Urban female patients' perceptions of the family medicine clinic as a site for abortion care

Rubin, Susan E.; Godfrey, Emily M.; Shapiro, Miriam E.; Gold, Marji

doi:10.1016/j.contraception.2009.01.017

Cited by 22 publications

(12 citation statements)

References 14 publications

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“…Integrating early abortion into primary care settings has been shown to increase access without reducing safety or efficacy, [49, 50] and studies of women’s preferences suggest the majority of women would prefer to obtain an abortion at their primary care provider [51–54]. Increasing the types of providers who are qualified to provide abortion to include those more likely to work in rural and community-health settings than physicians can also increases access [55].…”

Section: Discussionmentioning

confidence: 99%

Distance traveled for Medicaid-covered abortion care in California

Johns

Foster

Upadhyay

2017

BMC Health Serv Res

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BackgroundAccess to abortion care in the United States is limited by the availability of abortion providers and their geographic distribution. We aimed to assess how far women travel for Medicaid-funded abortion in California and identify disparities in access to abortion care.MethodsWe obtained data on all abortions reimbursed by the fee-for-service California state Medicaid program (Medi-Cal) in 2011 and 2012 and examined distance traveled to obtain abortion care by several demographic and abortion-related factors. Mixed-effects multivariable logistic regression models were constructed to examine factors associated with traveling 50 miles or more. County-level t-tests and linear regressions were conducted to examine the effects of a Medi-Cal abortion provider in a county on overall and urban/rural differences in utilization.Results11.9% (95% CI: 11.5–12.2%) of women traveled 50 miles or more. Women obtaining second trimester or later abortions (21.7%), women obtaining abortions at hospitals (19.9%), and rural women (51.0%) were most likely to travel 50 miles or more. Across the state, 28 counties, home to 10% of eligible women, did not have a facility routinely providing Medi-Cal-covered abortions.ConclusionsEfforts are needed to expand the number of abortion providers that accept Medi-Cal. This could be accomplished by increasing Medi-Cal reimbursement rates, increasing the types of providers who can provide abortions, and expanding the use of telemedicine. If national trends in declining unintended pregnancy and abortion rates continue, careful attention should be paid to ensure that reduced demand does not lead to greater disparities in geographic and financial access to abortion care by ensuring that providers accepting Medicaid payment are available and widely distributed.Electronic supplementary materialThe online version of this article (doi:10.1186/s12913-017-2241-0) contains supplementary material, which is available to authorized users.

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Section: Discussionmentioning

confidence: 99%

Distance traveled for Medicaid-covered abortion care in California

Johns

Foster

Upadhyay

2017

BMC Health Serv Res

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“…Providing comprehensive reproductive health care in family medicine settings enhances continuity of care for patients and provides more options for women who may prefer to have an abortion in their own physician's office. 4,5 The foundation of family medicine practice is built upon trust in the doctor-patient relationship. Laws that restrict care and vilify both patients and providers disrupt the patient-centered care that is at the heart of family medicine.…”

Section: Abortion In Family Medicinementioning

confidence: 99%

Family Doctors and the Criminalization of Abortion Care

Narayana

Schonberg

Thill

et al. 2019

Fam Med

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“…Among 449 women surveyed in an inner-city family medicine clinic, 69% expressed support for the use of medication abortion in that setting. 7 A two-city study of 299 women at abortion clinics found that 58% would prefer to receive an abortion from their primary care doctor than from a specialized clinic. 8 Support is even greater among women who have already used medication abortion to terminate a pregnancy.…”

Section: Introductionmentioning

confidence: 99%

“…11 Second, there may be a perception among patients that IM doctors lack competence in gynecological issues. In a study by Rubin et al, 7 some women expressed concerns about whether their family doctor had the skills to offer abortion care; this concern may also be relevant to women in an IM setting.…”

Section: Introductionmentioning

confidence: 99%