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Related Experiment Videos

Who provides gynecologic care?

E L Shiang1, A Epstein, L Goldman

  • 1Department of Medicine, Brigham and Women's Hospital, Boston, Massachusetts.

American Journal of Preventive Medicine
|January 1, 1985
PubMed
Summary
This summary is machine-generated.

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Many women see internists for gynecologic care. Integrating these services within primary care centers (PCCs) can improve access and potentially reduce costs for routine women's health needs.

Area of Science:

  • Internal Medicine
  • Gynecologic Care
  • Primary Care

Background:

  • Women often seek care from internists.
  • The provision of gynecologic services within internal medicine practices is not fully understood.

Purpose of the Study:

  • To ascertain the sources of gynecologic care for women attending an academic primary care internal medicine center.
  • To evaluate the feasibility and economic impact of providing routine gynecologic services within the primary care setting.

Main Methods:

  • Survey of 474 women with return appointments at an academic primary care center.
  • Analysis of gynecologic care sources, utilization, and patient preferences.
  • Economic analysis of integrated care models.

Main Results:

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  • 51% of women received gynecologic care within the primary care center (PCC).
  • 31% received care from external sources, with 83% of these receiving routine services available in the PCC.
  • An economic analysis indicated that integrating routine gynecologic care could nearly offset the cost of care for underserved patients.

Conclusions:

  • Internal medicine physicians can provide a significant portion of routine gynecologic care.
  • Integrating gynecologic services into primary care settings offers potential cost savings and convenience for patients.
  • Further integration of gynecologic services within internal medicine practices is recommended to improve patient access and reduce healthcare costs.