Dataset Information

Adherence to the Women's Preventive Services Guidelines in the Affordable Care Act.

ABSTRACT:

Objective

To assess the adherence of women's health providers in New Mexico to the Women's Preventive Services Guidelines and to examine how providers' knowledge, attitudes, and external barriers are associated with adherence.

Design

Cross-sectional, descriptive survey.

Setting

New Mexico.

Participants

Women's health providers in New Mexico, including nurse practitioners, certified nurse-midwives, and family practice and obstetrician-gynecologist physicians.

Methods

Participants completed a self-administered survey to measure knowledge, attitudes, external barriers, and adherence to each of the eight guidelines. Adherence was defined as following a guideline more than 90% of the time.

Results

The response rate was 22% (399/1,798). Among the eight guidelines, participant adherence ranged from 17.2% to 88.4%. Only 39.7% of participants indicated adherence to most of the guidelines (four or more). Overall, provider adherence was directly associated with familiarity with the guidelines (odds ratio = 3.69; 95% confidence interval [1.96, 6.96]), self-efficacy to implement them (odds ratio = 4.25; 95% confidence interval [2.21, 8.20]), and younger age (odds ratio = 0.97; 95% confidence interval [0.94, 1.00]).

Conclusion

Adherence to the Women's Preventive Services Guidelines by providers in New Mexico is variable and, for many recommended practices, less than optimal. New targeted implementation strategies are needed to address barriers to adherence.

SUBMITTER: Tinkle MB

PROVIDER: S-EPMC5198580 | biostudies-literature | 2016 Nov - Dec

REPOSITORIES: biostudies-literature

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Publications

Adherence to the Women's Preventive Services Guidelines in the Affordable Care Act.

Tinkle Mindy B MB Tigges Beth B BB Boursaw Blake B McFarlane Deborah R DR

Journal of obstetric, gynecologic, and neonatal nursing : JOGNN 20160909 6

<h4>Objective</h4>To assess the adherence of women's health providers in New Mexico to the Women's Preventive Services Guidelines and to examine how providers' knowledge, attitudes, and external barriers are associated with adherence.<h4>Design</h4>Cross-sectional, descriptive survey.<h4>Setting</h4>New Mexico.<h4>Participants</h4>Women's health providers in New Mexico, including nurse practitioners, certified nurse-midwives, and family practice and obstetrician-gynecologist physicians.<h4>Metho ...[more]

PMID: 27615503

Similar Datasets

Project description:BackgroundIn the United States, the Affordable Care Act (ACA) expanded public and private health coverage, increased health insurance affordability, reduced healthcare costs, and improved healthcare quality for many. Despite ACA provisions, lack of insurance and other factors continue to affect working-age women's access to primary care services.MethodsWe conducted a mixed-method systematic review to identify factors that affect women's access to primary care services since the ACA. In January 2021, MEDLINE, CINAHL, PsycINFO, and Web of Science were searched from 2010 to 2021 and an updated search was conducted in October 2023. We included 26 quantitative and qualitative studies reporting determinants, barriers and facilitators of women's primary care access for women (18 to 64 years). Studies reporting measures of potential access, such as health insurance, and measures of realized access-healthcare service utilization, were included. The Mixed-Methods Appraisal Tool (2018) was used to rate the quality of studies. Andersen's Behavioral Model of Health Services Use guided the narrative synthesis.FindingsWe found consistent evidence that ACA provisions expanding state Medicaid eligibility led to improved insurance coverage, especially for lower-income groups. We found mixed evidence of associations between individual-level determinants, such as age, education, race/ethnicity, income, and different measures of access. Limited qualitative evidence suggests that insurance coverage, low-cost care, positive patient-provider relationships, social support, and translation services enhance access for immigrants and refugees. Barriers include lack of coverage, high healthcare costs, culturally unresponsive healthcare services, poor patient-provider relationships, and transportation issues.ConclusionAdoption of ACA's expanded Medicaid eligibility criteria would expand insurance coverage to women living in non-expansion states. Innovative healthcare policies, programs, and interventions at the federal, state, and local levels are needed. Suggested strategies include interventions expanding primary healthcare service availability and patient navigation services, and promotion of health literacy, culturally sensitive services, and provider bias education/training.

Dataset Information

Adherence to the Women's Preventive Services Guidelines in the Affordable Care Act.

Objective

Design

Setting

Participants

Methods

Results

Conclusion

Publications

Adherence to the Women's Preventive Services Guidelines in the Affordable Care Act.

Similar Datasets

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