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Women's Health Issues

Assessing the Provision of Person-Centered Contraceptive Care at Publicly Supported Clinics Providing Contraceptive Services in the United States

Authors

Jennifer Mueller, Guttmacher Institute Priscille Osias, Guttmacher Institute Madeleine Haas, Guttmacher Institute Alicia VandeVusse, Guttmacher Institute
Introduction
We sought to understand the extent to which the contraceptive care provided at publicly supported family planning clinics in the United States aligns with aspects of person-centered care.
 
Materials and Methods
We conducted a descriptive study with a national sample of U.S. family planning clinics between November 2022 and December 2023. We measured person-centeredness by the scope of services offered, including the extent to which providers solicit and prioritize patients’ contraceptive intentions, preferences, and goals; the dispensing protocols for various contraceptive methods; and the availability of social services such as intimate partner violence screening and housing insecurity support. We fielded an online survey to a sample of 2,146 clinics, and our analytic sample was 422 clinics.
 
Results
Our results highlight that most publicly supported family planning clinics provide contraception using counseling protocols that support patient-centeredness, such as assessing patients’ contraceptive preferences during contraceptive counseling. However, we found statistically significant variation by clinic type within many of these measures, with a higher proportion of Planned Parenthood clinics following patient-centered protocols than other clinic types, particularly federally qualified health centers and community health centers.
 
Conclusions
Publicly supported family planning clinics provide contraception using some person-centered care protocols, although there is room for improvement. Furthermore, person-centered practices vary by clinic type. More research should be done with patients to assess additional elements of person-centered contraceptive care.
 
Read the full study.

First published on Women's Health Issues: April 28, 2025

DOI: https://doi.org/10.1016/j.whi.2025.03.003
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Topic

United States

  • Contraception: Publicly Funded Family Planning

Geography

  • Northern America: United States

Tags

birth control
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