Abstract
Objective
To understand if women anticipate a difference in reproductive healthcare when attending
a Catholic institution.
Study design
A convenience sample of reproductive-aged women in the Denver metro area completed
an online survey. Women were randomized to hypothetical women’s health clinics at
either a secular or Catholic hospital and asked about expectations for family planning
care. Questions covered contraception and management of abnormal or unintended pregnancy.
We subsequently assessed provider/site preferences for care.
Results
We analyzed 236 surveys. The majority of participants expected their gynecologist
to provide all family planning services presented. The only difference based on institution
was that participants randomized to the Catholic hospital were more likely to expect
natural family planning advice. At least half of respondents reported they would seek
care from their gynecologist for the services surveyed with the exceptions of emergency
contraception and elective abortion.
Conclusions
Overall, this cohort of women did not anticipate differences in reproductive healthcare
based on institution. If women who enroll at Catholic hospitals do not receive information
related to potential healthcare restrictions, their ability to act as informed healthcare
consumers may be constrained.
Implications
Women did not anticipate differences in reproductive healthcare based on institution
type (Catholic vs. secular) and, thus, their ability to act as informed healthcare
consumers may be constrained.
Keywords
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to ContraceptionAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Miscarriage of Medicine: The Growth of Catholic Hospitals and the Threat of Reproductive Health Care.The MergerWatch Project and the American Civil Liberties Union, New York, NY2013
- Changing depot medroxyprogesterone acetate access at a faith-based institution.Contraception. Sep 2011; 84: 280-284
- Accessibility of emergency contraception in California's Catholic hospitals.in: Women's health issues: official publication of the Jacobs Institute of Women's Health. 15. 4, 2005: 174-178
- Availability of emergency contraception: a survey of hospital emergency department staff.Ann Emerg Med. 2005; 46: 105-110
- Availability of emergency contraception in Massachusetts emergency departments.Acad Emerg Med. 2005; 12: 987-993
- When there's a heartbeat: miscarriage management in Catholic-owned hospitals.Am J Public Health. Oct 2008; 98: 1774-1778
- Obstetrician-gynecologists, religious institutions, and conflicts regarding patient-care policies.Am J Obstet Gynecol. 2012; 207: 73.e71-73.e75
- Conflicts in care for obstetric complications in Catholic hospitals.in: AJOB Primary Research. 4. 4, 2013: 1-10
- Word of Mouth and Physician Referrals Still Drive Health Care Provider Choice.HSC Research Brief No. 9. 2008 ([http://www.hschange.com/CONTENT/1028/. Accessed 3/7/2014])
- How do people choose their doctor?.BMJ. 1989; 299: 608-610
- How do patients choose their doctors for primary care in a free market?.J Eval Clin Pract. Dec 2010; 16: 1215-1220
- Bishops Sued Over Anti-Abortion Policies at Catholic Hospitals.The New York Times. 2013
- A piece of my mind. A question of faith.JAMA. 2007; 297: 1412
- Religion, Reproductive Health and Access to Services: A National Survey of Women. Washington, D.C.
- ACS Demographic and Housing Estimates 2008-2012, American Community Survey 5-Year Estimates.(Available from:)
- Denver County, Colorado (CO) Religion Statistics Profile – Denver.(Available from:)
- Abortion clinic patients' opinions about obtaining abortions from general women's health care providers.Patient Educ Couns. 2010; 81: 409-414
- United States Conference of Catholic Bishops. Ethical and religious directives for Catholic Health Care Services.(Available from:)
- American Catholic Hospitals: A Century of Changing Markets and Missions.Rutgers University Press, New Brunswick, New Jersey, and London2011
- Institute of Medicine Committee on Quality of Health Care in America.Crossing the Quality Chasm: A New Health System for the 21st Century. 2001
Article info
Publication history
Published online: June 30, 2014
Accepted:
June 15,
2014
Received in revised form:
June 3,
2014
Received:
April 2,
2014
Footnotes
☆Funding was received from the Academic Enrichment Fund of the University of Colorado Department of Obstetrics and Gynecology.
☆☆To be presented as an oral abstract at the North American Forum on Family Planning on October 12, 2014 in Miami, Florida.
★Requests for reprints can be sent to the corresponding author.
Identification
Copyright
© 2014 Elsevier Inc. Published by Elsevier Inc. All rights reserved.