Abstract:
INTRODUCTION:With the increasing number of women Veterans enrolling in the Veterans Health Administration (VA), there is growing demand for reproductive health services. Little is known regarding the on-site availability of reproductive health services at VA and how this varies by site location and type. OBJECTIVE:To describe the on-site availability of hormonal contraception, intrauterine device (IUD) placement, infertility evaluation or treatment, and prenatal care by site location and type; the characteristics of sites providing these services; and to determine whether, within this context, site location and type is associated with on-site availability of these reproductive health services. METHODS:We used data from the 2007 Veterans Health Administration Survey of Women Veterans Health Programs and Practices, a national census of VA sites serving 300 or more women Veterans assessing practice structure and provision of care for women. Hierarchical models were used to test whether site location and type (metropolitan hospital-based clinic, non-metropolitan hospital-based clinic, metropolitan community-based outpatient clinic [CBOC]) were associated with availability of IUD placement and infertility evaluation/treatment. Non-metropolitan CBOCs were excluded from this analysis (n = 2). RESULTS:Of 193 sites, 182 (94 %) offered on-site hormonal contraception, 97 (50 %) offered on-site IUD placement, 57 (30 %) offered on-site infertility evaluation/treatment, and 11 (6 %) offered on-site prenatal care. After adjustment, compared with metropolitan hospital based-clinics, metropolitan CBOCs were less likely to offer on-site IUD placement (OR 0.33; 95 % CI 0.14, 0.74). CONCLUSION:Compared with metropolitan hospital-based clinics, metropolitan CBOCs offer fewer specialized reproductive health services on-site. Additional research is needed regarding delivery of specialized reproductive health care services for women Veterans in CBOCs and clinics in non-metropolitan areas.
journal_name
J Gen Intern Medjournal_title
Journal of general internal medicineauthors
Katon J,Reiber G,Rose D,Bean-Mayberry B,Zephyrin L,Washington DL,Yano EMdoi
10.1007/s11606-012-2289-9subject
Has Abstractpub_date
2013-07-01 00:00:00pages
S591-7eissn
0884-8734issn
1525-1497journal_volume
28 Suppl 2pub_type
杂志文章,多中心研究abstract:OBJECTIVE:To determine the prevalence and frequency of mastalgia and its association with psychiatric conditions and unexplained pain syndromes. DESIGN, SETTING, AND PARTICIPANTS:Cross-sectional mailed survey completed by 1,219 female veterans enrolled at the VA Puget Sound Health Care System in 1998. MEASUREMENTS:Br...
journal_title:Journal of general internal medicine
pub_type: 杂志文章
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journal_title:Journal of general internal medicine
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journal_title:Journal of general internal medicine
pub_type: 杂志文章,meta分析
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journal_title:Journal of general internal medicine
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pub_type: 临床试验,杂志文章,随机对照试验
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journal_title:Journal of general internal medicine
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pub_type: 杂志文章
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pub_type: 杂志文章
doi:10.1007/s11606-018-4600-x
更新日期:2018-10-01 00:00:00
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journal_title:Journal of general internal medicine
pub_type: 杂志文章
doi:10.1007/BF02596300
更新日期:1987-03-01 00:00:00
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journal_title:Journal of general internal medicine
pub_type: 杂志文章
doi:10.1007/s11606-008-0536-x
更新日期:2008-07-01 00:00:00
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pub_type: 杂志文章
doi:10.1007/s11606-015-3558-1
更新日期:2016-04-01 00:00:00
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journal_title:Journal of general internal medicine
pub_type: 杂志文章
doi:10.1007/s11606-011-1878-3
更新日期:2011-12-01 00:00:00
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pub_type: 杂志文章
doi:10.1007/s11606-015-3556-3
更新日期:2016-04-01 00:00:00
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pub_type: 杂志文章
doi:10.1007/s11606-019-05486-6
更新日期:2020-02-01 00:00:00
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pub_type: 杂志文章,随机对照试验
doi:10.1007/s11606-007-0387-x
更新日期:2007-12-01 00:00:00
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更新日期:2002-07-01 00:00:00
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更新日期:2007-04-01 00:00:00
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doi:10.1007/s11606-015-3453-9
更新日期:2015-10-01 00:00:00
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更新日期:2014-12-01 00:00:00
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更新日期:2013-01-01 00:00:00
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更新日期:2012-09-01 00:00:00
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更新日期:2018-10-01 00:00:00
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更新日期:2008-05-01 00:00:00
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更新日期:1991-05-01 00:00:00