Number of oral contraceptive pill packages dispensed, method continuation, and costs

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'Favorites' : 'non_favorites_collection'"> </select> <div class="collections-retry-load-on-error usa-input-error-message selection-validation-message"> Unable to load your collection due to an error<br> <a href="#">Please try again</a> </div> </div> </div> <div class="action-panel-actions"> <button class="action-panel-submit" type="submit" data-loading-label="Adding..." data-pinger-ignore data-ga-category="save_share" data-ga-action="collections" data-ga-label="add"> Add </button> <button class="action-panel-cancel" aria-label="Close 'Add to Collections' panel" ref="linksrc=close_collections_panel" aria-controls="collections-action-panel" aria-expanded="false" data-ga-category="save_share" data-ga-action="collections" data-ga-label="cancel"> Cancel </button> </div> </form> </div> </div> <div id="bibliography-action-panel" class="bibliography-action-panel action-panel in-progress-dots-panel" aria-hidden="true" data-bibliography-open-panel-enabled="false" 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type="radio" checked/> <label for="my-bibliography">My Bibliography</label> </li> </ul> </div> </div> <div class="bibliographies-retry-load-on-error usa-input-error-message selection-validation-message"> Unable to load your delegates due to an error<br> <a href="#">Please try again</a> </div> <div class="action-panel-actions"> <button class="action-panel-submit" type="submit" data-loading-label="Adding..." data-pinger-ignore> Add </button> <button class="action-panel-cancel" aria-label="Close 'Add to bibliography' panel" ref="linksrc=close_bibliography_panel" aria-controls="bibliography-action-panel" aria-expanded="false" data-ga-category="save_share" data-ga-action="mybib" data-ga-label="cancel"> Cancel </button> </div> </form> </div> </div> <div id="saved-search-action-panel" class="saved-search-action-panel action-panel " aria-hidden="true" data-saved-search-open-panel-enabled="false" data-saved-search-open-panel-url-hash="#open-saved-search-panel"> <div class="inner-wrap"> <h2 class="action-panel-heading"> Your saved search </h2> <form id="saved-search-action-panel-form" class="saved-search-action-panel-form action-panel-content action-form" data-create-saved-search-url="/create-saved-search/" data-try-search-terms-url="/try-search-term/" data-saved-search-root-url="https://www.ncbi.nlm.nih.gov/myncbi/searches/"> <input type="hidden" name="csrfmiddlewaretoken" value="v8SYSIrEhpk3jurKRuWatDM0MiG1Gw4z9mphdTEdT3EMz797PZP4TVMQodPuakSa"> <div class="action-panel-control-wrap"> <label for="saved-search-name" class="action-panel-label saved-search-name-label required-field-asterisk"> Name of saved search: </label> <input maxlength="200" type="text" name="saved-search-name" id="saved-search-name" class="saved-search-name" value="" required pattern="[^"&=<>\/]*" title="The following characters are not allowed in the Name field: "&=<>/"> </div> <div class="action-panel-control-wrap"> <label for="saved-search-term" class="action-panel-label required-field-asterisk"> Search terms: </label> <textarea name="saved-search-term" id="saved-search-term" class="saved-search-term" required></textarea> </div> <div class="test-search-term-wrap"> <a href="#" class="try-search-term">Test search terms</a> </div> <div class="choice-group action-panel-extra-margin-top"> <span class="action-panel-label" id="fieldset-label"> Would you like email updates of new search results? </span> <fieldset id="saved-search-alert" aria-describedby="fieldset-label"> <legend class="usa-sr-only">Saved Search Alert Radio Buttons</legend> <ul class="radio-group-items"> <li> <input type="radio" id="saved-search-alert-yes" class="saved-search-alert-yes" name="saved-search-alert" value="yes" checked> <label for="saved-search-alert-yes" class="action-panel-label">Yes</label> </li> <li> <input aria-label="No radio