Evidence map›Paper›PMID 41419340›Full record

ArticleJournal of the American Board of Family Medicine : JABFM2026

Advancing Equitable, Person-Centered Contraceptive Care Using Data-Driven Quality Improvement.

Christine Dehlendorf, Erin Wingo, Lindsey Gibson, Sonja Goetsch-Avila, Rebecca Kriz, Danielle Hessler

Abstract read
In one paragraph

Article in Journal of the American Board of Family Medicine : JABFM, 2026. 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. Women's Health, Social Issues, and Quality of Care in Family Medicine.Journal of the American Board of Family Medicine : JABFM
    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.

Christine DehlendorfFrom the Department of Family and Community Medicine, School of Medicine, University of California, San Francisco, San Francisco, CA (CD, EW, LG, SGA, RK, DH).
Erin WingoFrom the Department of Family and Community Medicine, School of Medicine, University of California, San Francisco, San Francisco, CA (CD, EW, LG, SGA, RK, DH). erin.wingo@ucsf.edu.
Lindsey GibsonFrom the Department of Family and Community Medicine, School of Medicine, University of California, San Francisco, San Francisco, CA (CD, EW, LG, SGA, RK, DH).
Sonja Goetsch-AvilaFrom the Department of Family and Community Medicine, School of Medicine, University of California, San Francisco, San Francisco, CA (CD, EW, LG, SGA, RK, DH).
Rebecca KrizFrom the Department of Family and Community Medicine, School of Medicine, University of California, San Francisco, San Francisco, CA (CD, EW, LG, SGA, RK, DH).
Danielle HesslerFrom the Department of Family and Community Medicine, School of Medicine, University of California, San Francisco, San Francisco, CA (CD, EW, LG, SGA, RK, DH).

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveExpanding access to high-quality contraceptive care in primary care is key to achieving reproductive health equity. We assessed the impact of an equity-focused quality improvement learning collaborative (QILC) on contraceptive care at community health centers (CHCs) through innovative performance measurement.

methodsWe developed a 9-month QILC including monthly learning sessions on reproductive health equity and person-centered contraceptive care, supporting resources, peer-learning opportunities, and technical assistance. We assessed QILC impact through 3 performance measures collected prepost QILC: the Person-Centered Contraceptive Counseling (PCCC) measure that assesses contraceptive counseling; the Contraceptive Care Screening electronic clinical quality measure (eCQM) (CCS-SINC); and contraceptive use eCQM (CU-SINC). CHCs collected PCCC surveys from patients prepost QILC, and we extracted electronic health record data to calculate eCQMs. To assess intervention impact, we compared prepost PCCC scores and eCQM percentages.

resultsNine CHCs participated in the QILC. Assessing contraceptive care screening, median increase in CCS-SINC was 14.4% (Interquartile range [IQR]: 7.5%-40.4%) between baseline and endline. CHCs realized an increase in CU-SINC (median relative Δ: 4.9%; IQR [3.7%-22.3%). Compared with baseline, at endline, 5 of 9 CHCs improved their PCCC score (Δ 2.1% to 26.2%) and 3 of those surpassed the 80% benchmark for high-quality care. Greater improvement in performance measure scores was noted among CHCs with leadership buy-in and lower staff turnover.

conclusionsParticipation in an equity-focused and measurement-driven QILC led to improvements in person-centered contraceptive care delivery.

Indexed as

Community Health CentersContraceptionFamily Planning ServicesHealth EquityPatient-Centered CareQuality ImprovementAdultFemaleHealth Services AccessibilityHumansPrimary Health CareCommunity Health CentersContraceptivesHealth EquityQuality ImprovementQuality of CareReproductive Health

Identifiers

PMID41419340
PMCPMC12978602

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.