Evidence map›Paper›PMID 41428457›Full record

ArticleUrogynecology (Philadelphia, Pa.)2026

Barriers to Accessing Urogynecologic Care in a Federally Qualified Health Center.

Xiomara Brioso, Rebecca Borneman, Liz Yanes, Ayomipo Madein, Abigail Davenport, Nancy Ringel

Abstract read
In one paragraph

Article in Urogynecology (Philadelphia, Pa.), 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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.

Xiomara BriosoDepartment of Obstetrics, Gynecology & Reproductive Sciences, Division of Urogynecology, University of Pittsburgh Medical Center, Pittsburgh, PA.ORCID 0000-0003-3731-8891
Rebecca BornemanDepartment of Obstetrics, Gynecology, and Reproductive Sciences, Division of Urogynecology and Reconstructive Pelvic Surgery, Yale School of Medicine, New Haven, CT.ORCID 0000-0002-1167-8082
Liz YanesUniversidad Iberoamericana UNIBE, Santo Domingo, Dominican Republic.
Ayomipo MadeinDepartment of Obstetrics and Gynecology, University of Texas Southwestern, Dallas, TX.
Abigail DavenportMedStar Franklin Square Medical Center/Department of Obstetrics and Gynecology, Division of Urogynecology, Georgetown University, Washington, DC.
Nancy RingelDepartment of Obstetrics, Gynecology, and Reproductive Sciences, Division of Urogynecology and Reconstructive Pelvic Surgery, Yale School of Medicine, New Haven, CT.

Funding

Institutional Career Development CoreKL2TR001862 · NCATS · YALE UNIVERSITY · PI CANTLEY, LLOYD G, EDELMAN, E. JENNIFER · 2016 to 2025
$12.2M
NCATS NIH HHS KL2 TR001862
6 · The paper itself

Abstract

importanceSocial and structural barriers affect access to urogynecologic care for underserved patients, but few studies explore patient experiences at federally qualified health centers (FQHCs).

objectiveThe objective of this study was to identify barriers to accessing urogynecologic care from the patient perspective at an FQHC affiliated with an academic medical center. STUDY

designFemale-identifying patients ages 18-100 years who were referred for and subsequently missed their new urogynecology appointment from October 1, 2022, through February 28, 2023, were recruited for participation in qualitative interviews. A semi-structured interview guide was used for telephone interviews. Transcripts were coded thematically using grounded theory until theoretical saturation was reached.

resultsThematic saturation occurred with 17 participants. Participants were predominantly Hispanic, the mean age was 55 years, and most were insured by Medicaid or self-pay. The most common referral diagnosis was urinary incontinence (n=13). Major themes regarding barriers included scheduling issues, transportation, language barriers, and perceived costs. All participants identified at least 1 barrier to accessing urogynecologic care, with scheduling challenges related to poor communication from clinic staff as the most common reason. Transportation was the second most cited barrier.

conclusionsBarriers to accessing urogynecology care are prevalent, even at FQHCs with dedicated subspecialists on site. Poor communication and transportation were the most cited barriers. These findings can inform quality improvement projects to increase access to urogynecologic care in these settings. It is imperative that women's health providers advocate for expanded access and implement changes to address these inequalities in urogynecologic care.

Indexed as

GynecologyHealth Services AccessibilitySafety-net ProvidersUrologyAccess to Primary CareAdolescentAdultAgedAged, 80 and overCommunication BarriersFemaleHumansMiddle AgedQualitative ResearchReferral and ConsultationUnited States

Identifiers

PMID41428457
PMCPMC12885760

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.