input" type="radio" id="saved-search-alert-no" class="saved-search-alert-no" name="saved-search-alert" value="no"> <label for="saved-search-alert-no" class="action-panel-label">No</label> </li> </ul> </fieldset> </div> <div class="alert-schedule-wrap"> <div class="action-panel-control-wrap"> <label class="action-panel-label"> Email: </label> <span aria-label="Email address" id="saved-search-email" class="action-panel-label"><span class="action-panel-label-bold"></span> (<a class="myncbi-account-settings" href="https://www.ncbi.nlm.nih.gov/account/settings/">change</a>)</span> </div> <div class="action-panel-control-wrap action-panel-extra-margin-top"> <label for="saved-search-frequency" class="action-panel-label"> Frequency: </label> <select id="saved-search-frequency" class="no-border-panel-selector saved-search-frequency"> <option value="monthly">Monthly</option> <option value="weekly">Weekly</option> <option value="daily">Daily</option> </select> </div> <div class="action-panel-control-wrap saved-search-monthly-additional"> <label for="saved-search-monthly-on-day" class="action-panel-label"> Which day? </label> <select 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value="Thursday">Thursday</option> <option value="Friday">Friday</option> <option value="Saturday">Saturday</option> </select> </div> <div class="action-panel-control-wrap"> <label for="saved-search-report" class="action-panel-label"> Report format: </label> <select id="saved-search-report" class="no-border-panel-selector saved-search-report"> <option value="DocSum">Summary</option> <option value="DocSumText">Summary (text)</option> <option value="Abstract">Abstract</option> <option value="AbstractText">Abstract (text)</option> <option value="MEDLINE">PubMed</option> </select> </div> <div class="action-panel-control-wrap"> <label for="saved-search-amount" class="action-panel-label"> Send at most: </label> <select id="saved-search-amount" class="no-border-panel-selector saved-search-amount"> <option value="1">1 item</option> <option value="5" selected>5 items</option> <option value="10">10 items</option> <option value="20">20 items</option> <option value="50">50 items</option> <option value="100">100 items</option> <option value="200">200 items</option> </select> </div> <div> <input type="checkbox" id="saved-search-send-if-no-result" class="saved-search-send-if-no-result" name="saved-search-send-if-no-result"> <label for="saved-search-send-if-no-result" class="action-panel-label smaller-checkbox"> Send even when there aren't any new results </label> </div> <div class="action-panel-control-wrap option-text-in-email-wrap"> <label for="saved-search-email-text" class="action-panel-label"> Optional text in email: </label> <textarea name="saved-search-email-text" id="saved-search-email-text" class="saved-search-email-text"></textarea> </div> </div> <div class="action-panel-actions"> <button class="action-panel-submit" type="submit" data-loading-label="Saving..." data-ga-category="save_share" data-ga-action="alert" data-ga-label="save"> Save </button> <button class="action-panel-cancel" aria-label="Close 'Your saved search' panel" ref="linksrc=close_saved_search_panel" 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data-ga-action="journal_link" data-ga-label="Obstet Gynecol"> Search in NLM Catalog </a></li><li><a class="add-to-search-link dropdown-block-link" ref ="linksrc=add_to_search_link" role="button" data-search-term='"Obstet Gynecol"[jour]' data-ga-category="search" data-ga-action="add_to_search" data-ga-label='"Obstet Gynecol"[jour]' href="#"> Add to Search </a></li></ul></div></div></div><span class="period">. </span><span class="cit">2006 Nov;108(5):1107-14.