Evidence map›Paper›PMID 40023381›Full record

ArticleContraception2025

Pennsylvania Medicaid policy and rural hospital implementation of immediate postpartum contraception.

Sarah Horvath, Emma G Guare, Grace Ferguson, Cynthia H Chuang

Abstract read
In one paragraph

Article in Contraception, 2025. 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
–field-weighted citation impact
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.

  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

4 authors.

Sarah HorvathPenn State University Hershey Medical Center, Department of Obstetrics and Gynecology, Hershey, PA, United States. Electronic address: Shorvath1@pennstatehealth.psu.edu.
Emma G GuarePenn State University Hershey Medical Center, Department of Obstetrics and Gynecology, Hershey, PA, United States. Electronic address: eguare1@pennstatehealth.psu.edu.
Grace FergusonAllegheny Health Network, Department of Obstetrics and Gynecology, Pittsburgh, PA, United States. Electronic address: grace.ferguson@ahn.org.
Cynthia H ChuangPenn State University Hershey Medical Center, Division of General Internal Medicine, Hershey, PA, United States. Electronic address: cchuang@pennstatehealth.psu.edu.

Funding

Penn State Institutional Career Development CoreKL2TR002015 · NCATS · PENNSYLVANIA STATE UNIV HERSHEY MED CTR · PI VAN SCOY, LAUREN JODI · 2016 to 2025
$7.8M
NCATS NIH HHS KL2 TR002015
6 · The paper itself

Abstract

objectivesThis study aimed to assess the importance of Pennsylvania Medicaid immediate postpartum long-acting reversible contraception (IPLARC) reimbursement policy changes for hospital implementation of IPLARC by rurality. STUDY

designWe surveyed clinician leaders at 51 of 82 (62.2%) Pennsylvania hospitals with labor and delivery units in 2022, including 10 of 51 (19.6%) rural and 17 of 51 (33.3%) academic.

resultsSix years after Pennsylvania Medicaid began covering IPLARC outside the obstetrical care bundle, only 3 of 10 (30.0%) rural and 18 of 41 (43.9%) nonrural labor and delivery units had implemented IPLARC.

conclusionsFewer than half of delivering hospitals in Pennsylvania offered access to IPLARC, even after favorable Medicaid reimbursement policy changes. Nonrural hospitals are more likely to offer IPLARC than rural hospitals.

Indexed as

Hospitals, RuralLong-Acting Reversible ContraceptionMedicaidFemaleHealth Services AccessibilityHumansPennsylvaniaPostpartum PeriodPregnancyUnited StatesContraceptionImmediate postpartum contraceptionImplementationIntrauterine devicePerinatal quality collaborative

Identifiers

PMID40023381
PMCPMC12052483

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.