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From uptake to access: a decade of learning from the ACOG LARC program
Sarah Horvath1, Mica Bumpus2, Alicia Luchowski2
1American College of Obstetricians and Gynecologists, Washington, DC; Department of Obstetrics and Gynecology, Penn State Health Milton S. Hershey Medical Center, Hershey, PA.
American Journal of Obstetrics and Gynecology
|December 4, 2019
Summary
The Long-Acting Reversible Contraception (LARC) Program enhanced access to contraception over 10 years. Key lessons include prioritizing patient autonomy and improving healthcare systems for better method accessibility.
Area of Science:
- Reproductive Health
- Women's Health
- Healthcare Policy
Background:
- The American College of Obstetricians and Gynecologists (ACOG) established a Long-Acting Reversible Contraception (LARC) Program.
- The program aimed to improve access to and utilization of LARC methods.
Purpose of the Study:
- To review the opportunities, challenges, and lessons learned by the ACOG LARC Program over its first decade.
- To highlight the impact of the Postpartum Contraceptive Access Initiative (PCAI) in addressing specific needs.
Main Methods:
- Review of program activities and outcomes over a 10-year period.
- Application of implementation science principles to the Postpartum Contraceptive Access Initiative (PCAI).
- Development of resources for clinicians, healthcare systems, and policymakers.
Main Results:
- The LARC Program successfully supported practice change through resource development and collaboration.
- The PCAI initiative focused on improving counseling, clinician training, and system integration (billing, coding, EMR).
- Key lessons emphasize patient-centered care, evidence-based guidance, and policy advocacy.
Conclusions:
- Centering patient preferences and autonomy is crucial for effective contraception programs.
- Sustainable systems change requires addressing clinical practice, insurance policies, and healthcare integration.
- Partnerships and robust resources are vital for improving patient access to diverse contraceptive methods.
Keywords:
contraceptioncontraceptive implantimplementationintrauterine devicelong-acting reversible contraceptionpatient-centered counselingMore Related Videos
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