Evidence map›Paper›PMID 36482413›Full record

ArticleBMC health services research2022

Evidence-based family planning services among publicly funded providers in Texas.

Shetal Vohra-Gupta, Elizabeth Ela, Elsa Vizcarra, Liana J Petruzzi, Kristine Hopkins, Joseph E Potter, Kari White

Open access · goldAbstract read
In one paragraph

Article in BMC health services research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed, 1 pooled it
0.4field-weighted citation impact, top 34% 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

2 citing papers in PubMed, 1 synthesis or guideline pooled it, 2 citations in OpenAlex.

  1. Pooled it
  2. Reproductive Health Services in Abortion-Providing Clinics: A Scoping Review of Provision and Policy Contexts.Women's health issues : official publication of the Jacobs Institute of Women's Health
    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

7 authors at 1 institution in 1 country.

Shetal Vohra-GuptaSteve Hicks School of Social Work, The University of Texas at Austin, 1925 San Jacinto Blvd, Austin, TX, 78712, USA. sgupta@austin.utexas.edu.
Elizabeth ElaPopulation Research Center, University of Texas at Austin, 305 E. 23Rd Street, Austin, TX, 78712, USA.
Elsa VizcarraPopulation Research Center, University of Texas at Austin, 305 E. 23Rd Street, Austin, TX, 78712, USA.
Liana J PetruzziSteve Hicks School of Social Work, The University of Texas at Austin, 1925 San Jacinto Blvd, Austin, TX, 78712, USA.
Kristine HopkinsPopulation Research Center, University of Texas at Austin, 305 E. 23Rd Street, Austin, TX, 78712, USA.
Joseph E PotterPopulation Research Center, University of Texas at Austin, 305 E. 23Rd Street, Austin, TX, 78712, USA.
Kari WhiteSteve Hicks School of Social Work, The University of Texas at Austin, 1925 San Jacinto Blvd, Austin, TX, 78712, USA.
The University of Texas at Austin · US

Funding

Scientific & Technical CoreP2CHD042849 · NICHD · UNIVERSITY OF TEXAS AT AUSTIN · PI MARK D. HAYWARD · 2017 to 2026
$5.2M
Eunice Kennedy Shriver National Institute of Child Health and Human Development P2CHD042849NICHD NIH HHS P2C HD042849Susan Thompson Buffett Foundation P2CHD042849
6 · The paper itself

Abstract

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.

Indexed as

Family Planning ServicesUterine Cervical NeoplasmsEarly Detection of CancerFemaleHumansTexasContraceptionFamily planningHealth policyHealth surveysReproductive health servicesWomen’s health

Identifiers

PMID36482413
PMCPMC9733229
OpenAlexW4311576329

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.