic Care for Women With Physical Disabilities: A Qualitative Study of Patients and Providers.

Sarita Sonalkar, Veronica Chavez, Jessica McClusky, Tegan A Hunter, Cynthia J Mollen

Open access · greenAbstract read
In one paragraph

Article in Women's health issues : official publication of the Jacobs Institute of Women's Health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed
5.8field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

15 citing papers in PubMed, 43 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 4 institutions in 1 country.

Sarita SonalkarDepartment of Obstetrics and Gynecology, University of Pennsylvania, Perelman School of Medicine, Philadelphia, Pennsylvania; Department of Obstetrics and Gynecology, Boston Medical Center, Boston, Massachusetts. Electronic address: sarita.sonalkar@pennmedicine.upenn.edu.
Veronica ChavezDepartment of Obstetrics and Gynecology, University of Pennsylvania, Perelman School of Medicine, Philadelphia, Pennsylvania; Philadelphia College of Osteopathic Medicine, Philadelphia, Pennsylvania.
Jessica McCluskyDepartment of Obstetrics and Gynecology, University of Pennsylvania, Perelman School of Medicine, Philadelphia, Pennsylvania; Department of Obstetrics and Gynecology, Boston Medical Center, Boston, Massachusetts; University of Pennsylvania, School of Nursing, Philadelphia, Pennsylvania.
Tegan A HunterDivision of Emergency Medicine, University of Miami Miller School of Medicine, Miami, Florida.
Cynthia J MollenThe Children's Hospital of Philadelphia, Philadelphia, Pennsylvania.
Boston Medical Center · USChildren's Hospital of Philadelphia · USPhiladelphia College of Osteopathic Medicine · USUniversity of Miami · US

Funding

WOMENS REPRODUCTIVE HEALTH RESEARCH CAREER DEVELOPMENTK12HD001265 · NICHD · UNIVERSITY OF PENNSYLVANIA · PI Elizabeth A Howell · 1998 to 2026
$7.5M
NICHD NIH HHS K12 HD001265
6 · The paper itself

Abstract

backgroundWomen with physical disabilities have unmet gynecologic care needs, including disparities in cancer screening and contraceptive care, when compared with women without physical disabilities. Our objective was to qualitatively assess provider and patient perspectives regarding barriers to gynecologic health care for women with physical disabilities.

methodsWe used purposive sampling to recruit women with physical disabilities and gynecology providers who had experience caring for this population at two university hospitals. Patient and provider participants completed in-depth, semistructured interviews investigating their experiences with and barriers to receiving or providing gynecologic care. Transcripts were systematically analyzed by reviewing assigned codes and performing thematic analysis. We planned a sample size of at least 20 patient and provider participants to allow for saturation of thematic content.

resultsWe interviewed 29 women with physical disabilities and 20 providers. Important themes for providers and patients centered around adequate time spent during appointments, challenges with the gynecologic examination, inadequate facilities, clinical space limitations, and lack of formal provider and staff training in caring for this population.

conclusionsProviders were motivated to provide quality care for women with disabilities, but encountered systems and training barriers. Patients and providers had concordant impressions of barriers that influenced equitable and patient-centered care, with structural barriers, including a lack of accessible space, closely related to perceptions of health care inequity between women with and without physical disabilities.

Indexed as

Attitude of Health PersonnelGynecologyHealth Services AccessibilityPersons with DisabilitiesAdultFemaleHealth Knowledge, Attitudes, PracticeHumansInterviews as TopicMaternal Health ServicesMiddle AgedPatient-Centered CareQualitative ResearchQuality of Health CareWomen's Health

Identifiers

PMID31722816
PMCPMC10093685
OpenAlexW2986647869

What OpenQuestion holds

Textmetadata
LicenceTDM
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.