ArticleContraception2021
Family medicine provision of online medication abortion in three US states during COVID-19.
Article in Contraception, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled 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.
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.
Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it, 30 citations in OpenAlex.
- Abortion services during the COVID-19 pandemic: a systematic review.Reproductive health · 2023Pooled it
- Abortion Provision by Family Physicians Before and After Dobbs: Trends Across Career Stages and State Restrictions.Journal of the American Board of Family Medicine : JABFM · 2026Article
- Area-Level socioeconomic disadvantage and access to primary care: A rapid review.Health affairs scholar · 2025Review
- Primary care and abortion provider perspectives on mail-order medication abortion: a qualitative study.BMC women's health · 2024Article
- Effectiveness and safety of telehealth medication abortion in the USA.Nature medicine · 2024Article
- Patient Acceptability of Telehealth Medication Abortion Care in the United States, 2021‒2022: A Cohort Study.American journal of public health · 2024Article
- "I just was really scared, because it's already such an uncertain time": Exploring women's abortion experiences during the COVID-19 pandemic in Canada.Contraception · 2022Article
- Digital Health Opportunities to Improve Primary Health Care in the Context of COVID-19: Scoping Review.JMIR human factors · 2022Article
- Exploring the impact of mifepristone's risk evaluation and mitigation strategy (REMS) on the integration of medication abortion into US family medicine primary care clinics✰,✰✰.Contraception · 2022Article
- Dutch GPs' views on prescribing mifepristone and misoprostol: a mixed-methods study.The British journal of general practice : the journal of the Royal College of General Practitioners · 2022Article
- Self-managed abortion: Exploring synergies between institutional medical systems and autonomous health movements.Contraception · 2021Article
- Telemedicine Abortion in Primary Care: An Exploration of Patient Experiences.Annals of family medicineArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 3 institutions in 2 countries.
Funding
Abstract
objectiveTo examine provision of direct-to-patient medication abortion during COVID-19 by United States family physicians through a clinician-supported, asynchronous online service, Aid Access. STUDY
designWe analyzed data from United States residents in New Jersey, New York, and Washington who requested medication abortion from 3 family physicians using the online service from Aid Access between April and November 2020. This study seeks to examine individual characteristics, motivations, and geographic locations of patients receiving abortion care through the Aid Access platform.
resultsOver 7 months, three family physicians using the Aid Access platform provided medication abortion care to 534 residents of New Jersey, New York, and Washington. There were no demographic differences between patients seeking care in these states. A high percentage (85%) were less than 7 weeks gestation at the time of their request for care. The reasons patients chose Aid Access for abortion services were similar regardless of state residence. The majority (71%) of Aid Access users lived in urban areas. Each family physician provided care to most counties in their respective states. Among those who received services in the three states, almost one-quarter (24%) lived in high Social Vulnerability Index (SVI) counties, with roughly one-third living in medium-high SVI counties (33%), followed by another quarter (26%) living in medium-low SVI counties.
conclusionsFamily physicians successfully provided medication abortion in three states using asynchronous online consultations and medications mailed directly to patients. IMPLICATIONS: Primary care patients are requesting direct-to-patient first trimester abortion services online. By providing abortion care online, a single provider can serve the entire state, thus greatly increasing geographic access to medication abortion.
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What OpenQuestion holds
Registered trials
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.