Primary and Preventive Care Services Provided by Obstetrician-Gynecologists

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Abstract

Objective:

To determine the level and types of primary and preventive care services delivered by obstetrician-gynecologists.

Methods:

A self-administered questionnaire was mailed to a random sample of 1250 obstetrician-gynecologists practicing in the United States. The response rate was 71%.

Results:

Fifty-three percent of the respondents indicated that they provide primary and preventive care during more than half of their practice time. Although obstetriciangynecologists provide a wide range of preventive services, the proportion of doctors providing any specific service varies. Whereas virtually all (92% or more) obstetriciangynecologists provide or order blood pressure screening, breast examinations, mammography, and Papanicolaou tests, only six of ten report regular cholesterol screening for most of their patients. A higher percentage of female obstetrician- gynecologists, who are on average younger than their male counterparts, report that they provide primary preventive services to most of their patients.

Conclusion:

The majority of obstetrician-gynecologists provide a wide range of primary and preventive care services to their patients, although there is variability in the proportion of doctors providing any specific service to most (60% or more) of their patients.

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