Provider perspectives on a point-of-care tool to facilitate patient-centered contraceptive care among Latina/x patients in Baltimore, MD

Kristin G Bevilacqua; Amanda M Tuchler; Diana N Carvajal

doi:10.1016/j.pecinn.2023.100190

Provider perspectives on a point-of-care tool to facilitate patient-centered contraceptive care among Latina/x patients in Baltimore, MD

PEC Innov. 2023 Jul 8:3:100190. doi: 10.1016/j.pecinn.2023.100190. eCollection 2023 Dec 15.

Authors

Kristin G Bevilacqua¹, Amanda M Tuchler², Diana N Carvajal³

Affiliations

¹ Department of Population, Family and Reproductive Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, USA.
² University of Maryland School of Medicine, Baltimore, USA.
³ Department of Family and Community Medicine, University of Maryland School of Medicine, Baltimore, USA.

Abstract

Objectives: To explore clinician perspectives on the development, utility, and feasibility of a provider-facing point-of-care tool to assist in provision of patient-centered contraceptive care for Latina/x patients in Baltimore, MD.

Methods: We conducted 25 semi-structured qualitative interviews with a sample of clinicians who provide contraceptive care to Latina/x patients. An interview guide was developed based on prior research related to patient-centered care and extant point-of-care tools. Transcripts were independently coded by two study team members and analyzed using a directed content analysis approach.

Results: Four themes emerged from the data: (1) clinician perception of a need for a tool to facilitate patient-centered contraceptive care, (2) concern for tool burden and burnout, (3) desire for tool ease of use, and (4) a need for cultural awareness during tool development to avoid bias and typecasting.

Conclusions: A provider-facing, point-of-care tool to facilitate patient-centered contraceptive counseling was acceptable among providers, provided the tool is easy to use and promotes cultural awareness.

Innovation: In the current era of more limited reproductive choice across the U.S., the need and support for non-coercive, patient-centered contraceptive care is timely. A provider-facing, point-of-care tool can facilitate the provision of patient-centered care among clinicians proving contraceptive counseling to Latina/s.

Keywords: Contraceptive counseling; Latina; Latinx; Patient-centered care; Point-of-care tools; Provider perspectives.