The impact of US policy on contraceptive access: a policy analysis

Plain language summary Legislation influences if, when, and how people access contraception. Healthcare access can be conceptualized across five dimensions: approachability, acceptability, availability/accommodation, affordability, and appropriateness. Applying this healthcare access framework can h...

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Autor principal:	Laura E. T. Swan
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Family planning Reproductive health Healthcare access Grey literature Contraceptive care Gynecology and obstetrics RG1-991
Acceso en línea:	https://doaj.org/article/406da343b90a42e8b8e74677f442a7e9
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spelling	oai:doaj.org-article:406da343b90a42e8b8e74677f442a7e92021-11-28T12:28:54ZThe impact of US policy on contraceptive access: a policy analysis10.1186/s12978-021-01289-31742-4755https://doaj.org/article/406da343b90a42e8b8e74677f442a7e92021-11-01T00:00:00Zhttps://doi.org/10.1186/s12978-021-01289-3https://doaj.org/toc/1742-4755Plain language summary Legislation influences if, when, and how people access contraception. Healthcare access can be conceptualized across five dimensions: approachability, acceptability, availability/accommodation, affordability, and appropriateness. Applying this healthcare access framework can help understand barriers to and facilitators of contraceptive access. In this study, I conducted a systematic Google search to identify recent federal policy changes related to contraceptive access. I organized these policy changes into a timeline and analyzed them according to the healthcare access framework mentioned above. Through this analysis, I have highlighted specific policy barriers to contraceptive access and provided suggestions for policy and practice action that can improve contraceptive access and reproductive autonomy. Findings indicated that Levesque et al. (2013) dimensions of healthcare access are relevant to contraceptive care. Many recent US policy changes related to contraceptive access are described in this study, and the analysis showed that these policy changes have fluctuated with election cycles and according to partisan divides. Two key US policies related to contraceptive access, the Affordable Care Act and Title X of the Public Health Services Act, have sustained many changes across the past decade. These policies have increased contraceptive access in the United States by dedicating funding to family planning availability and affordability and increasing insurance coverage for contraceptive care. However, recent changes to these policies threaten contraceptive access and reproductive autonomy. There is a need for continued research regarding the ways that policy influences reproductive autonomy and a need for practice and policy action to improve contraceptive access.Laura E. T. SwanBMCarticleFamily planningReproductive healthHealthcare accessGrey literatureContraceptive careGynecology and obstetricsRG1-991ENReproductive Health, Vol 18, Iss 1, Pp 1-14 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Family planning Reproductive health Healthcare access Grey literature Contraceptive care Gynecology and obstetrics RG1-991
spellingShingle	Family planning Reproductive health Healthcare access Grey literature Contraceptive care Gynecology and obstetrics RG1-991 Laura E. T. Swan The impact of US policy on contraceptive access: a policy analysis
description	Plain language summary Legislation influences if, when, and how people access contraception. Healthcare access can be conceptualized across five dimensions: approachability, acceptability, availability/accommodation, affordability, and appropriateness. Applying this healthcare access framework can help understand barriers to and facilitators of contraceptive access. In this study, I conducted a systematic Google search to identify recent federal policy changes related to contraceptive access. I organized these policy changes into a timeline and analyzed them according to the healthcare access framework mentioned above. Through this analysis, I have highlighted specific policy barriers to contraceptive access and provided suggestions for policy and practice action that can improve contraceptive access and reproductive autonomy. Findings indicated that Levesque et al. (2013) dimensions of healthcare access are relevant to contraceptive care. Many recent US policy changes related to contraceptive access are described in this study, and the analysis showed that these policy changes have fluctuated with election cycles and according to partisan divides. Two key US policies related to contraceptive access, the Affordable Care Act and Title X of the Public Health Services Act, have sustained many changes across the past decade. These policies have increased contraceptive access in the United States by dedicating funding to family planning availability and affordability and increasing insurance coverage for contraceptive care. However, recent changes to these policies threaten contraceptive access and reproductive autonomy. There is a need for continued research regarding the ways that policy influences reproductive autonomy and a need for practice and policy action to improve contraceptive access.
format	article
author	Laura E. T. Swan
author_facet	Laura E. T. Swan
author_sort	Laura E. T. Swan
title	The impact of US policy on contraceptive access: a policy analysis
title_short	The impact of US policy on contraceptive access: a policy analysis
title_full	The impact of US policy on contraceptive access: a policy analysis
title_fullStr	The impact of US policy on contraceptive access: a policy analysis
title_full_unstemmed	The impact of US policy on contraceptive access: a policy analysis
title_sort	impact of us policy on contraceptive access: a policy analysis
publisher	BMC
publishDate	2021
url	https://doaj.org/article/406da343b90a42e8b8e74677f442a7e9
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The impact of US policy on contraceptive access: a policy analysis

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