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Zur Aufrechterhaltung der Versorgung mussten umgehend L\u00f6sungen gefunden werden, wobei sich auch das Potenzial ergab, Innovationen zu beschleunigen. So wurde beispielsweise der Zugang zu Schwangerschaftsabbr\u00fcchen w\u00e4hrend der Pandemie durch \u201eTelehealth f\u00fcr fr\u00fchen medikament\u00f6sen Schwangerschaftsabbruch\u201c (TEMA) verst\u00e4rkt genutzt.<\/jats:p>\n          <jats:p>In diesem narrativen \u00dcbersichtsartikel werden Deutschland, Frankreich und Gro\u00dfbritannien in Hinblick auf die Entwicklung der Anzahl, Methoden und Settings von Schwangerschaftsabbr\u00fcchen in den Jahren 2018\u20132023 verglichen. Ver\u00e4nderungen im Versorgungsangebot und in der Gesetzgebung w\u00e4hrend der Pandemie werden dargestellt und die Unterschiede zwischen den L\u00e4ndern sowie die verschiedenen Innovationsfaktoren diskutiert. Dazu wurden nationale Statistiken analysiert und es fand eine Literatur- und Onlinerecherche (Rapid-Review) statt.<\/jats:p>\n          <jats:p>In den 3 L\u00e4ndern zeigen sich unterschiedliche Abbruchraten und Anteile medikament\u00f6ser Abbr\u00fcche sowie Auswirkungen der Pandemie; ein Anstieg von Telehealth ist aus einigen Quellen ersichtlich. In Frankreich und Gro\u00dfbritannien, wo medikament\u00f6ser Schwangerschaftsabbruch die Hauptmethode des Abbruchs ist, waren Dienstleistungen im Zusammenhang mit Schwangerschaftsabbr\u00fcchen schon vor der Pandemie leichter zug\u00e4nglich. W\u00e4hrend der Pandemie wurde hier TEMA, inkl. Versenden von Medikamenten, offiziell eingef\u00fchrt. In Deutschland wurde TEMA erstmals durch Nichtregierungsorganisationen angeboten. Nachhaltigkeit und Verbreitung der Neuerungen bleiben fragil, insbesondere in Deutschland, wo der disruptive Ansatz einiger Organisationen noch keinen Eingang in die allgemeinen Gesundheitsdienste gefunden hat.<\/jats:p>","DOI":"10.1007\/s00103-024-03995-2","type":"journal-article","created":{"date-parts":[[2024,12,11]],"date-time":"2024-12-11T21:56:58Z","timestamp":1733954218000},"page":"53-61","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Innovationen in der Versorgung von Schwangerschaftsabbr\u00fcchen w\u00e4hrend der COVID-19-Pandemie in Deutschland, Frankreich und Gro\u00dfbritannien","Innovation in abortion care during the COVID-19 pandemic in Germany, France and Great Britain"],"prefix":"10.1007","volume":"68","author":[{"given":"C\u00e9line","family":"Miani","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jana","family":"Niemann","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2024,12,11]]},"reference":[{"key":"3995_CR1","doi-asserted-by":"publisher","first-page":"355","DOI":"10.1093\/heapol\/czx183","volume":"33","author":"J Hanefeld","year":"2018","unstructured":"Hanefeld\u00a0J, Mayhew\u00a0S, Legido-Quigley\u00a0H et\u00a0al (2018) Towards an understanding of resilience: responding to health systems shocks. 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