Are two doctors better than one? Women’s physician use and appropriate care
Abstract
This study examines nonelderly women's concurrent use of two types of physicians (generalists and obstetrician-gynecologists) for regular health care and associations with receipt of preventive care, including a range of recommended screening, counseling, and heart disease prevention services. Data are from the 1999 Women's Health Care Experiences Survey conducted in Baltimore, Maryland, using random digit dialing (N = 509 women ages 18 to 64). Key findings are: 58% of women report using two physicians (a generalist and an ob/gyn) for regular care; seeing both a generalist and an ob/gyn, compared with seeing a generalist alone, is consistently associated with receiving more clinical preventive services, including screening, counseling, and preventive services related to heart disease. Because seeing an ob/gyn in addition to a generalist physician is associated with receiving recommended preventive services (even for heart disease), the findings suggest that non-elderly women who rely on a generalist alone may receive substandard preventive care. The implications for women's access to ob/gyns and for appropriate design of women's primary care are discussed.
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Most women recognize the value of optimizing health before pregnancy and most doctors consider preconception care important, yet few obstetrician-gynecologists or family physicians deliver comprehensive preconception care.
“Although most women understand the importance of optimizing their health before pregnancy and most physicians think PCC is important, few obstetricians/gynecologists or family physicians provide comprehensive PCC to their patients.9, 10”
From Reaching Women through Health Information Technology: The Gabby Preconception Care System (2013) · cites this paper as [9]
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- Authors
- Henderson, J. T., Weisman, C. S., & Grason, H.
- Affiliations
- University of Michigan (US)
- Johns Hopkins University (US)
- ORCID
- Henderson, Jillian T
- Venue
- Women's Health Issues
- Publisher
- Elsevier BV
- Published
- 2002-05
- Volume
- 12
- Issue
- 3
- Pages
- 138-149
- ISSN
- 1049-3867 (ISSN-L)
- OpenAlex
- W2106764053
- Cited by
- 93
- References
- 13
- Citations by year
- 2026: 1 · 2025: 1 · 2022: 2 · 2020: 1 · 2019: 3 · 2018: 1 · 2017: 3 · 2016: 5 · 2015: 7 · 2014: 7 · 2013: 9 · 2012: 4
- FWCI
- 4.20
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Women s Health Issues (publishedVersion)
- PubMed (publishedVersion)
- DigitalGeorgetown (Georgetown University Library) (submittedVersion)
- Funders
- U.S. Public Health Service (U93 MC 00101)
- National Institute on Aging (T32-AG00134, T32AG000134)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Health Promotion and Cardiovascular Prevention
- Health Sciences › Health Professions › General Health Professions › Primary Care and Health Outcomes
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Women's cancer prevention and management
- Keywords
- women's health services, general practitioners, obstetricians and gynecologists, preventive medicine, clinical preventive services, heart disease prevention, screening, counseling
- MeSH terms
- Adolescent, Adult, Family Practice, Female, Heart Diseases, Humans, Middle Aged, Obstetrics, Patient Acceptance of Health Care, Preventive Health Services, Socioeconomic Factors, Baltimore, Linear Models, Women's Health, Age Distribution, Health Care Surveys
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