Evidence map›Paper›PMID 29174883›Full record

Observational studyContraception2018

Estimating abortion provision and abortion referrals among United States obstetrician-gynecologists in private practice.

Sheila Desai, Rachel K Jones, Kate Castle

Open access · hybridAbstract readObservational Study
In one paragraph

Observational study in Contraception, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed
3.7field-weighted citation impact, top 7% of its field
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

14 citing papers in PubMed, 38 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Medication to Manage Abortion and Miscarriage.Journal of general internal medicine · 2020
    Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Abortion Knowledge Among Advanced Practice Clinicians in Colorado.Women's health issues : official publication of the Jacobs Institute of Women's Health
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 1 institution in 1 country.

Sheila DesaiGuttmacher Institute, 125 Maiden Lane, New York, NY, USA. Electronic address: sdesai@guttmacher.org.
Rachel K JonesGuttmacher Institute, 125 Maiden Lane, New York, NY, USA.
Kate CastleGuttmacher Institute, 125 Maiden Lane, New York, NY, USA.
Guttmacher Institute · US

Funding

Research Infrastructure for Demographic and Behavioral Population Science Dissemination CoreR24HD074034 · NICHD · GUTTMACHER INSTITUTE · PI FINER, LAWRENCE B · 2013 to 2017
$462k
NICHD NIH HHS R24 HD074034
6 · The paper itself

Abstract

objectiveThe objective was to examine the provision of abortion by obstetrician-gynecologists in private practice in the United States (U.S.) and their willingness to provide referrals for abortion services. STUDY

designWe conducted a cross-sectional national survey of 1961 U.S. obstetrician-gynecologists to estimate the frequency with which abortions and referrals for abortion care were provided in private practice settings. Key measures included whether respondents had provided any abortions in 2013 or 2014, type of abortions provided and willingness to provide abortion referrals. Facility location by region was the only measured correlate of abortion provision.

resultsWe received a total of 988 surveys for a response rate of 65%. Sixty-seven (7%) obstetrician-gynecologists reported providing at least one abortion in 2013 or 2014, though this result ranged from 4% (n=23) to 13% (n=44) of obstetrician-gynecologists depending on survey response type. Among physicians practicing in the Northeast and West, 14% and 10%, respectively (n=24 in each region) were abortion providers compared to 4% (n=9) and 3% (n=10) of physicians in the Midwest and South, respectively. Twenty-three (42%) providers indicated only performing surgical abortions, 14 (25%) indicated only medication abortions, and 18 (33%) reported providing both. Among respondents who did not provide abortions, just over half (n=415, 54%) indicated that they referred patients to a facility or practice where they could obtain an abortion, but 271 (35%) said they would not provide a referral.

conclusionsOnly a small proportion of all obstetrician-gynecologists in private practice settings provide abortions. Among nonproviders, a substantial minority do not offer abortion referrals. IMPLICATIONS: Particularly in geographic areas with few abortion providers, continued efforts are needed to equip medical professionals with information and training to make direct referrals.

Indexed as

Abortion, InducedAttitude of Health PersonnelCross-Sectional StudiesDemographyFemaleHealth Services AccessibilityHumansLogistic ModelsMaleObstetricsPractice Patterns, Physicians'Private PracticeReferral and ConsultationSurveys and QuestionnairesUnited StatesAbortionOB/GYNsPrivate practiceReferralsService provision

Identifiers

PMID29174883
PMCPMC5942890
OpenAlexW2768308763

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.