Because the nation awaits the Supreme Courtroom ruling on the way forward for the Inexpensive Care Act (ACA), a 2020 KFF survey of obstetrician-gynecologists (OBGYNs) finds that since implementation of the ACA’s contraceptive protection requirement, practically two-thirds of OBGYNs (63%) reported a rise in contraceptive uptake from their sufferers and 69% reported a rise of their sufferers use of their desired contraceptive technique. Nevertheless, practically all OBGYNs (92%) reported the price of reproductive well being care companies nonetheless presents a problem for low-income sufferers.
The survey highlights problems with affected person affordability and entry to care. About half of OBGYNs discovered the difficulty of affordability comes up at all times or typically when discussing therapy or check choices with sufferers. Whereas 78% of OBGYN practices settle for Medicaid, physicians report challenges with specialists accepting Medicaid referrals and being reimbursed at a decrease charge by this system in comparison with personal insurance coverage.
The survey discovered {that a} majority of OBGYNs supplied some type of contraceptive care, however simply 18% supplied all non-permanent contraceptive strategies to their sufferers. Notably, lower than half of OBGYNs present their sufferers with prescription types of emergency contraception (copper IUD and Ella).
A restricted variety of OBGYNs (23%) present abortions, however they had been extra generally supplied by OBGYNs in city areas, the Northeast, and the West. Probably the most often reported causes for not offering abortion included their observe had insurance policies towards it (49%), that abortion companies had been accessible elsewhere (45%), and private opposition (31%).
When requested about profession satisfaction, 70% of OBGYNs reported they’d select the identical medical specialty, whereas a minority reported they’d select a special specialty (19%) or not be a doctor in any respect (10%).
For added findings learn the complete report, OBGYNs and the Provision of Sexual and Reproductive Well being Care: Key Findings from a Nationwide Survey.
Methodology
The 2020 KFF Nationwide Doctor Survey on Reproductive Well being surveyed 1,210 OBGYNs from March 18 to September 1, 2020. The survey acquired responses from a nationally consultant pattern of OBGYNs practising within the U.S. who present sexual and reproductive well being care to sufferers. Following the start of the COVID-19 pandemic, further questions had been added relating to the impression of COVID-19. You will discover the outcomes right here: How OBGYNs Tailored Provision of Sexual and Reproductive Well being Care Throughout the COVID-19 Pandemic.