Online access to abortion medications: a review of utilization and clinical outcomes
Online access to abortion medications: a review of utilization and clinical outcomes
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DOI：
10.1016/j.bpobgyn.2019.06.009
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发表时间：
2020-02-01
影响因子：
5.5
通讯作者：
Gemzell-Danielsson, Kristina
中科院分区：
文献类型：
--
作者：
Endler, Margit;Cleeve, Amanda;Gemzell-Danielsson, Kristina
我们在PubMed和Web of Science网站上搜索了堕胎药物的自我使用情况。研究人员考虑了1995年1月1日至2019年3月31日之间发表的研究。我们纳入了以下在线服务的研究：(i)由医护人员领导（n = 14）， （ii）由非医护人员领导（n = 4），以及（iii）提供非交互式访问（n = 17）。我们的结果是使用率（服务的频率和需求）、女性的可接受性、安全性和成功率。主要发现：越来越多的妇女利用互联网获取堕胎药物。现有的服务质量参差不齐。获得非互动式服务的妇女报告说，由于缺乏医疗指导而感到痛苦，在堕胎过程中对互动式指导的需求很高。使用由卫生保健人员领导的服务的妇女报告满意度高，临床结果率与亲自堕胎护理相似。(C) 2019年Elsevier Ltd.出版
We performed a search in PubMed and Web of Science on the self-use of abortion medication after online access. Studies published between January 1,1995, and March 31, 2019, were considered. We included studies of online services that were (i) led by healthcare staff (n = 14), (ii) led by non-healthcare staff (n = 4), and (iii) providing noninteractive access (n = 17). Our outcomes were utilization (frequency and demand for services), acceptability for women, safety, and success rate. Key findings: Women are increasingly using the Internet to access abortion medication. Available services are of varying quality. Women accessing noninteractive services report feelings of distress related to the lack of medical guidance, and the demand for interactive guidance through the abortion process is high. Women using services led by healthcare staff report high rates of satisfaction and similar rates of clinical outcomes as those of in-person abortion care. (C) 2019 Published by Elsevier Ltd.