Evidence map›Paper›PMID 34448482›Full record

ArticleFamily practice2021

The perspective of Canadian health care professionals on abortion service during the COVID-19 pandemic.

Madeleine Ennis, Kate Wahl, Dahn Jeong, Kira Knight, Regina Renner, Sarah Munro, Sheila Dunn, Edith Guilbert, Wendy V Norman

Open access · hybridAbstract read
In one paragraph

Article in Family practice, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
3.5field-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

11 citing papers in PubMed, 1 synthesis or guideline pooled it, 22 citations in OpenAlex.

  1. Pooled it
  2. Observational
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Review
  9. Article
  10. Telemedicine for First-Trimester Medical Abortion in Canada: Results of a 2019 Survey.Telemedicine journal and e-health : the official journal of the American Telemedicine Association · 2023
    Article
  11. 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

9 authors at 3 institutions in 2 countries.

Madeleine EnnisDepartment of Obstetrics and Gynaecology, University of British Columbia, Vancouver, Canada.
Kate WahlDepartment of Obstetrics and Gynaecology, University of British Columbia, Vancouver, Canada.
Dahn JeongThe School of Population and Public Health, University of British Columbia, Vancouver, Canada.
Kira KnightDepartment of Family Practice, University of British Columbia, Vancouver, Canada.
Regina RennerDepartment of Obstetrics and Gynaecology, University of British Columbia, Vancouver, Canada.
Sarah MunroDepartment of Obstetrics and Gynaecology, University of British Columbia, Vancouver, Canada.
Sheila DunnDepartment of Family and Community Medicine, University of Toronto, Toronto, ON, Canada.
Edith GuilbertDepartment of Obstetrics and Gynaecology, Laval University, Quebec City, QC, Canada.
Wendy V NormanDepartment of Family Practice, University of British Columbia, Vancouver, Canada.ORCID 0000-0003-4340-7882
University of British Columbia · CAUniversité Laval · CAUniversity of Toronto · CA

Funding

CIHR PHE148161Public Health Agency of Canada Chair in Applied Public Health Research CPP-329455-107837The Canadian Institutes of Health ResearchThe Michael Smith Foundation for Health Research
6 · The paper itself

Abstract

backgroundThe COVID-19 pandemic and pandemic response created novel challenges for abortion services. Canada was uniquely positioned to transition to telemedicine because internationally common restrictions on abortion medication were removed before the pandemic.

objectiveWe sought to characterize the experiences of abortion health care professionals in Canada during the COVID-19 pandemic and the impact of the pandemic response on abortion services.

methodsWe conducted a sequential mixed methods study between July 2020 and January 2021. We invited physicians, nurse practitioners and administrators to participate in a cross-sectional survey containing an open-ended question about the impact of the pandemic response on abortion care. We employed an inductive codebook thematic analysis, which informed the development of a second, primarily quantitative survey.

resultsOur initial survey had 307 respondents and our second had 78. Fifty-three percent were family physicians. Our first survey found respondents considered abortion access essential. We identified three key topicss: access to abortion care was often maintained despite pandemic-related challenges (e.g. difficulty obtaining tests, additional costs); change of practice to low-touch medication abortion care and provider perceptions of patient experience, including shifting demand, telemedicine acceptability and increased rural access. The second survey indicated uptake of telemedicine medication abortion among 89% of participants except in Quebec, where regulations meant procedures were nearly exclusively surgical. Restrictions did not delay care according to 76% of participants.

conclusionsCanadian health care professionals report their facilities deemed abortion an essential service. Provinces and territories, except Quebec, described a robust pandemic transition to telemedicine to ensure access to services. PODCAST: An accompanying podcast is available in the Supplementary Data, in which the authors Dr Madeleine Ennis and Kate Wahl discuss their research on how family planning care and access to abortion services have changed during the COVID-19 pandemic.

Indexed as

Attitude of Health PersonnelAbortion, InducedAdultCanadaCOVID-19Cross-Sectional StudiesFemaleHealth Services AccessibilityHumansMalePandemicsPregnancySARS-CoV-2Surveys and QuestionnairesTelemedicineAccess to health careCanadaCOVID-19induced abortionsurveys and questionnairestransition care

Identifiers

PMID34448482
PMCPMC8414916
OpenAlexW3193936265

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.