Insurance Churn and Inconsistent Access to Reproductive Health Care among Abortion Patients in Mississippi
| Autor: | Kari White, Sacheen Nathan, Margaret A Williams |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Pregnancy Insurance Health business.industry Reproductive health care Public Health Environmental and Occupational Health MEDLINE Abortion Induced Abortion medicine.disease Health Services Accessibility Contraception Mississippi Reproductive Health Contraceptive use Family medicine medicine Health insurance Humans Female business Unintended pregnancy Health department |
| Zdroj: | Journal of Health Care for the Poor and Underserved. 32:1965-1977 |
| ISSN: | 1548-6869 |
| Popis: | Changes in health insurance coverage, or insurance churn, is common in the months surrounding pregnancy, but there has been limited study of how churn affects women's experiences with reproductive health care. We conducted in-depth interviews with women seeking abortion care in Mississippi in 2016. We coded interview transcripts relating to experiences accessing reproductive health care before pregnancy and organized the codes into themes. Of the 38 women interviewed, one-third were uninsured and half described recent changes in their health insurance. This contributed to inconsistent care, as women shifted from private clinicians while insured to health department clinics while uninsured. For several women, these shifts created barriers to contraceptive use and were closely related to their unintended pregnancy. Insurance churn and associated disruptions in contraceptive use were common among Mississippi women seeking abortion in this study. Policies should support women's reproductive autonomy by facilitating consistent coverage and reliable access to contraception. |
| Databáze: | OpenAIRE |
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