Service trends among non-obstetrics/gynecology providers in the U.S.: Long-acting reversible contraception insertions, removals, and re-insertions

doi:10.1016/j.srhc.2023.100919

. 2023 Dec:38:100919.

doi: 10.1016/j.srhc.2023.100919. Epub 2023 Sep 29.

Service trends among non-obstetrics/gynecology providers in the U.S.: Long-acting reversible contraception insertions, removals, and re-insertions

Kyle J Moon¹, Kathryn A Hasenstab¹, Ian Bryant², Lenisa V Chang³, Eric E Seiber⁴, Alison H Norris⁵, Saira Nawaz⁶

Affiliations

¹ Center for Health Outcomes and Policy Evaluation Studies, Ohio State University College of Public Health, Columbus, OH, USA.
² Center for Health Outcomes and Policy Evaluation Studies, Ohio State University College of Public Health, Columbus, OH, USA; Department of Economics, University of Cincinnati Linder College of Business, Cincinnati, OH, USA.
³ Department of Economics, University of Cincinnati Linder College of Business, Cincinnati, OH, USA.
⁴ Center for Health Outcomes and Policy Evaluation Studies, Ohio State University College of Public Health, Columbus, OH, USA; Division of Health Services Management and Policy, Ohio State University College of Public Health, Columbus, OH, USA.
⁵ Division of Epidemiology, Ohio State University College of Public Health, Columbus, OH, USA; Division of Infectious Diseases, Ohio State University College of Medicine, Columbus, OH, USA.
⁶ Center for Health Outcomes and Policy Evaluation Studies, Ohio State University College of Public Health, Columbus, OH, USA; Division of Health Services Management and Policy, Ohio State University College of Public Health, Columbus, OH, USA. Electronic address: Nawaz.16@osu.edu.

PMID: 37839215
DOI: 10.1016/j.srhc.2023.100919

Service trends among non-obstetrics/gynecology providers in the U.S.: Long-acting reversible contraception insertions, removals, and re-insertions

Kyle J Moon et al. Sex Reprod Healthc. 2023 Dec.

. 2023 Dec:38:100919.

doi: 10.1016/j.srhc.2023.100919. Epub 2023 Sep 29.

Authors

Kyle J Moon¹, Kathryn A Hasenstab¹, Ian Bryant², Lenisa V Chang³, Eric E Seiber⁴, Alison H Norris⁵, Saira Nawaz⁶

Affiliations

¹ Center for Health Outcomes and Policy Evaluation Studies, Ohio State University College of Public Health, Columbus, OH, USA.
² Center for Health Outcomes and Policy Evaluation Studies, Ohio State University College of Public Health, Columbus, OH, USA; Department of Economics, University of Cincinnati Linder College of Business, Cincinnati, OH, USA.
³ Department of Economics, University of Cincinnati Linder College of Business, Cincinnati, OH, USA.
⁴ Center for Health Outcomes and Policy Evaluation Studies, Ohio State University College of Public Health, Columbus, OH, USA; Division of Health Services Management and Policy, Ohio State University College of Public Health, Columbus, OH, USA.
⁵ Division of Epidemiology, Ohio State University College of Public Health, Columbus, OH, USA; Division of Infectious Diseases, Ohio State University College of Medicine, Columbus, OH, USA.
⁶ Center for Health Outcomes and Policy Evaluation Studies, Ohio State University College of Public Health, Columbus, OH, USA; Division of Health Services Management and Policy, Ohio State University College of Public Health, Columbus, OH, USA. Electronic address: Nawaz.16@osu.edu.

PMID: 37839215
DOI: 10.1016/j.srhc.2023.100919

Abstract

This study evaluates trends in long-acting reversible contraception (LARC) services among obstetrician/gynecologists (OB/GYNs) and non-OB/GYNs in the U.S. during 2012-2018. Using public and private insurance claims from the Symphony Health database, we calculated the percentage of LARC insertions, removals, and reinsertions performed by OB/GYNs and non-OB/GYNs. We then assessed time trends with linear regression. The proportion of LARC services that were performed by non-OBGYNs increased modestly between 2012 and 2018. Increases were similar for insertions, removals, and reinsertions. Further research is needed to understand trends in LARC service provision within primary care to better tailor medical training and policy interventions.

Keywords: Claims data; Health services research; LARC; Primary care integration; Reproductive health.

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Conflict of interest statement

Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.

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Service trends among non-obstetrics/gynecology providers in the U.S.: Long-acting reversible contraception insertions, removals, and re-insertions

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Service trends among non-obstetrics/gynecology providers in the U.S.: Long-acting reversible contraception insertions, removals, and re-insertions

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