Patient Perspectives Regarding Clinician Communication During Telemedicine Compared With In-Clinic Abortion

Godfrey, Emily M.; Fiastro, Anna; Ruben, Molly R.; Young, Elizabeth V.; Bennett, Ian M.; Jacob‐Files, Elizabeth

doi:10.1097/aog.0000000000005192

Cited by 3 publications

(1 citation statement)

References 24 publications

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“… 26 This problem does not, however, appear to be confined to remotely supported medical abortion: other research has shown that patients who received medication abortion through telemedicine ranked their communication with the clinicians more favourably than did those in traditional, in-clinic settings. 44 …”

Section: Discussionmentioning

confidence: 99%

How can patient experience of abortion care be improved? Evidence from the SACHA study

Lewandowska,

Scott,

Meiksin

et al. 2024

Womens Health (Lond Engl)

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Background: Models of abortion care have changed significantly in the last decade, most markedly during the COVID-19 pandemic, when home management of early medical abortion with telemedical support was approved in Britain. Objective: Our study aimed to examine women’s satisfaction with abortion care and their suggestions for improvements. Design: Qualitative, in-depth, semi-structured interviews. Methods: A purposive sample of 48 women with recent experience of abortion was recruited between July 2021 and August 2022 from independent sector and National Health Service abortion services in Scotland, Wales and England. Interviews were conducted by phone or via video call. Women were asked about their abortion experience and for suggestions for any improvements that could be made along their patient journey – from help-seeking, the initial consultation, referral, treatment, to aftercare. Data were analyzed using the Framework Method. Results: Participants were aged 16–43 years; 39 had had a medical abortion, 8 a surgical abortion, and 1 both. The majority were satisfied with their clinical care. The supportive, kind and non-judgmental attitudes of abortion providers were highly valued, as was the convenience afforded by remotely supported home management of medical abortion. Suggestions for improvement across the patient journey centred around the need for timely care; greater correspondence between expectations and reality; the importance of choice; and the need for greater personal and emotional support. Conclusion: Recent changes in models of care present both opportunities and challenges for quality of care. The perspectives of patients highlight further opportunities for improving care and support. The principles of timely care, choice, management of expectations, and emotional support should inform further service configuration.

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Section: Discussionmentioning

confidence: 99%

How can patient experience of abortion care be improved? Evidence from the SACHA study

Lewandowska,

Scott,

Meiksin

et al. 2024

Womens Health (Lond Engl)

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Telemedicine Abortion

Dunlop,

Sinay,

Kerestes

2023

Clinical Obstetrics &Amp; Gynecology

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Telemedicine has become a substantial part of abortion care in recent years. In this review, we discuss the history and regulatory landscape of telemedicine for medication abortion in the United States, different models of care for telemedicine, and the safety and effectiveness of medication abortion via telemedicine, including using history-based screening protocols for medication abortion without ultrasound. We also explore the acceptability of telemedicine for patients and their perspectives on its benefits, as well as the use of telemedicine for other parts of abortion care. Telemedicine has expanded access to abortion for many, although there remain limitations to its implementation.

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Breaking Barriers for Accessible Health Programs

Chauhan,

Bali,

Kaur

2024

Advances in Healthcare Information Systems and Administration

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The rapidly evolving field of telemedicine is transforming the accessibility and delivery of healthcare. This chapter delves into how telemedicine enhances healthcare access, brings treatment into patients' homes, and addresses care deficits in underdeveloped areas. It covers key facets of telemedicine, including store-and-forward methods, remote patient monitoring, and teleconsultation across various medical conditions. Significantly, telemedicine emerged as a crucial approach to adhere to social distancing norms while providing healthcare during the COVID-19 pandemic. The chapter evaluates the benefits and applications of telemedicine compared to traditional in-person consultations, focusing on cost-effectiveness, time efficiency, and its importance in areas lacking local healthcare providers. Additionally, it examines factors crucial to the successful implementation of telemedicine, such as digital readiness, the digital competency of patients and healthcare professionals, and the regulatory frameworks governing the exchange and use of medical data.

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Patient Perspectives Regarding Clinician Communication During Telemedicine Compared With In-Clinic Abortion

Abstract: Telemedicine appears to be a beneficial, patient-centered approach to critically needed first-trimester abortion services.

Cited by 3 publications

References 24 publications

How can patient experience of abortion care be improved? Evidence from the SACHA study

How can patient experience of abortion care be improved? Evidence from the SACHA study

Telemedicine Abortion

Breaking Barriers for Accessible Health Programs

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