Abstract
Intrauterine devices (IUDs) are safe and effective forms of long-acting reversible contraception. However, uptake in Australia is low. Although general practitioners (GPs) manage contraceptive provision, little is known about IUD service delivery. This study aims to describe themodels of care (MoC) used in the provision of IUDs by Australian GPs. Semistructured telephone interviews were conducted with 20 GP IUD providers nationwide. Data were deidentified, transcribed, thematically analysed and evaluated using The RoyalAustralian College of General Practitioners' Quality framework for Australian general practice. Three MoC were described: common, streamlined and same-day insertion. Thecommon model involved three to fourappointments but was of the lowest quality. The streamlined MoC had a maximum of two appointments. Few GPs delivered same-day insertion. Task-sharing and adaptable MoC were identified. The quality of current MoC for IUD provision is non-standardised and largely inadequate. Increased GP awareness about and operation of high-quality MoCwill enhance IUD access.
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