Anna Fiastro, Nikeeta Shah, Rebecca Gomperts, Jessica Gipson, Emily Godfrey
{"title":"异步远程医疗流产药物服务与患者的沟通。","authors":"Anna Fiastro, Nikeeta Shah, Rebecca Gomperts, Jessica Gipson, Emily Godfrey","doi":"10.1016/j.contraception.2025.111014","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>Understanding patient communication with clinic providers or staff in telemedicine abortion can inform appropriate staffing.</p><p><strong>Methodology: </strong>We describe patient-service communication when using asynchronous telemedicine abortion services from April-November 2020 (n=504) and compare patient demographics with number of messages using Kruskal-Wallis rank sum test.</p><p><strong>Results: </strong>About half of patients communicated with staff (56%, n= 287), median 6 messages per patient (Interquartile range: 3-10 messages). Primary topics included 1) eligibility, 2) payment, 3) medication delivery, and 4) physical process. Message volume did not differ by patient demographics.</p><p><strong>Implications: </strong>Our findings inform communication and staffing quantity and quality in telemedicine abortion provision.</p><p><strong>Implications statement: </strong>Asynchronous telehealth abortion patients require minimal communication, and most inquiries can be addressed by non-clinical staff. These insights can inform resource allocation and staffing decisions in telehealth abortion services, improving efficiency while maintaining patient satisfaction.</p>","PeriodicalId":93955,"journal":{"name":"Contraception","volume":" ","pages":"111014"},"PeriodicalIF":0.0000,"publicationDate":"2025-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Communication with Patients Using Asynchronous Telehealth Medication Abortion Services.\",\"authors\":\"Anna Fiastro, Nikeeta Shah, Rebecca Gomperts, Jessica Gipson, Emily Godfrey\",\"doi\":\"10.1016/j.contraception.2025.111014\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Introduction: </strong>Understanding patient communication with clinic providers or staff in telemedicine abortion can inform appropriate staffing.</p><p><strong>Methodology: </strong>We describe patient-service communication when using asynchronous telemedicine abortion services from April-November 2020 (n=504) and compare patient demographics with number of messages using Kruskal-Wallis rank sum test.</p><p><strong>Results: </strong>About half of patients communicated with staff (56%, n= 287), median 6 messages per patient (Interquartile range: 3-10 messages). Primary topics included 1) eligibility, 2) payment, 3) medication delivery, and 4) physical process. Message volume did not differ by patient demographics.</p><p><strong>Implications: </strong>Our findings inform communication and staffing quantity and quality in telemedicine abortion provision.</p><p><strong>Implications statement: </strong>Asynchronous telehealth abortion patients require minimal communication, and most inquiries can be addressed by non-clinical staff. These insights can inform resource allocation and staffing decisions in telehealth abortion services, improving efficiency while maintaining patient satisfaction.</p>\",\"PeriodicalId\":93955,\"journal\":{\"name\":\"Contraception\",\"volume\":\" \",\"pages\":\"111014\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2025-07-09\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Contraception\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://doi.org/10.1016/j.contraception.2025.111014\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Contraception","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1016/j.contraception.2025.111014","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
Communication with Patients Using Asynchronous Telehealth Medication Abortion Services.
Introduction: Understanding patient communication with clinic providers or staff in telemedicine abortion can inform appropriate staffing.
Methodology: We describe patient-service communication when using asynchronous telemedicine abortion services from April-November 2020 (n=504) and compare patient demographics with number of messages using Kruskal-Wallis rank sum test.
Results: About half of patients communicated with staff (56%, n= 287), median 6 messages per patient (Interquartile range: 3-10 messages). Primary topics included 1) eligibility, 2) payment, 3) medication delivery, and 4) physical process. Message volume did not differ by patient demographics.
Implications: Our findings inform communication and staffing quantity and quality in telemedicine abortion provision.
Implications statement: Asynchronous telehealth abortion patients require minimal communication, and most inquiries can be addressed by non-clinical staff. These insights can inform resource allocation and staffing decisions in telehealth abortion services, improving efficiency while maintaining patient satisfaction.