COMMENTARY
Christine Dehlendorf, Erin Wingo, Danielle Hessler
Corresponding Author: Erin Wingo; Department of Family and Community Medicine, School of Medicine, University of California, San Francisco
Email: erin.wingo@ucsf.edu
DOI: 10.3122/jabfm.2025.250103R1
Keywords: Contraceptives, Health Equity, Patient-Reported Outcome Measures, Primary Health Care, Quality Improvement, Quality of Health Care, Reproductive Health
Dates: Submitted: 03-14-2025; Revised: 05-27-2025; Accepted: 06-09-2025
Status: In production.
Quality measurement often focuses solely on clinical processes and outcomes, with relative neglect of patient experience. The use of novel measurement approaches, including patient-reported outcome performance measures and electronic clinical quality measures, provide the opportunity for more nuanced and patient-centered measurement in primary care settings. In this commentary, we described the development of such measures to evaluate contraceptive care quality. Primary care is a crucial setting for delivery of contraceptive care, facilitating access in the context of longitudinal care relationships. When providing this care, it is especially critical to have attention to quality grounded in principles of person-centeredness and equity given the personal nature of reproductive health care alongside the history of reproductive oppression. The described measures provide actionable tools that can be leveraged by family medicine leaders and health systems to support quality, person-centered, and equitable contraceptive care.