Reproductive health and managed care. An overview.
Explore the source record for details and available documents.
Family Planning Services↗
Biomedical subjects
S Delbanco
Publications and source records attributed to S Delbanco.
Leaping into patient safety.
Last November, the Leapfrog Group unveiled an ambitious effort to improve patient safety across the nation. Sponsored by the Business Roundtable, the Leapfrog Group is a consortium of Fortune 500 companies and other large private and public health care purchasers. The group is working to mobilize employer purchasing power to affect big "leaps" in patient safety by educating consumers and rewarding health care providers who meet defined safety standards.
Hospital Administration↗
Public knowledge and perceptions about unplanned pregnancy and contraception in three countries.
A 1994-1995 survey of men and women aged 18-44 in the United States, Canada and the Netherlands revealed considerable differences in public knowledge and perceptions about unplanned pregnancy and contraception. The proportion who believe that unplanned pregnancy is a "very big problem" is 60% in the United States, 36% in Canada and 6% in the Netherlands. Americans are more likely than their Canadian or Dutch counterparts to cite societal problems as significant factors in the rate of unplanned pregnancy; higher proportions of Americans also cite the cost of contraceptives (52% vs. 46% of Canadians and 34% of Dutch men and women) and an inability to obtain methods (66%, 51% and 33%, respectively). In all three countries, adults are generally well informed about the relative effectiveness of commonly used contraceptives, but Americans are more skeptical about method safety and effectiveness. For example, 17% think the pill is "very safe," compared with 21% of Canadians and 40% of the Dutch; and whereas 64% of Americans consider the pill "very effective," 73% of Canadians and 90% of Dutch men and women give it this rating. Health care professionals are the most frequently cited source of contraceptive information, but only 51-63% of adults have ever discussed contraception with such a practitioner.
Adolescent↗
Public perceptions about unplanned pregnancy.
A nationally representative telephone survey in 1994 of 2,002 adults indicates that 60% believe that unplanned pregnancy is a very big problem in the United States, and virtually all (90%) say it is at least a somewhat big problem. Two-thirds mistakenly believe that a larger percentage of women have unplanned pregnancies now than 10 years ago. A decline in moral standards is cited by 89% of respondents as contributing very much or somewhat to the problem. Lack of education is mentioned as a significant factor by 87%, and 88% see any of three barriers to contraceptive use--knowledge about use, access or cost--as being important factors. Never-married women with children, women in general, low-income respondents, Hispanics and those aged 65 or older are the most likely to believe that barriers to contraceptive access contribute very much to unplanned pregnancy; they are especially likely to cite cost or an inability to obtain contraceptives.
Adolescent↗