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Preventive care visits with OB/GYNs and generalist physicians among reproductive-age women with chronic conditions
Laura Attanasio1, Brittany Ranchoff1, Chanup Jeung1
1Department of Health Promotion and Policy, University of Massachusetts Amherst School of Public Health and Health Sciences, Amherst, USA.
Objective:
To examine services delivered during preventive care visits among reproductive-age women with and without chronic conditions by physician specialty.
Data Sources:
National Ambulatory Medical Care Surveys (2011-2018).
Study Design:
We examined provision of specific services during preventive care visits by physician specialty among reproductive-age female patients, overall and among women with five common chronic conditions (diabetes, hypertension, depression, hyperlipidemia, and asthma).
Data Collection/Extraction Methods:
The sample included preventive visits to OB/GYNs or generalist physicians where the patient was female, age 18-44, and not pregnant.
Principal Findings:
In OB/GYN preventive visits, reproductive health services were more likely to be provided, while non-reproductive health services were less likely to be provided, both among reproductive-age female patients overall and among those with chronic conditions. For example, pap tests were provided in 44.5% of OB/GYN preventive visits (95% CI: 40.6-48.4) and in 21.4% of generalist preventive visits (95% CI: 17.2-26.6). Lipid testing was provided in 2.8% of OB/GYN preventive visits (95% CI: 1.7-3.9) and in 30.3% of generalist preventive visits (95% CI: 26.1-34.6).
Conclusions:
Understanding the full range of care received in preventive visits across settings could guide recommendations to optimize where reproductive-age women with chronic conditions seek care.
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