</span> </div> <span class="citation-doi"> doi: 10.1097/01.AOG.0000239122.98508.39. </span> </div> <h1 class="heading-title"> Number of oral contraceptive pill packages dispensed, method continuation, and costs </h1> <div class="inline-authors"> <div class="authors"> <div class="authors-list"> <span class="authors-list-item "><a class="full-name" href="/?term=Foster+DG&cauthor_id=17077231" ref="linksrc=author_name_link" data-ga-category="search" data-ga-action="author_link" data-ga-label="Diana Greene Foster">Diana Greene Foster</a><sup class="affiliation-links"><span class="author-sup-separator"> </span><a class="affiliation-link" title="Bixby Center for Reproductive Health Research and Policy, Department of Obstetrics, Gynecology and Reproductive Sciences, San Francisco General Hospital, University of California, San Francisco, CA, USA. greened@obgyn.ucsf.edu" href="#full-view-affiliation-1" ref="linksrc=author_aff"> 1 </a></sup><span class="comma">, </span></span><span class="authors-list-item "><a class="full-name" href="/?term=Parvataneni+R&cauthor_id=17077231" ref="linksrc=author_name_link" data-ga-category="search" data-ga-action="author_link" data-ga-label="Ram Parvataneni">Ram Parvataneni</a><span class="comma">, </span></span><span class="authors-list-item "><a class="full-name" href="/?term=de+Bocanegra+HT&cauthor_id=17077231" ref="linksrc=author_name_link" data-ga-category="search" data-ga-action="author_link" data-ga-label="Heike Thiel de Bocanegra">Heike Thiel de Bocanegra</a><span class="comma">, </span></span><span class="authors-list-item "><a class="full-name" href="/?term=Lewis+C&cauthor_id=17077231" ref="linksrc=author_name_link" data-ga-category="search" data-ga-action="author_link" data-ga-label="Carrie Lewis">Carrie Lewis</a><span class="comma">, </span></span><span class="authors-list-item "><a class="full-name" href="/?term=Bradsberry+M&cauthor_id=17077231" ref="linksrc=author_name_link" data-ga-category="search" data-ga-action="author_link" data-ga-label="Mary Bradsberry">Mary Bradsberry</a><span class="comma">, </span></span><span class="authors-list-item "><a class="full-name" href="/?term=Darney+P&cauthor_id=17077231" ref="linksrc=author_name_link" data-ga-category="search" data-ga-action="author_link" data-ga-label="Philip Darney">Philip Darney</a></span> </div> </div> </div> <div class="short-article-details"> Affiliations <button class="more-details" id="toggle-authors" data-alt-text="Collapse" aria-controls="expanded-authors" 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class="id-label"> DOI: </span> <a class="id-link" target="_blank" rel="noopener" ref="linksrc=article_id_link&article_id=10.1097/01.AOG.0000239122.98508.39&id_type=DOI" href="https://doi.org/10.1097/01.aog.0000239122.98508.39" data-ga-category="full_text" data-ga-action="DOI" > 10.1097/01.AOG.0000239122.98508.39 </a> </span> </li> </ul> <div class="in-clipboard-label " hidden> Item in Clipboard </div> </div> <div class="short-view" id="short-view-heading"> <div class="publication-type" >Comparative Study</div> <h1 class="heading-title"> Number of oral contraceptive pill packages dispensed, method continuation, and costs </h1> <div class="short-citation"> <span class="authors-list"> <span class="authors-list-item "><span class="full-name">Diana Greene Foster</span><span class="citation-separator"> et al.</span></span> </span> <span class="citation-journal"> Obstet Gynecol<span class="citation-separator">.</span> </span> <span class="date"> <span class="citation-year">2006 Nov</span><span class="citation-separator">.</span> </span> </div> <div class="more-article-details-section with-display-settings"> <button class="more-article-details" id="toggle-article-details" data-alt-text="Hide details" ref="linksrc=toggle_article_details" aria-controls="full-article-details" aria-expanded="false" data-fetch-url="/17077231/long-authors/" data-id-prefix=""> <span class="title">Show details</span> </button> <div class="display-options" data-format-key="format" data-default-format-value="abstract" data-current-format-value="abstract" role="region"> <button class="trigger usa-button" title="Change format" data-ga-category="display_options" data-ga-action="display_options_dialog"> <span class="button-label">Display options</span> </button> <div class="dropdown" hidden> <div class="title"> Display options </div> <div class="content"> <div class="format-container"> <span class="option-label"> Format </span> <select name="format" data-initial-value="abstract" 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</a></li></ul></div></div></div><span class="period">. </span><span class="cit">2006 Nov;108(5):1107-14.