Improving Access to Same-Day Insertion of Subdermal Implantable Long-Acting Reversible Contraception in Primary Care

Unplanned pregnancies are a significant public health problem in the United States. Timely access to reliable contraception can decrease the incidence of unplanned pregnancies and their detrimental health impacts. This evidence-based practice project aimed to improve access to subdermal implantable long-acting reversible contraceptives (LARCs) in the primary care setting by implementing a technology platform that enables in-office stocking of LARC devices, allowing for same-day access to LARC options. Data were collected over a 12-week period before and after implementation. The results revealed that in-office LARC stocking increased subdermal implantable LARC placements, reduced patient wait times, improved patient satisfaction, and optimized clinician workflows. These findings provide evidence to support clinical interventions aimed at improving access to reliable contraception and suggest that similar practice changes may be useful in similar practice settings to improve access to subdermal implantable LARC.