Evidence map›Paper›PMID 39502487›Full record

ArticleDigital health

Patient and health professional attitudes towards the use of telemedicine for abortion care in Britain: Findings from the SACHA study.

Rebecca Meiksin, Maria Lewandowska, Rachel H Scott, Melissa Palmer, Ona McCarthy, Natasha Salaria, Patricia A Lohr, Jill Shawe, Rebecca Sophia French, Kaye Wellings and 1 more

Abstract read
In one paragraph

Article in Digital health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing 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

2 citing papers in PubMed.

  1. Review
  2. 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

11 authors.

Rebecca MeiksinFaculty of Public Health and Policy, London School of Hygiene and Tropical Medicine, London, UK.ORCID https://orcid.org/0000-0002-5096-8576
Maria LewandowskaFaculty of Public Health and Policy, London School of Hygiene and Tropical Medicine, London, UK.ORCID https://orcid.org/0000-0002-3012-1132
Rachel H ScottFaculty of Epidemiology and Population Health, London School of Hygiene & Tropical Medicine, London, UK.
Melissa PalmerFaculty of Public Health and Policy, London School of Hygiene and Tropical Medicine, London, UK.
Ona McCarthyFaculty of Epidemiology and Population Health, London School of Hygiene & Tropical Medicine, London, UK.ORCID https://orcid.org/0000-0002-9902-6248
Natasha SalariaFaculty of Public Health and Policy, London School of Hygiene and Tropical Medicine, London, UK.
Patricia A LohrCentre for Reproductive Research & Communication, British Pregnancy Advisory Service, Stratford-upon-Avon, UK.
Jill ShaweFaculty of Health, School of Nursing and Midwifery, University of Plymouth, Plymouth, UK.
Rebecca Sophia FrenchFaculty of Public Health and Policy, London School of Hygiene and Tropical Medicine, London, UK.
Kaye WellingsFaculty of Public Health and Policy, London School of Hygiene and Tropical Medicine, London, UK.
SACHA Study Team

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Use of telemedicine in abortion care is safe and effective. Patient satisfaction with telemedically supported abortion is high, but as use expands in Britain, little is known about patients' or health professionals' views on how it is best used. We sought the views of both groups on telemedicine's role in abortion provision and how its use might be optimised. Methods: We administered a structured survey with an additional free-text response option to a range of health professionals from services identified via clustered random sampling. We conducted semi-structured interviews with patients with recent experience of abortion, purposively sampled from abortion services. Participants were recruited from England, Scotland and Wales. We analysed qualitative data using thematic analysis alongside framework analysis. Results: Support for telemedicine was high among participants, which included 771 health professionals from a range of services and 48 patients. Among health professionals, 23% opposed the use of telemedicine in abortion provision. Opposition was highest among those uninvolved, or who did not feel skilled, in remote provision. Reported benefits included patient convenience and comfort. Patient concerns centred on adequate provision of emotional support. Participants made suggestions for augmenting and extending the use of telemedicine to meet some patients' needs, including combining telemedical consultation with in-person care and providing information and follow-up via digital methods. Conclusions: Acceptability of telemedically supported abortion, which offers logistical and emotional benefits to patients, is high in Britain. Novel ways of providing telemedical support should be explored to enhance remote abortion provision. In-person care should remain an option for patients.

Indexed as

abortiondigital healthTelemedicine

Identifiers

PMID39502487
PMCPMC11536586

What OpenQuestion holds

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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.