Convenient access to care
Ease of access
New users of HC
Initiation of HC will be measured as a prescription for HC with no history of prior HC utilization in the preceding 30 days.
Ease of access
Number of months of contraceptive dispensed
Number of months and type of contraceptive coverage a woman receives per health system interaction.
Out of pocket payments
Amount a woman needs to pay per month of coverage
Amount a woman reports paying for care.
Aim 2a. Appropriate and safe prescription of HC for all women
Women with common contraindications to estrogen who are using a progestin only method
Contraindications will be identified as having received an ICD-9 or ICD-10 diagnosis code for hypertension, diabetes, migraines with aura, epilepsy, or blood clots in the last year on a claim in the last year. Pharmacy claims for these conditions will be identified with NDC codes.
Access to follow-up
Ability to access follow-up care
Utilization and location of follow-up after HC initiation.
Aim 3a. Contraceptive continuation
Ongoing use of a contraceptive method
Ongoing use of contraceptive method (self-reported).
No breaks in contraceptive claims of greater than 30 days.
Missed days of contraception (self-reported).
Gap of 3–29 days between the conclusion of one HC prescription and the fill of the next.
Pregnancies experienced by contracepting women
Medical claims for any episode of pregnancy related care in study cohort using ICD9 &10 codes.