Analyzing the impacts of abortion clinic structures and processes: a qualitative analysis of women's negative experience of abortion clinics

Kimport, Katrina; Cockrill, Kate; Weitz, Tracy A.

doi:10.1016/j.contraception.2011.05.020

Cited by 42 publications

(48 citation statements)

References 7 publications

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“…Women's experiences described in the open-ended question expand our understanding of what women value in abortion care and how services can be improved. The five themes identified from the women's written comments (shame and/or stigma, staff treatment, clinical environment, pain, and time) are specific to operational realities of providing medical services and are perhaps exacerbated in the abortion context (Kimport, Cockrill, & Weitz, 2011). Additionally, comments reflected many of the domains measured by the fixed-choice questions; however, these narrative data provide concrete suggestions for improving the abortion care experience from the individual woman's perspective.…”

Section: Discussionmentioning

confidence: 87%

Women Know Best—Findings from a Thematic Analysis of 5,214 Surveys of Abortion Care Experience

McLemore

Desai²,

Freedman³

et al. 2014

Women's Health Issues

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a b s t r a c tObjective: Patient experience is an essential component of quality care. Few studies have comprehensively evaluated patient experiences of abortion care. The objectives of this study were to describe women's experiences of abortion care in their own words, and to determine themes across patient experiences. Study Design: Data for this thematic analysis, a qualitative method that allows for the identification, analysis, and report of patterns or themes within data, come from a larger study of safety and quality of aspiration abortion care across 22 clinical sites. Participants completed an abortion experience survey including fixed choice questions and an open-ended question: "Is there anything you would like to tell us about your experience?" The data were then categorized by responses to another survey question: "Overall, was your experience about, better, or worse than you expected?" Results: A total of 5,214 responses were analyzed. Women reported positive abortion care experiences with the majority of women rating their experience as better than expected (n ¼ 3,600). Two major themes that emerged from the data include clinic-and patient-level factors that impact how patients rate their experiences. Analysis of the responses categorized in the worse than expected group (n ¼ 136) found that women primarily faulted clinic-level factors for their negative experiences, such as pain control and management, and wait time for appointments and in clinic. Conclusion: This analysis highlights specific areas of abortion care that influence patients' experience. The few women who were disappointed by care in the clinic tended to fault readily modifiable clinical factors, and provided suggested areas of improvement to enhance positive experiences related to their abortion care.

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Section: Discussionmentioning

confidence: 87%

Women Know Best—Findings from a Thematic Analysis of 5,214 Surveys of Abortion Care Experience

McLemore

Desai²,

Freedman³

et al. 2014

Women's Health Issues

View full text Add to dashboard Cite

show abstract

“…Furthering legislation around ultrasound in the abortion context does little to improve patient experience and may actually make it worse. Research has shown that creating obstacles clinic staff must navigate that are not directly related to a patient's care can have negative impacts on patients' emotional experience (Kimport, Cockrill, & Weitz, 2012). Instead, abortion care facilities should design and test models of optional viewing and determine how best to meet patient needs.…”

Section: Implications For Practice and Policymentioning

confidence: 95%

Women's Perspectives on Ultrasound Viewing in the Abortion Care Context

Kimport

Preskill

Cockrill

et al. 2012

Women's Health Issues

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“…8 More recent research suggests that clinical processes put in place to ensure the safety of abortion care workers (eg, bulletproof glass, metal detectors) can negatively affect women's emotional coping after abortion and that positive interactions with staff and clinicians can help mitigate those experiences. 9 Because of the highly stigmatized nature of abortion care delivery and the restriction of abortion provision to licensed physicians in most states, little is known about abortion care quality beyond procedural safety. There also has been insufficient research on the acceptability of trained, licensed abortion providers other than physicians.…”

mentioning

confidence: 99%

Multiple Determinants of the Abortion Care Experience

et al. 2013

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Because of the highly stigmatized nature of abortion care delivery and the restriction of abortion provision in most states, little is known about abortion care quality beyond procedural safety. This study examined which aspects of abortion care contributed to patient experiences. Data from a prospective, observational study of 9087 women aged 16 to 44 years, from 22 clinics across California, who responded to a postprocedure survey, were analyzed using mixed-effects logistic regression. Patient experience scores were very high (mean overall satisfaction = 9.4 [0-10 scale]) for all clinicians trained in abortion provision (physicians, nurse practitioners, nurse-midwives, and physician assistants). Multiple patient factors (pain rating, expectations of care, sociodemographics) and clinic-level factors (timely care, treatment by clinicians and staff) were significantly associated with patient experience. Study findings demonstrated that clinic environment, treatment by clinical staff, and managed pain levels contributed to a patient's experience of abortion care, whereas clinician type was not significantly associated.

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Analyzing the impacts of abortion clinic structures and processes: a qualitative analysis of women's negative experience of abortion clinics

Cited by 42 publications

References 7 publications

Women Know Best—Findings from a Thematic Analysis of 5,214 Surveys of Abortion Care Experience

Women Know Best—Findings from a Thematic Analysis of 5,214 Surveys of Abortion Care Experience

Women's Perspectives on Ultrasound Viewing in the Abortion Care Context

Multiple Determinants of the Abortion Care Experience

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