Examining service delivery patterns before and after implementation of a direct-to-patient telehealth service providing medication abortion in Australia.

IF 1.4 4区 医学 Q3 OBSTETRICS & GYNECOLOGY
Jane W Seymour, Catriona Melville, Daniel Grossman, Terri-Ann Thompson
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引用次数: 0

Abstract

In August 2016, MSI Australia (MSIA) brought to scale a direct-to-patient telehealth medication abortion service. We used MSIA's patient management systems from January 2015 to December 2018 to assess changes in the proportion of abortion patients obtaining care after 13 weeks' gestation, proportion of abortion patients obtaining medication abortion versus procedural abortion and proportion of abortion patients from regional and remote versus metropolitan areas. The proportions of abortion patients obtaining care before 13 weeks' gestational duration and those from regional and remote residents did not change between the pre- and post-periods. We observed an increase in medication abortion use that was greater among those in regional and remote areas than those in metropolitan areas.

研究澳大利亚实施直接面向患者的远程医疗服务(提供药物流产)前后的服务提供模式。
2016年8月,澳大利亚MSI(MSIA)将直接面向患者的远程医疗药物流产服务推向了规模化。我们利用MSIA从2015年1月至2018年12月的患者管理系统,评估了妊娠13周后获得护理的人工流产患者比例、获得药物流产与程序流产的人工流产患者比例以及来自地区和偏远地区与来自大都市地区的人工流产患者比例的变化。在妊娠 13 周前获得护理的人工流产患者比例以及来自地区和偏远居民的人工流产患者比例在前后时期之间没有变化。我们观察到,与大都市地区相比,地区和偏远地区的药物流产患者人数有所增加。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
3.40
自引率
11.80%
发文量
165
审稿时长
4-8 weeks
期刊介绍: The Australian and New Zealand Journal of Obstetrics and Gynaecology (ANZJOG) is an editorially independent publication owned by the Royal Australian and New Zealand College of Obstetricians and Gynaecologists (RANZCOG) and the RANZCOG Research foundation. ANZJOG aims to provide a medium for the publication of original contributions to clinical practice and/or research in all fields of obstetrics and gynaecology and related disciplines. Articles are peer reviewed by clinicians or researchers expert in the field of the submitted work. From time to time the journal will also publish printed abstracts from the RANZCOG Annual Scientific Meeting and meetings of relevant special interest groups, where the accepted abstracts have undergone the journals peer review acceptance process.
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