Evidence map›Paper›PMID 32537573›Full record

ArticlePRiMER (Leawood, Kan.)2019

Clinician and Staff Perceptions of Barriers to Providing Contraception in Primary Care.

Lauren Cowen, Scott G Hartman, Elizabeth Loomis, Sukanya Srinivasan, Christina Gasbarro, Jocelyn Young

Open access · diamondAbstract read
In one paragraph

Article in PRiMER (Leawood, Kan.), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.2field-weighted citation impact, top 40% 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

1 citing paper in PubMed, 3 citations in OpenAlex.

  1. Article
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

6 authors at 3 institutions in 1 country.

Lauren CowenUniversity of Rochester Family Medicine Residency, Rochester, NY.
Scott G HartmanUniversity of Rochester Medical Center, Rochester, NY.
Elizabeth LoomisUniversity of Rochester Family Medicine Residency, Rochester, NY.
Sukanya SrinivasanUniversity of Pittsburgh Medical Center St Margaret Family Medicine Residency, Pittsburgh, PA.
Christina GasbarroUniversity of Pittsburgh Medical Center St Margaret Family Medicine Residency, Pittsburgh, PA.
Jocelyn YoungUniversity of Rochester Family Medicine Residency, Rochester, NY.
University of Pittsburgh Medical Center · USUniversity of Rochester · USUniversity of Rochester Medical Center · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionShort interpregnancy periods increase the likelihood of preterm delivery and low birth weight,1 both of which are significant causes of infant morbidity and mortality.2 Since nearly half of pregnancies in the United States are unplanned,3 opportunities exist to better understand barriers to contraceptive services. Studying these barriers as perceived by clinical staff can better guide programs to improve interpregnancy spacing.

methodsBetween September and November 2017, 76 staff and 95 primary care clinicians from two family medicine residency practices (Highland Family Medicine (HFM) in Rochester, New York and St Margaret Family Medicine (SM) in Pittsburgh, Pennsylvania) completed surveys. Questions assessed perceived barriers to providing contraceptive services, contraception knowledge, and opportunities for improvement. Survey-based analysis focused on comparative descriptive statistics between staff and provider responses.

resultsClinicians ranked side effects and patient lack of awareness and misconceptions about contraceptive methods more highly than staff (

conclusionsNumerous modifiable barriers contribute to difficulty providing contraceptive services. Providers and staff largely agree on the perceived barriers, but there is a significant gap in nonclinician staff knowledge of contraception. Education can address one of the leading concerns, but improvement efforts should also address areas such as availability of devices, scheduling issues, and resident supervision.

Identifiers

PMID32537573
PMCPMC7205092
OpenAlexW2913368632

What OpenQuestion holds

Textmetadata
Read underepoch 390

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.