Increasing Uptake of Long-acting Reversible Contraceptives Through Nurse-Led Insertions -Kirsty Fleming

Increasing Uptake of Long-acting Reversible Contraceptives Through Nurse-Led Insertions -Kirsty Fleming
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Long-acting reversible contraceptives (LARC) are highly effective in preventing pregnancy; however, uptake remains low in Australia. Extending provision by registered nurses (RNs) may increase utilisation. A cost-benefit analysis was undertaken to assess the impact of women switching from an oral contraceptive pill (OCP) to a LARC.

The additional impact of 20% of the increase in LARC insertions being undertaken by RNs was also modelled. If women switch from an OCP to a LARC, and LARC uptake increased from 12% to 14.8% (international benchmark levels), net savings are estimated at $68 million. If 20% who switch to a LARC are seen by a RN (compared to GP), there would be a government cost saving of $2.7 million.

Enabling RN-led insertions to facilitate access to LARC is a cost-effective way of improving uptake. Creating MBS item numbers for RNs trained in LARC insertion would have benefits for women and the Australian government.

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