Computer-Assisted provision of hormonal contraception in acute care settings

Eleanor Schwarz, Elizabeth J. Burch, Sara M. Parisi, Kathleen P. Tebb, Daniel Grossman, Ateev Mehrotra, Ralph Gonzales

Research output: Contribution to journalArticlepeer-review

21 Scopus citations


Background: We evaluated whether computerized counseling about contraceptive options and screening for contraindications increased women's subsequent knowledge and use of hormonal contraception. Methods: For the study 814 women aged 18-45 years were recruited from the waiting rooms of three emergency departments and an urgent care clinic staffed by non-gynecologists and asked to use a randomly selected computer module before seeing a clinician. Results: Women in the intervention group were more likely to report receiving a contraceptive prescription when seeking acute care than women in the control group (16% vs. 1%, p=.001). Women who requested contraceptive refills were not less likely than women requesting new prescriptions to have potential contraindications to estrogen (75% of refills vs. 52% new, p=.23). Three months after visiting the clinic, women in the intervention group tended to be more likely to have used contraception at last intercourse (71% vs. 65%, p=.91) and to correctly answer questions about contraceptive effectiveness, but these differences were not statistically significant. Conclusion: Patient-facing computers appear to increase access to prescription contraception for women seeking acute care.

Original languageEnglish (US)
Pages (from-to)242-250
Number of pages9
Issue number2
StatePublished - Feb 1 2013
Externally publishedYes


  • Acute care
  • Computer information technology
  • Contraceptive counseling
  • Primary care
  • Urgent care

ASJC Scopus subject areas

  • Reproductive Medicine
  • Obstetrics and Gynecology


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