Table 3.
Barriers Affecting Routine LARC Provision “Quite a Bit” or “a Great Deal,” Among Wisconsin Providers Who Report Providing Contraceptive Carea
| Ob-gyn (n = 438) |
Midwifery (n = 119) |
Family Medicine (n = 277) |
Pediatrics (n = 122) |
P-valueb | |
|---|---|---|---|---|---|
| Lack of skill in insertion | 1.8% | 10.9% | 31.1% | 72.1% | <.0001 |
| Lack of familiarity with | 2.5% | 7.6% | 9.4% | 17.2% | <.0001 |
| insurance policies | |||||
| Cost of device | 5.0% | 14.3% | 10.8% | 10.7% | .002 |
| Challenges with reimbursement | 4.1% | 16.0% | 8.7% | 10.7% | <.0001 |
| Personal or religious beliefs | 0.7% | 3.4% | 2.5% | 3.3% | .08 |
| Low patient interest | 5.3% | 10.1% | 13.4% | 27.1% | <.0001 |
| Lack of eligible patients | 3.4% | 1.7% | 7.9% | 12.3% | <.0001 |
| Lack of time for counseling | 0.9% | 0.8% | 2.2% | 9.0% | <.0001 |
| Lack of time for procedure | 0.9% | 0.8% | 4.3% | 13.9% | <.0001 |
| Devices not available on-site | 4.8% | 17.7% | 12.3% | 29.5% | <.0001 |
| Separate visit required for insertion | 3.0% | 10.1% | 9.8% | 21.3% | <.0001 |
Abbreviations: LARC, Long-acting reversible contraceptive; Ob-gyn, includes obstetrician-gynecologists and advanced practice providers working in Ob-gyn or women’s health.
a
Providers who answered zero LARC barriers (n = 36) were excluded from this analysis.
b
Chi-square test of difference by specialty.