</span> </div> <span class="citation-doi"> doi: 10.1097/01.AOG.0000239122.98508.39. </span> </div> <div class="expanded-authors" id="short-view-expanded-authors"> <div class="authors"> <h3 class="title"> Authors </h3> <div class="authors-list"> <span class="authors-list-item "><a class="full-name" href="/?term=Foster+DG&cauthor_id=17077231" ref="linksrc=author_name_link" data-ga-category="search" data-ga-action="author_link" data-ga-label="Diana Greene Foster">Diana Greene Foster</a><sup class="affiliation-links"><span class="author-sup-separator"> </span><a class="affiliation-link" title="Bixby Center for Reproductive Health Research and Policy, Department of Obstetrics, Gynecology and Reproductive Sciences, San Francisco General Hospital, University of California, San Francisco, CA, USA. greened@obgyn.ucsf.edu" href="#short-view-affiliation-1" ref="linksrc=author_aff"> 1 </a></sup><span class="comma">, </span></span><span class="authors-list-item "><a class="full-name" href="/?term=Parvataneni+R&cauthor_id=17077231" ref="linksrc=author_name_link" data-ga-category="search" data-ga-action="author_link" data-ga-label="Ram Parvataneni">Ram Parvataneni</a><span class="comma">, </span></span><span class="authors-list-item "><a class="full-name" href="/?term=de+Bocanegra+HT&cauthor_id=17077231" ref="linksrc=author_name_link" data-ga-category="search" data-ga-action="author_link" data-ga-label="Heike Thiel de Bocanegra">Heike Thiel de Bocanegra</a><span class="comma">, </span></span><span class="authors-list-item "><a class="full-name" href="/?term=Lewis+C&cauthor_id=17077231" ref="linksrc=author_name_link" data-ga-category="search" data-ga-action="author_link" data-ga-label="Carrie Lewis">Carrie Lewis</a><span class="comma">, </span></span><span class="authors-list-item "><a class="full-name" href="/?term=Bradsberry+M&cauthor_id=17077231" ref="linksrc=author_name_link" data-ga-category="search" data-ga-action="author_link" data-ga-label="Mary Bradsberry">Mary Bradsberry</a><span class="comma">, </span></span><span class="authors-list-item "><a class="full-name" href="/?term=Darney+P&cauthor_id=17077231" ref="linksrc=author_name_link" data-ga-category="search" data-ga-action="author_link" data-ga-label="Philip Darney">Philip Darney</a></span> </div> </div> <div class="affiliations"> <h3 class="title"> Affiliation </h3> <ul class="item-list"> <li data-affiliation-id="short-view-affiliation-1" id="short-view-affiliation-1" ><sup class="key">1</sup> Bixby Center for Reproductive Health Research and Policy, Department of Obstetrics, Gynecology and Reproductive Sciences, San Francisco General Hospital, University of California, San Francisco, CA, USA. greened@obgyn.ucsf.edu</li> </ul> </div> </div> <ul class="identifiers" id="short-view-identifiers"> <li> <span class="identifier pubmed"> <span class="id-label"> PMID: </span> <strong class="current-id" title="PubMed ID">17077231</strong> </span> </li> <li> <span class="identifier doi"> <span class="id-label"> DOI: </span> <a class="id-link" target="_blank" rel="noopener" ref="linksrc=article_id_link&article_id=10.1097/01.AOG.0000239122.98508.39&id_type=DOI" href="https://doi.org/10.1097/01.aog.0000239122.98508.39" data-ga-category="full_text" data-ga-action="DOI" > 10.1097/01.AOG.0000239122.98508.39 </a> </span> </li> </ul> <div class="in-clipboard-label " hidden> Item in Clipboard </div> </div> </div> </header> <div class="actions-buttons inline"><div class="inner-wrap"><button class="full-text-links-button full-text-links-dialog-trigger" title="Open dialog with full text links" ref="linksrc=full_text_links"> Full text links </button><button class="citation-button citation-dialog-trigger" aria-label="Open dialog with citation text in different