Multilevel Influences on Providers' Delivery of Contraceptive Services: A Qualitative Thematic Analysis
Introduction: Access to a full range of contraceptive services is essential for quality health care. Contraceptive provision practices of primary care providers play an important role in patients' decision-making about their reproductive health care. Understanding the multilevel factors influen...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Mary Ann Liebert
2022-05-01
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| Series: | Women's Health Reports |
| Subjects: | |
| Online Access: | https://www.liebertpub.com/doi/full/10.1089/WHR.2021.0128 |
| _version_ | 1797345786043826176 |
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| author | Abbey K. Mann Amal Khoury Paezha McCartt Michael G. Smith Nathan Hale Kate Beatty Leigh Johnson |
| author_facet | Abbey K. Mann Amal Khoury Paezha McCartt Michael G. Smith Nathan Hale Kate Beatty Leigh Johnson |
| author_sort | Abbey K. Mann |
| collection | DOAJ |
| description | Introduction: Access to a full range of contraceptive services is essential for quality health care. Contraceptive provision practices of primary care providers play an important role in patients' decision-making about their reproductive health care. Understanding the multilevel factors influencing contraceptive care delivery in primary care settings is critical for advancing quality care. This study offers an in-depth examination of influences on providers' delivery of contraceptive services across multiple primary care specialties and practice settings to identify issues and strategies to improve care.
Materials and Methods: Twenty-four in-depth face-to-face interviews were conducted in 2017 with primary care providers, including family physicians, gynecologists, pediatricians, and nurse practitioners from academic settings, private practices, and health centers. Interviews were transcribed and analyzed thematically.
Results: Providers described a complex set of influences on their provision of contraception across multiple ecological contexts. Seven major themes emerged from the qualitative analysis, including six types of influence on provision of contraception: organizational, individual provider-related, structural and policy, individual patient-related, community, and the lack of influences or barriers. Providers also discussed the sources they access for information about evidence-based contraception counseling.
Conclusions: A diverse set of providers described a complex system in which multiple concentric ecological contexts both positively and negatively influence the ways in which they provide contraceptive services to their patients. To close the gaps in contraceptive service delivery, it is important to recognize that both barriers and facilitators to patient-centered contraceptive counseling exist simultaneously across multiple ecological contexts. |
| first_indexed | 2024-03-08T11:22:34Z |
| format | Article |
| id | doaj.art-8050056f0e3c41ffaea7db7fda3bb95f |
| institution | Directory Open Access Journal |
| issn | 2688-4844 |
| language | English |
| last_indexed | 2024-03-08T11:22:34Z |
| publishDate | 2022-05-01 |
| publisher | Mary Ann Liebert |
| record_format | Article |
| series | Women's Health Reports |
| spelling | doaj.art-8050056f0e3c41ffaea7db7fda3bb95f2024-01-26T05:50:49ZengMary Ann LiebertWomen's Health Reports2688-48442022-05-013149149910.1089/WHR.2021.0128Multilevel Influences on Providers' Delivery of Contraceptive Services: A Qualitative Thematic AnalysisAbbey K. MannAmal KhouryPaezha McCarttMichael G. SmithNathan HaleKate BeattyLeigh JohnsonIntroduction: Access to a full range of contraceptive services is essential for quality health care. Contraceptive provision practices of primary care providers play an important role in patients' decision-making about their reproductive health care. Understanding the multilevel factors influencing contraceptive care delivery in primary care settings is critical for advancing quality care. This study offers an in-depth examination of influences on providers' delivery of contraceptive services across multiple primary care specialties and practice settings to identify issues and strategies to improve care. Materials and Methods: Twenty-four in-depth face-to-face interviews were conducted in 2017 with primary care providers, including family physicians, gynecologists, pediatricians, and nurse practitioners from academic settings, private practices, and health centers. Interviews were transcribed and analyzed thematically. Results: Providers described a complex set of influences on their provision of contraception across multiple ecological contexts. Seven major themes emerged from the qualitative analysis, including six types of influence on provision of contraception: organizational, individual provider-related, structural and policy, individual patient-related, community, and the lack of influences or barriers. Providers also discussed the sources they access for information about evidence-based contraception counseling. Conclusions: A diverse set of providers described a complex system in which multiple concentric ecological contexts both positively and negatively influence the ways in which they provide contraceptive services to their patients. To close the gaps in contraceptive service delivery, it is important to recognize that both barriers and facilitators to patient-centered contraceptive counseling exist simultaneously across multiple ecological contexts.https://www.liebertpub.com/doi/full/10.1089/WHR.2021.0128contraceptive behaviorqualitative researchprimary care |
| spellingShingle | Abbey K. Mann Amal Khoury Paezha McCartt Michael G. Smith Nathan Hale Kate Beatty Leigh Johnson Multilevel Influences on Providers' Delivery of Contraceptive Services: A Qualitative Thematic Analysis Women's Health Reports contraceptive behavior qualitative research primary care |
| title | Multilevel Influences on Providers' Delivery of Contraceptive Services: A Qualitative Thematic Analysis |
| title_full | Multilevel Influences on Providers' Delivery of Contraceptive Services: A Qualitative Thematic Analysis |
| title_fullStr | Multilevel Influences on Providers' Delivery of Contraceptive Services: A Qualitative Thematic Analysis |
| title_full_unstemmed | Multilevel Influences on Providers' Delivery of Contraceptive Services: A Qualitative Thematic Analysis |
| title_short | Multilevel Influences on Providers' Delivery of Contraceptive Services: A Qualitative Thematic Analysis |
| title_sort | multilevel influences on providers delivery of contraceptive services a qualitative thematic analysis |
| topic | contraceptive behavior qualitative research primary care |
| url | https://www.liebertpub.com/doi/full/10.1089/WHR.2021.0128 |
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