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Pap Smear Ransom - Is It Ethical to Refuse to Refill a Patient's Birth Control Until They Come in for Their Annual Exam?

Greg J. MarchandKatelyn M Sainz
Published in: International journal of women's health (2020)
A review of the common but questionably ethical practice of refusing to refill a patient's birth control prescription until they are seen in office for, and presumably pay for, a yearly examination. This forced decision between making time for the appointment or risking an unintended pregnancy is comically referred to as "Pap Smear Ransom." This short review examines the limited data to support or decry this common practice.
Keyphrases
  • primary care
  • case report
  • healthcare
  • pulmonary tuberculosis
  • decision making
  • pregnancy outcomes
  • gestational age
  • quality improvement
  • big data
  • machine learning
  • pregnant women
  • artificial intelligence