styles" data-ga-category="save_share" data-ga-action="cite" data-ga-label="open" data-all-citations-url="/17077231/citations/" data-citation-style="nlm" data-pubmed-format-link="/17077231/export/"><span class="button-label">Cite</span></button><button class="more-actions-button more-actions-dialog-trigger" title="Open dialog with more actions to take" ref="linksrc=more_actions_btn"></button><div class="display-options" data-format-key="format" data-default-format-value="abstract" data-current-format-value="abstract" role="region"><button class="trigger usa-button" title="Change format" data-ga-category="display_options" data-ga-action="display_options_dialog"><span class="button-label">Display options</span></button><div class="dropdown" hidden><div class="title"> Display options </div><div class="content"><div class="format-container"><span class="option-label"> Format </span><select name="format" data-initial-value="abstract" aria-label="Display format" id="inline-actions-display-format"><option value="abstract">Abstract</option><option value="pubmed">PubMed</option><option value="pmid">PMID</option></select></div></div></div></div></div></div> <div class="abstract" id="abstract"> <h2 class="title"> Abstract </h2> <div class="abstract-content selected" id="eng-abstract"> <p> <strong class="sub-title"> Objective: </strong> To estimate the effect of the number of cycles of oral contraceptive pills (OCPs) dispensed per visit on method continuation, pill wastage, use of services, and health care costs. </p> <p> <strong class="sub-title"> Methods: </strong> We used paid claims data for 82,319 women dispensed OCPs through the California Family PACT (Planning, Access, Care, and Treatment) Program in January 2003 to examine contraceptive continuation and service use. </p> <p> <strong class="sub-title"> Results: </strong> Women who received 13 cycles at their first visit in January 2003 received 14.5 cycles over the course of 2003 compared with 9.0 cycles among women receiving three cycles at first visit. When client characteristics are controlled, women who received 13 cycles were 28% more likely to have OCPs on hand and twice as likely to have sufficient OCP cycles for 15 months of continuous use compared with women who received three cycles. Oral contraceptive pill wastage was higher among women initially dispensed 13 cycles (6.5% of the cycles dispensed) than among women who received three cycles (2% of cycles). Despite having one fewer clinician visit, women dispensed 13 cycles were more likely to receive Pap and Chlamydia tests and less likely to have a pregnancy test than women initially dispensed fewer cycles. Over the course of the year, Family PACT paid 99 US dollars more for women who received three cycles and 44 US dollars more for women who received only one cycle than it did for women who received 13 cycles at their first visits of 2003. </p> <p> <strong class="sub-title"> Conclusion: </strong> Dispensing a year's supply of OCP cycles to women is associated with higher method continuation and lower costs than dispensing fewer cycles per visit. </p> <p> <strong class="sub-title"> Level of evidence: </strong> II-2. </p> </div> </div> <p class="disclaimer" id="disclaimer"> <a href="/disclaimer/" target="_blank" data-ga-category="literature_resources" data-ga-action="disclaimer_link" data-ga-label="under_abstract">PubMed Disclaimer</a> </p> <div class="similar-articles" id="similar"> <h2 class="title"> Similar articles </h2> <ul class="articles-list" id="similar-articles-list"> <li class="full-docsum"> <div class="docsum-content" style="display:inline;"> <a class="docsum-title" href="/17547913/" ref="article_id=17547913&linksrc=similar_articles_link&ordinalpos=1" data-ga-category="similar_article" data-ga-action="17547913" data-ga-label=""> Documented short-term continuation rates for combined hormonal contraceptives in an indigent population with ready access to contraceptive supplies. </a> <div class="docsum-citation full-citation"> <span class="docsum-authors full-authors">Nelson AL, Pietersz D, Nelson LE, Aguilera L.