Document Detail


Changes in Service Delivery Patterns After Introduction of Telemedicine Provision of Medical Abortion in Iowa.
MedLine Citation:
PMID:  23153158     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Objectives. We assessed the effect of a telemedicine model providing medical abortion on service delivery in a clinic system in Iowa. Methods. We reviewed Iowa vital statistic data and billing data from the clinic system for all abortion encounters during the 2 years prior to and after the introduction of telemedicine in June 2008 (n = 17 956 encounters). We calculated the distance from the patient's residential zip code to the clinic and to the closest clinic providing surgical abortion. Results. The abortion rate decreased in Iowa after telemedicine introduction, and the proportion of abortions in the clinics that were medical increased from 46% to 54%. After telemedicine was introduced, and with adjustment for other factors, clinic patients had increased odds of obtaining both medical abortion and abortion before 13 weeks' gestation. Although distance traveled to the clinic decreased only slightly, women living farther than 50 miles from the nearest clinic offering surgical abortion were more likely to obtain an abortion after telemedicine introduction. Conclusions. Telemedicine could improve access to medical abortion, especially for women living in remote areas, and reduce second-trimester abortion. (Am J Public Health. Published online ahead of print November 15, 2012: e1-e6. doi:10.2105/AJPH.2012.301097).
Authors:
Daniel A Grossman; Kate Grindlay; Todd Buchacker; Joseph E Potter; Carl P Schmertmann
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-11-15
Journal Detail:
Title:  American journal of public health     Volume:  -     ISSN:  1541-0048     ISO Abbreviation:  Am J Public Health     Publication Date:  2012 Nov 
Date Detail:
Created Date:  2012-11-16     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  1254074     Medline TA:  Am J Public Health     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
Daniel A. Grossman is with Ibis Reproductive Health, Oakland, CA. He is also with the Bixby Center for Global Reproductive Health, Department of Obstetrics, Gynecology, and Reproductive Sciences, University of California, San Francisco. Kate Grindlay is with Ibis Reproductive Health, Cambridge, MA. At the time of the study, Todd Buchacker was with Planned Parenthood of the Heartland, Des Moines, IA. Joseph E. Potter is with the Population Research Center, University of Texas, Austin. Carl P. Schmertmann is with the Center for the Study of Demography and Population Health, Florida State University, Tallahassee.
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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