Evidence map›Paper›PMID 37289295›Full record

ArticleMaternal and child health journal2023

Results of Immediate Postpartum Long Acting Reversible Contraception Provision After Expanded Reimbursement Policy Implementation at an Academic Medical Institution.

Brooke A Levandowski, Theresa Green, Linxi Liu, Sarah Betstadt, Kelly Thevenet-Morrison, Amy Harrington

Erratum issuedOpen access · greenAbstract read
In one paragraph

Article in Maternal and child health journal, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.9field-weighted citation impact, top 26% 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, 3 citations in OpenAlex.

  1. Article
  2. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Brooke A LevandowskiDepartment of Obstetrics & Gynecology, University of Rochester, 601 Elmwood Ave, Box 668, Rochester, NY, 14642, USA. Brooke_levandowski@urmc.rochester.edu.ORCID http://orcid.org/0000-0003-3716-3818
Theresa GreenDepartment of Public Health Sciences, University of Rochester, 265 Crittenden Boulevard, 14642, Rochester, NY, USA.
Linxi LiuDepartment of Public Health Sciences, University of Rochester, 265 Crittenden Boulevard, 14642, Rochester, NY, USA.
Sarah BetstadtDepartment of Obstetrics & Gynecology, University of Rochester, 601 Elmwood Ave, Box 668, Rochester, NY, 14642, USA.
Kelly Thevenet-MorrisonDepartment of Public Health Sciences, University of Rochester, 265 Crittenden Boulevard, 14642, Rochester, NY, USA.
Amy HarringtonDepartment of Obstetrics & Gynecology, University of Rochester, 601 Elmwood Ave, Box 668, Rochester, NY, 14642, USA.
University of Rochester · USUniversity of Rochester Medical Center · US

Funding

The University of Rochester's Clinical and Translational Science InstituteUL1TR002001 · NCATS · UNIVERSITY OF ROCHESTER · PI WILSON, KAREN M., ZAND, MARTIN S · 2016 to 2024
$34.6M
NCATS NIH HHS UL1 TR002001
6 · The paper itself

Abstract

introductionImmediate postpartum (IPP) Long Acting Reversible Contraception (LARC) is effective in reducing short birth spacing, which is highest among minoritized and younger women with lower socioeconomic status. The structural barrier of cost for pregnant people who desire IPP LARC insertion was alleviated in 2016 when New York State provided statewide reimbursement for Medicaid recipients.

methodsAnalyses of existing electronic medical records (EMR) were conducted on women who received IPP LARC between 3/2/17 and 9/2/19 at two hospitals after a term delivery, defined as gestational age 37 0/7 weeks or greater. Descriptive and bivariate statistics, including chi-square tests and Fischer's exact tests, based on cell sizes, were calculated using SAS (version9.4).

resultsPrior to the study period, IPP LARC was not placed in these hospitals. After reimbursement policy changes, electronic medical record data identified 501 women with full term delivery and IPP LARC placed, of which the majority were single (82.8%), Black (49.1%), and had public insurance (Medicaid and Medicaid Managed Care) (79.2%). DISCUSSION: Removing structural economic barriers for people using public insurance may increase health equity in contraceptive access and choice.

Indexed as

Long-Acting Reversible ContraceptionContraceptionFemaleHealth PolicyHealth Services AccessibilityHumansMedicaidPostpartum PeriodPregnancyUnited StatesAccess to Health ServicesContraceptive AccessEquity, HealthLong Acting Reversible ContraceptionReimbursement, Health Insurance

Identifiers

PMID37289295
PMCPMC10962003
OpenAlexW4379769129

What OpenQuestion holds

Textmetadata
LicenceTDM
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.