Telemedicine medical abortion service in Georgia: an evaluation of a strategy with reduced number of in-Clinic visits.

IF 16.4 1区化学 Q1 CHEMISTRY, MULTIDISCIPLINARY

Accounts of Chemical Research Pub Date : 2023-04-01 DOI:10.1080/13625187.2023.2170710

Nino Tsereteli, Lia Mamatsashvili, George Tsertsvadze, Tamar Tsereteli, Ingrida Platais

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引用次数: 1

Abstract

Purpose: To evaluate feasibility and acceptability of a medical abortion service that offers: a telemedicine visit (in place of an in-person visit) during a mandatory waiting period, and at-home follow-up with the use of multi-level pregnancy tests (MLPT).

Methods: Participants were screened for eligibility in clinic, and during the waiting period, received a telephone call to confirm desire to proceed with the service. Participants were mailed a study package containing mifepristone, misoprostol, two multi-level pregnancy tests, and instructions for their use. Follow-up consultation took place by phone to evaluate abortion completeness. The analysis was descriptive.

Results: One-hundred twenty-two participants were enrolled in the study, and 120 chose to proceed with the abortion after the waiting period and were sent a study package. One participant was lost to follow up. The majority of participants did not experience problems receiving the study package (94.1%, n = 112), took mifepristone (100%, n = 119), misoprostol (99.2%, n = 118), and MLPTs (99.1%, n = 116) as instructed, and forwent additional clinic visits (91.6%, n = 109). All participants were satisfied with the service. Most participants had a complete abortion without a procedure (95.8%, n = 114).

Conclusions: The adapted telemedicine medical abortion service was feasible and satisfactory to participants and has the potential to make medical abortion more patient-centered where waiting periods are mandated.

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格鲁吉亚的远程医疗人工流产服务:对减少门诊次数战略的评价。

目的:评估一项医疗流产服务的可行性和可接受性，该服务提供:在强制等待期间进行远程医疗就诊(代替亲自就诊)，以及使用多级妊娠试验(MLPT)在家中进行随访。方法:在临床筛选参与者的资格，并在等待期间，收到一个电话，以确认希望继续进行服务。参与者邮寄了一个研究包，其中包含米非司酮、米索前列醇、两种多级妊娠试验，以及它们的使用说明。通过电话进行随访咨询以评估流产的完全性。分析是描述性的。结果:共纳入122人，其中120人在等待期后选择继续流产，并发给研究包。1名参与者失去随访机会。大多数参与者在接受研究包时没有遇到问题(94.1%，n = 112)，按照指示服用了米非司酮(100%，n = 119)、米索前列醇(99.2%，n = 118)和MLPTs (99.1%， n = 116)，并放弃了额外的诊所就诊(91.6%，n = 109)。所有参与者都对服务感到满意。大多数参与者在没有手术的情况下完全流产(95.8%，n = 114)。结论:适应远程医疗的人工流产服务是可行的，参与者满意，并有可能使人工流产更加以患者为中心。

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

Accounts of Chemical Research 化学-化学综合

CiteScore

31.40

自引率

1.10%

发文量

312

审稿时长

2 months

期刊介绍： Accounts of Chemical Research presents short, concise and critical articles offering easy-to-read overviews of basic research and applications in all areas of chemistry and biochemistry. These short reviews focus on research from the author’s own laboratory and are designed to teach the reader about a research project. In addition, Accounts of Chemical Research publishes commentaries that give an informed opinion on a current research problem. Special Issues online are devoted to a single topic of unusual activity and significance. Accounts of Chemical Research replaces the traditional article abstract with an article "Conspectus." These entries synopsize the research affording the reader a closer look at the content and significance of an article. Through this provision of a more detailed description of the article contents, the Conspectus enhances the article's discoverability by search engines and the exposure for the research.