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Tytuł:
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Why women choose at-home abortion via teleconsultation in France: drivers of telemedicine abortion during and beyond the COVID-19 pandemic.
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Autorzy:
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Atay H; Sciences Po Paris, CEVIPOF - Centre for Political Research, Paris, France .; Women on Web International Foundation, Toronto, Ontario, Canada.; Sciences Po Paris, LIEPP - The Laboratory for Interdisciplinary Evaluation of Public Policy, Paris, France.
Perivier H; Sciences Po Paris, OFCE - French Economic Observatory, Paris, France.
Gemzell-Danielsson K; Karolinska Institutet, Stockholm, Sweden.
Guilleminot J; Assistance Publique - Hôpitaux de Paris, Paris, France.
Hassoun D; Medical Doctor, Paris, France.
Hottois J; Medical Doctor, Strasbourg, France.
Gomperts R; Women on Web International Foundation, Toronto, Ontario, Canada.
Levrier E; Sciences Po Paris, LIEPP - The Laboratory for Interdisciplinary Evaluation of Public Policy, Paris, France.
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Źródło:
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BMJ sexual & reproductive health [BMJ Sex Reprod Health] 2021 Oct; Vol. 47 (4), pp. 285-292. Date of Electronic Publication: 2021 Jul 28.
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Typ publikacji:
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Journal Article; Research Support, Non-U.S. Gov't
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Język:
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English
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Imprint Name(s):
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Original Publication: London : BMJ Publishing Group Ltd., [2018]-
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MeSH Terms:
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COVID-19*
Remote Consultation*
Telemedicine*
Communicable Disease Control ; Cross-Sectional Studies ; Female ; France/epidemiology ; Humans ; Pandemics ; Pregnancy ; SARS-CoV-2
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Contributed Indexing:
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Keywords: abortion; health services accessibility; induced; reproductive medicine
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Entry Date(s):
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Date Created: 20210729 Date Completed: 20211025 Latest Revision: 20230829
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Update Code:
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20240105
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DOI:
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10.1136/bmjsrh-2021-201176
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PMID:
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34321255
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Objectives: In an attempt to understand the demand and main drivers of telemedicine abortion, we analysed the requests that Women on Web (WoW), an online telemedicine abortion service operating worldwide, received from France throughout 2020.
Methods: We conducted a parallel, convergent, mixed-methods study among 809 consultations received from France at WoW between 1 January and 31 December 2020. We performed a cross-sectional study of data obtained from the WoW consultation survey and a manifest content analysis of anonymised email correspondence of 140 women consulting with the WoW helpdesk from France.
Findings: We found that women encounter macro-level, individual-level and provider-level constraints while trying to access abortion in France. The preferences and needs over secrecy (n=356, 46.2%), privacy (n=295, 38.3%) and comfort (n=269, 34.9%) are among the most frequent reasons for women from France to choose telemedicine abortion through WoW. The COVID-19 pandemic seems to be an important driver for resorting to telemedicine (n=236, 30.6%). The lockdowns had a significant impact on the number of consultations received at WoW from France, increasing from 60 in March to 128 in April during the first lockdown and from 54 in October to 80 in November during the second lockdown.
Conclusions: The demand for at-home medical abortion via teleconsultation increased in France during the lockdowns. However, drivers of telemedicine abortion are multidimensional and go beyond the conditions unique to the pandemic.
Competing Interests: Competing interests: Coauthors RG and HA work for or are affiliated with Women on Web.
(© Author(s) (or their employer(s)) 2021. No commercial re-use. See rights and permissions. Published by BMJ.)
