Evidence map›Paper›PMID 37730400›Full record

ArticleBMJ open2023

Quality of care from the perspective of people obtaining abortion: a qualitative study in four countries.

Sarah E Baum, Laura Jacobson, Ana Maria Ramirez, Anna Katz, Belen Grosso, Chiara Bercu, Erin Pearson, Ewenat Gebrehanna, Nirali M Chakraborty, Osasuyi Dirisu and 5 more

Abstract read
In one paragraph

Article in BMJ open, 2023. 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
–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

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

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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

15 authors.

Sarah E BaumIbis Reproductive Health, Oakland, California, USA sbaum@ibisreproductivehealth.org.ORCID 0000-0002-5805-1084
Laura JacobsonIbis Reproductive Health, Oakland, California, USA.
Ana Maria RamirezIbis Reproductive Health, Oakland, California, USA.
Anna KatzIbis Reproductive Health, Oakland, California, USA.
Belen GrossoColectiva Feminista La Revuelta, Neuquen, Argentina.
Chiara BercuIbis Reproductive Health, Oakland, California, USA.
Erin PearsonIPAS, Chapel Hill, North Carolina, USA.
Ewenat GebrehannaSchool of Public Health, St Paul's Hospital Millennium Medical College, Addis Ababa, Ethiopia.
Nirali M ChakrabortyMetrics for Management, Oakland, California, USA.
Osasuyi DirisuPolicy Innovation Centre, Abuja, Nigeria.
Rezwana ChowdhuryIpas Bangladesh, Dhaka, Bangladesh.
Ruth ZurbriggenColectiva Feminista La Revuelta, Neuquen, Argentina.
Sofia FilippaIbis Reproductive Health, Oakland, California, USA.
Tanzila TabassumDepartment of Anthropology, Dhaka University, Dhaka, Bangladesh.
Caitlin GerdtsIbis Reproductive Health, Oakland, California, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveThis qualitative study aimed to identify person-centred domains that would contribute to the definition and measurement of abortion quality of care based on the perceptions, experiences and priorities of people seeking abortion.

methodsWe conducted interviews with people seeking abortion aged 15-41 who obtained care in Argentina, Bangladesh, Ethiopia or Nigeria. Participants were recruited from hospitals, clinics, pharmacies, call centres and accompaniment models. We conducted thematic analysis and quantified key domains of quality identified by the participants.

resultsWe identified six themes that contributed to high-quality abortion care from the clients' perspective, with particular focus on interpersonal dynamics. These themes emerged as participants described their abortion experience, reflected on their interactions with providers and defined good and bad care. The six themes included (1) kindness and respect, (2) information exchange, (3) emotional support, (4) attentive care throughout the process, (5) privacy and confidentiality and (6) prepared for and able to cope with pain.

conclusionsPeople seeking abortion across multiple country contexts and among various care models have confirmed the importance of interpersonal care in quality. These findings provide guidance on six priority areas which could be used to sharpen the definition of abortion quality, improve measurement, and design interventions to improve quality.

Indexed as

Abortion, InducedArgentinaBangladeshFemaleHumansPregnancyQualitative ResearchQuality of Health CarePublic healthQUALITATIVE RESEARCHQuality in health careReproductive medicine

Identifiers

PMID37730400
PMCPMC10510917

What OpenQuestion holds

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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.