{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,23]],"date-time":"2026-04-23T07:08:52Z","timestamp":1776928132898,"version":"3.51.2"},"reference-count":26,"publisher":"Wiley","issue":"S1","license":[{"start":{"date-parts":[[2017,10,20]],"date-time":"2017-10-20T00:00:00Z","timestamp":1508457600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100007447","name":"Susan Thompson Buffett Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100007447","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100009633","name":"Eunice Kennedy Shriver National Institute of Child Health and Human Development","doi-asserted-by":"publisher","award":["5 R24 HD042849"],"award-info":[{"award-number":["5 R24 HD042849"]}],"id":[{"id":"10.13039\/100009633","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Services Research"],"published-print":{"date-parts":[[2018,8]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To explore organizations\u2019 experiences providing family planning during the first year of an expanded primary care program in Texas.<\/jats:p><\/jats:sec><jats:sec><jats:title>Data Sources<\/jats:title><jats:p>Between November 2014 and February 2015, in\u2010depth interviews were conducted with program administrators at 30 organizations: 7 women's health organizations, 13 established primary care contractors (e.g., community health centers, public health departments), and 10 new primary care contractors.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>Interviews addressed organizational capacities to expand family planning and integrate services with primary care.<\/jats:p><\/jats:sec><jats:sec><jats:title>Data Extraction<\/jats:title><jats:p>Interview transcripts were analyzed using a theme\u2010based approach. Themes were compared across the three types of organizations.<\/jats:p><\/jats:sec><jats:sec><jats:title>Principal Findings<\/jats:title><jats:p>Established and new primary care contractors identified several challenges expanding family planning services, which were uncommon among women's health organizations. Clinicians often lacked training to provide intrauterine devices and contraceptive implants. Organizations often recruited existing clients into family planning services, rather than expanding their patient base, and new contractors found family planning difficult to integrate because of clients\u2019 other health needs. Primary care contractors frequently described contraceptive provision protocols that were not evidence\u2010based.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Many primary care organizations in Texas initially lacked the capacity to provide evidence\u2010based family planning services that women's health organizations already provided.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1475-6773.12783","type":"journal-article","created":{"date-parts":[[2017,10,20]],"date-time":"2017-10-20T13:29:33Z","timestamp":1508506173000},"page":"2770-2786","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":15,"title":["Providing Family Planning Services at Primary Care Organizations after the Exclusion of Planned Parenthood from Publicly Funded Programs in Texas: Early Qualitative Evidence"],"prefix":"10.1111","volume":"53","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6463-8626","authenticated-orcid":false,"given":"Kari","family":"White","sequence":"first","affiliation":[{"name":"Department of Health Care Organization and Policy University of Alabama at Birmingham Birmingham AL"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kristine","family":"Hopkins","sequence":"additional","affiliation":[{"name":"Population Research Center and the Department of Sociology The University of Texas at Austin Austin TX"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel","family":"Grossman","sequence":"additional","affiliation":[{"name":"Advancing New Standards in Reproductive Health (ANSIRH) Bixby Center for Global Reproductive Health Department of Obstetrics, Gynecology and Reproductive Sciences University of California, San Francisco Oakland CA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joseph E.","family":"Potter","sequence":"additional","affiliation":[{"name":"Population Research Center and the Department of Sociology The University of Texas at Austin Austin TX"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,10,20]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1089\/jwh.2009.1735"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2013.09.014"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000000969"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000000137"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1191\/1478088706qp063oa"},{"key":"e_1_2_6_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2016.04.009"},{"key":"e_1_2_6_8_1","unstructured":"Centers for Disease Control and Prevention.2010. \u201cU.S. Medical Eligibility Criteria for Contraceptive Use.\u201dMorbidity and Mortality Weekly Report 59 Available athttp:\/\/www.cdc.gov\/mmwr\/pdf\/rr\/rr59e0528.pdf"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1363\/4407812"},{"key":"e_1_2_6_10_1","unstructured":"Department of Health and Human Services and Office of Population Affairs.2016. \u201cCompliance with Title X Requirements by Project Recipients in Selecting Subrecipients\u201dFederal Register[accessed on January 21 2017]. Available athttps:\/\/www.federalregister.gov\/documents\/2016\/12\/19\/2016-30276\/compliance-with-title-x-requirements-by-project-recipients-in-selecting-subrecipients"},{"key":"e_1_2_6_11_1","unstructured":"Department of State Health Services.2015. \u201cPrimary Health Care and Expanded Primary Health Care Services: FY 2014 Annual Report.\u201d Available athttps:\/\/www.dshs.texas.gov\/phc\/pdf\/2014-PHC_EPHC-Report.doc"},{"key":"e_1_2_6_12_1","unstructured":"Frost J. J. andK.Hasstedt.2015. \u201cQuantifying Planned Parenthood's Critical Role in Meeting the Need for Publicly Supported Contraceptive Care.\u201dHealth Affairs Blog[accessed on January 21 2017]. Available athttp:\/\/healthaffairs.org\/blog\/2015\/09\/08\/quantifying-planned-parenthoods-critical-role-in-meeting-the-need-for-publicly-supported-contraceptive-care\/"},{"key":"e_1_2_6_13_1","unstructured":"Frost J. J. andM. R.Zolna.2017. \u201cResponse to Inquiry Concerning the Availability of Publicly Funded Contraceptive Care to U.S. Women Memo to Senator Patty Murray Senate Health Education Labor and Pensions Committee.\u201d Available athttps:\/\/www.guttmacher.org\/article\/2017\/05\/guttmacher-murray-memo-2017"},{"key":"e_1_2_6_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.whi.2015.02.007"},{"key":"e_1_2_6_15_1","unstructured":"Guttmacher Institute.2016. \u201cLaws Affecting Reproductive Health and Rights: State Trends at Midyear 2016\u201d Guttmacher Institute [accessed on January 21 2017]. Available athttps:\/\/www.guttmacher.org\/article\/2016\/07\/laws-affecting-reproductive-health-and-rights-state-trends-midyear-2016"},{"key":"e_1_2_6_16_1","article-title":"Trump Signs Law Taking Aim at Planned Parenthood Funding","author":"Hirschfeld Davis J.","year":"2017","journal-title":"New York Times"},{"key":"e_1_2_6_17_1","doi-asserted-by":"publisher","DOI":"10.1363\/47e2815"},{"key":"e_1_2_6_18_1","article-title":"Paul Ryan's Claim That for Every Planned Parenthood Clinic, 20 Health Centers Provide Care","author":"Lee M. Y. 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