Evidence map›Paper›PMID 32665231›Full record

ArticleBMJ sexual & reproductive health2020

At-home telemedicine for medical abortion in Australia: a qualitative study of patient experiences and recommendations.

Laura Fix, Jane W Seymour, Monisha Vaid Sandhu, Catriona Melville, Danielle Mazza, Terri-Ann Thompson

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Article in BMJ sexual & reproductive health, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing 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

25 citing papers in PubMed.

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  20. COVID-19 impact in abortions' practice, a regional French evaluation.Journal of gynecology obstetrics and human reproduction · 2021
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors.

Laura FixIbis Reproductive Health, Cambridge, Massachusetts, United States lfix@ibisreproductivehealth.org.ORCID 0000-0001-5655-086X
Jane W SeymourIbis Reproductive Health, Cambridge, Massachusetts, United States.
Monisha Vaid SandhuMarie Stopes Australia, Melbourne, Victoria, Australia.
Catriona MelvilleMarie Stopes Australia, Melbourne, Victoria, Australia.
Danielle MazzaDepartment of General Practice, Monash University, Notting Hill, Victoria, Australia.
Terri-Ann ThompsonIbis Reproductive Health, Cambridge, Massachusetts, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThis study aimed to explore patient experiences obtaining a medical abortion using an at-home telemedicine service operated by Marie Stopes Australia.

methodsFrom July to October 2017, we conducted semistructured in-depth telephone interviews with a convenience sample of medical abortion patients from Marie Stopes Australia. We analysed interview data for themes relating to patient experiences prior to service initiation, during an at-home telemedicine medical abortion visit, and after completing the medical abortion.

resultsWe interviewed 24 patients who obtained care via the at-home telemedicine medical abortion service. Patients selected at-home telemedicine due to convenience, ability to remain at home and manage personal responsibilities, and desires for privacy. A few telemedicine patients reported that a lack of general practitioner knowledge of abortion services impeded their access to care. Most telemedicine patients felt at-home telemedicine was of equal or superior privacy to in-person care and nearly all felt comfortable during the telemedicine visit. Most were satisfied with the home delivery of the abortion medications and would recommend the service.

conclusionPatient reports suggest that an at-home telemedicine model for medical abortion is a convenient and acceptable mode of service delivery that may reduce patient travel and out-of-pocket costs. Additional provider education about this model may be necessary in order to improve continuity of patient care. Further study of the impacts of this model on patients is needed to inform patient care and determine whether such a model is appropriate for similar geographical and legal contexts.

Indexed as

Abortifacient Agents, NonsteroidalAbortion, LegalAdultAustraliaFemaleHealth Services AccessibilityHumansInterviews as TopicMiddle AgedMisoprostolPregnancyQualitative ResearchTelemedicineAbortifacient Agents, NonsteroidalMisoprostolabortionfamily planning service provisionqualitative researchservice delivery

Identifiers

What OpenQuestion holds

Textmetadata
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.