Evidence map›Paper›PMID 38794997›Full record

ArticleWomen's health (London, England)

How can patient experience of abortion care be improved? Evidence from the SACHA study.

Maria Lewandowska, Rachel Scott, Rebecca Meiksin, Jennifer Reiter, Natasha Salaria, Patricia A Lohr, Sharon Cameron, Melissa Palmer, Rebecca S French, Kaye Wellings and 1 more

Abstract read
In one paragraph

Article in Women's health (London, England). The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

6 citing papers in PubMed.

  1. Trial
  2. Article
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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

11 authors.

Maria LewandowskaFaculty of Public Health and Policy, London School of Hygiene & Tropical Medicine, London, UK.ORCID 0000-0002-3012-1132
Rachel ScottFaculty of Epidemiology and Population Health, London School of Hygiene & Tropical Medicine, London, UK.ORCID 0000-0003-0304-823X
Rebecca MeiksinFaculty of Public Health and Policy, London School of Hygiene & Tropical Medicine, London, UK.ORCID 0000-0002-5096-8576
Jennifer ReiterLondon Borough of Lambeth, London, UK.ORCID 0000-0003-0571-8858
Natasha SalariaFaculty of Public Health and Policy, London School of Hygiene & Tropical Medicine, London, UK.ORCID 0009-0002-8228-3878
Patricia A LohrCentre for Reproductive Research & Communication, British Pregnancy Advisory Service, London, UK.ORCID 0000-0003-1862-5730
Sharon CameronNHS Lothian, Chalmers Centre, Edinburgh, UK.ORCID 0000-0002-1168-2276
Melissa PalmerFaculty of Public Health and Policy, London School of Hygiene & Tropical Medicine, London, UK.ORCID 0000-0003-3937-8070
Rebecca S FrenchFaculty of Public Health and Policy, London School of Hygiene & Tropical Medicine, London, UK.ORCID 0000-0002-1962-5022
Kaye WellingsFaculty of Public Health and Policy, London School of Hygiene & Tropical Medicine, London, UK.
SACHA Study Team

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundModels of abortion care have changed significantly in the last decade, most markedly during the COVID-19 pandemic, when home management of early medical abortion with telemedical support was approved in Britain.

objectiveOur study aimed to examine women's satisfaction with abortion care and their suggestions for improvements.

designQualitative, in-depth, semi-structured interviews.

methodsA purposive sample of 48 women with recent experience of abortion was recruited between July 2021 and August 2022 from independent sector and National Health Service abortion services in Scotland, Wales and England. Interviews were conducted by phone or via video call. Women were asked about their abortion experience and for suggestions for any improvements that could be made along their patient journey - from help-seeking, the initial consultation, referral, treatment, to aftercare. Data were analyzed using the Framework Method.

resultsParticipants were aged 16-43 years; 39 had had a medical abortion, 8 a surgical abortion, and 1 both. The majority were satisfied with their clinical care. The supportive, kind and non-judgmental attitudes of abortion providers were highly valued, as was the convenience afforded by remotely supported home management of medical abortion. Suggestions for improvement across the patient journey centred around the need for timely care; greater correspondence between expectations and reality; the importance of choice; and the need for greater personal and emotional support.

conclusionRecent changes in models of care present both opportunities and challenges for quality of care. The perspectives of patients highlight further opportunities for improving care and support. The principles of timely care, choice, management of expectations, and emotional support should inform further service configuration.

Indexed as

Abortion, InducedCOVID-19Patient SatisfactionQualitative ResearchAdolescentAdultFemaleHumansPregnancySARS-CoV-2TelemedicineUnited KingdomYoung AdultabortionCOVID-19patient-centred careperson-centred caresexual and reproductive healthtelemedicine

Identifiers

PMID38794997
PMCPMC11128172

What OpenQuestion holds

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LicenceCC BY-NC
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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.