Modeling the Impact of Decreasing Waiting Period Length for Medicaid Sterilization: A Multi-Site Cohort Study.

Disparity Informed consent Medicaid Postpartum contraception Sterilization Waiting period

Journal

Contraception
ISSN: 1879-0518
Titre abrégé: Contraception
Pays: United States
ID NLM: 0234361

Informations de publication

Date de publication:
21 Jun 2024
Historique:
received: 29 04 2024
revised: 18 06 2024
accepted: 18 06 2024
medline: 24 6 2024
pubmed: 24 6 2024
entrez: 23 6 2024
Statut: aheadofprint

Résumé

To evaluate the impact of length of the Medicaid sterilization waiting period and postpartum permanent contraception fulfillment. Simulations from a retrospective cohort study estimating the potential increase in permanent contraception within 365 days of delivery RESULTS: In our sample of 2,076 patients, 61% achieved permanent contraception with the current waiting period of 30 days. With the waiting period hypothetically reduced to 15, 3, 1, and 0 days, 62.9%, 63.7%, 64.5%, and 75% patients, respectively, would have achieved permanent contraception. As potential Medicaid sterilization policy revisions are considered, understanding the impact on fulfillment rates is critical.

Identifiants

DOI: 10.1016/j.contraception.2024.110531 PMID: 38909745
pubmed: 38909745
pii: S0010-7824(24)00219-1
doi: 10.1016/j.contraception.2024.110531
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

110531

Informations de copyright

Copyright © 2024 Elsevier Inc. All rights reserved.

Auteurs

Kristen A Berg (KA)

Center for Health Care Research & Policy, Population Health Research Institute, MetroHealth Medical System, Cleveland, OH.

Douglas D Gunzler (DD)

Center for Health Care Research & Policy, Population Health Research Institute, MetroHealth Medical System, Cleveland, OH.

Emily Miller (E)

Department of Obstetrics and Gynecology, Division of Maternal Fetal Medicine, Warren Alpert Medical School of Brown University, Providence, RI.

Margaret Boozer (M)

Department of Obstetrics and Gynecology, University of Alabama at Birmingham, Birmingham, AL.

Tania Serna (T)

Department of Obstetrics and Gynecology, University of California San Francisco, San Francisco, CA.

Jennifer L Bailit (JL)

Department of Obstetrics and Gynecology, MetroHealth Medical System, Cleveland, OH.

Kavita Shah Arora (KS)

Department of Obstetrics and Gynecology, University of North Carolina, Chapel Hill, NC. Electronic address: Kavita.Shah.Arora@gmail.com.

Classifications MeSH