Evidence map›Paper›PMID 28630541›Full record

ArticleHealth and human rights2017

Regulation of Conscientious Objection to Abortion: An International Comparative Multiple-Case Study.

Wendy Chavkin, Laurel Swerdlow, Jocelyn Fifield

Abstract read
In one paragraph

Article in Health and human rights, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

32 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
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  5. Origin of "Conscientious Objection" in Health Care: How Care Denials Became Enshrined into Law Because of Abortion.The Journal of law, medicine & ethics : a journal of the American Society of Law, Medicine & Ethics · 2025
    Article
  6. Article
  7. Choosing to Provide: Early Medical Abortion and Clinician Conscience in Ireland.Health care analysis : HCA : journal of health philosophy and policy · 2024
    Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Article
  14. Article
  15. Article
  16. Quotas: Enabling Conscientious Objection to Coexist with Abortion Access.Health care analysis : HCA : journal of health philosophy and policy · 2021
    Article
  17. Review
  18. Article
  19. Article
  20. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

3 authors.

Wendy ChavkinProfessor of population and family health and obstetrics- gynecology at Columbia University's Mailman School of Public Health and College of Physicians and Surgeons.
Laurel SwerdlowAdvocacy director at Planned Parenthood Advocates of Oregon.
Jocelyn FifieldRecently graduated from Columbia University's Mailman School of Public Health and has been a consultant at Ibis Reproductive Health.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Since abortion laws were liberalized in Western Europe, conscientious objection (CO) to abortion has become increasingly contentious. We investigated the efficacy and acceptability of laws and policies that permit CO and ensure access to legal abortion services. This is a comparative multiple-case study, which triangulates multiple data sources, including interviews with key stakeholders from all sides of the debate in England, Italy, Norway, and Portugal. While the laws in all four countries have similarities, we found that implementation varied. In this sample, the ingredients that appear necessary for a functional health system that guarantees access to abortion while still permitting CO include clarity about who can object and to which components of care; ready access by mandating referral or establishing direct entry; and assurance of a functioning abortion service through direct provision or by contracting services. Social attitudes toward both objection and abortion, and the prevalence of CO, additionally influence the degree to which CO policies are effectively implemented in these cases. England, Norway, and Portugal illustrate that it is possible to accommodate individuals who object to providing abortion, while still assuring that women have access to legal health care services.

Indexed as

Abortion, InducedAbortion, LegalHealth Services AccessibilityHuman RightsEnglandFemaleHumansItalyNorwayPortugalPregnancy

Identifiers

PMID28630541
PMCPMC5473038

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.