July 22nd, 2017

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Title:
Patient Perspectives of Obstetrician-Gynecologists as Primary Care Providers
Authors:  Sara Mazzoni, M.D., M.P.H., Sarah Brewer, M.P.A., Josh Durfee, M.S.P.H., Jennifer Pyrzanowski, M.S.P.H., Juliana Barnard, M.A., Amanda F. Dempsey, M.D., Ph.D., M.P.H., and Sean T. O’Leary, M.D., M.P.H.
  OBJECTIVE: To examine women’s perceptions of their obstetrician/gynecologist (ob-gyn) as primary care provider (PCP) and comfort in receiving primary care services in an ob-gyn setting.

STUDY DESIGN: Survey regarding women’s use of their ob-gyn provider as a PCP, their desire and comfort in receiving primary care services from them, and their perceptions of their ob-gyn’s delivery of primary care. Associations were assessed between use of an ob-gyn as PCP and various demographic and attitudinal factors, as well as patients’ perceptions of primary care performance.

RESULTS: The response rate was 48% (1,404/2,916). Overall, the majority of participants responded that routine primary care services are available at their ob-gyn office and that they were comfortable receiving those services from their ob-gyn. Twenty percent of respondents considered their ob-gyn as their PCP, 52% considered another provider their PCP, and 28% of women did not identify a PCP. Women who were pregnant, mothers of newborns, and patients without a chronic health condition were more likely to identify their ob-gyn as their PCP.

CONCLUSION: A substantial proportion of women consider their ob-gyn their primary care provider and do not visit another provider regularly. While ob-gyns may not consider themselves as PCPs, they are often perceived as such by patients.
Keywords:  gynecology, obstetrics, patient perspectives, primary care, primary health care, women’s health
   
   
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