</span> <span class="docsum-authors short-authors">Nelson AL, et al.</span> <span class="docsum-journal-citation full-journal-citation">Am J Obstet Gynecol. 2007 Jun;196(6):599.e1-5; discussion 599.e5-6. doi: 10.1016/j.ajog.2007.03.020.</span> <span class="docsum-journal-citation short-journal-citation">Am J Obstet Gynecol. 2007.</span> <span class="citation-part">PMID: <span class="docsum-pmid">17547913</span></span> </div> </div> </li> <li class="full-docsum"> <div class="docsum-content" style="display:inline;"> <a class="docsum-title" href="/19341849/" ref="article_id=19341849&linksrc=similar_articles_link&ordinalpos=2" data-ga-category="similar_article" data-ga-action="19341849" data-ga-label=""> One versus multiple packs for women starting oral contraceptive pills: a comparison of two distribution regimens. </a> <div class="docsum-citation full-citation"> <span class="docsum-authors full-authors">Chin-Quee D, Otterness C, Wedderburn M, McDonald O, Janowitz B.</span> <span class="docsum-authors short-authors">Chin-Quee D, et al.</span> <span class="docsum-journal-citation full-journal-citation">Contraception. 2009 May;79(5):369-74. doi: 10.1016/j.contraception.2008.11.013.</span> <span class="docsum-journal-citation short-journal-citation">Contraception. 2009.</span> <span class="citation-part">PMID: <span class="docsum-pmid">19341849</span></span> <span class="publication-type spaced-citation-item citation-part">Clinical Trial.</span> </div> </div> </li> <li class="full-docsum"> <div class="docsum-content" style="display:inline;"> <a class="docsum-title" href="/17540797/" ref="article_id=17540797&linksrc=similar_articles_link&ordinalpos=3" data-ga-category="similar_article" data-ga-action="17540797" data-ga-label=""> Initiation of oral contraceptives using a quick start compared with a conventional start: a randomized controlled trial. </a> <div class="docsum-citation full-citation"> <span class="docsum-authors full-authors">Westhoff C, Heartwell S, Edwards S, Zieman M, Cushman L, Robilotto C, Stuart G, Morroni C, Kalmuss D.</span> <span class="docsum-authors short-authors">Westhoff C, et al.</span> <span class="docsum-journal-citation full-journal-citation">Obstet Gynecol. 2007 Jun;109(6):1270-6. doi: 10.1097/01.AOG.0000264550.41242.f2.</span> <span class="docsum-journal-citation short-journal-citation">Obstet Gynecol. 2007.</span> <span class="citation-part">PMID: <span class="docsum-pmid">17540797</span></span> <span class="publication-type spaced-citation-item citation-part">Clinical Trial.</span> </div> </div> </li> <li class="full-docsum"> <div class="docsum-content" style="display:inline;"> <a class="docsum-title" href="/17923832/" ref="article_id=17923832&linksrc=similar_articles_link&ordinalpos=4" data-ga-category="similar_article" data-ga-action="17923832" data-ga-label=""> [Individualization of low-dose oral contraceptives. 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Epub 2018 Jun 12.</span> <span class="docsum-journal-citation short-journal-citation">Paediatr Child Health. 2018.</span> <span class="citation-part">PMID: <span class="docsum-pmid">30681670</span></span> <span class="free-resources spaced-citation-item citation-part">Free PMC article.</span> <span class="publication-type spaced-citation-item citation-part">Review.</span> </div> </div> </li> </ul> <div class="actions-bar"> <a class="show-all-linked-articles" data-href="/?linkname=pubmed_pubmed_citedin&from_uid=17077231" data-ga-category="cited_by" data-ga-action="show_all" > See all "Cited by" articles </a> </div> </div> <div id="publication-types" class="publication-types keywords-section"> <h2 class="title"> Publication types </h2> <ul class="keywords-list"><li><div class="keyword-actions dropdown-block"><button class="keyword-actions-trigger trigger keyword-link" aria-label="Toggle dropdown menu for keyword Comparative Study" tabindex="0" 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