{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,26]],"date-time":"2026-06-26T11:01:02Z","timestamp":1782471662205,"version":"3.54.5"},"reference-count":26,"publisher":"CSIRO Publishing","issue":"4","license":[{"start":{"date-parts":[[2025,8,16]],"date-time":"2025-08-16T00:00:00Z","timestamp":1755302400000},"content-version":"vor","delay-in-days":1549,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2021,8,6]]},"abstract":"<jats:p>Termination of pregnancy (TOP) is considered an important component of sexual and reproductive health internationally, but there are known barriers in Australia and countries worldwide. This study investigated the issues for GPs regarding aiding access to TOP and providing early medical abortion (EMA) services for Tasmanian women. Specifically, the aims of the study were to identify the knowledge and attitudes of Tasmanian GPs regarding TOP services and to determine which known barriers to providing EMA are most significant for GPs in Tasmania, Australia. A survey was developed and piloted based on previous qualitative research that identified known barriers to accessing TOP. Surveys were posted to all identified GPs in Tasmania with a reply-paid envelope. In all, 211 (27.4%) responses were returned. GPs identified difficulty accessing TOP services, particularly for rural women and those on a low income. Almost half the GPs, excluding conscientious objectors, indicated they would be interested in providing EMA services, but perceived barriers were significant. The most significant barriers related to accessing appropriate training and support. There was uncertainty around financial reward, support services, medical indemnity and access to the medical abortifacient medications mifepristone and misoprostol. In conclusion, accessing TOP remains an issue for Tasmanian women. Many Tasmanian GPs are interested in providing EMA services if barriers are addressed, but there is a lack of knowledge about the practicalities of implementing EMA. Providing practical support to GPs and increasing knowledge pertaining to EMA provision in general practice could improve access in primary care.<\/jats:p>","DOI":"10.1071\/py20288","type":"journal-article","created":{"date-parts":[[2021,5,19]],"date-time":"2021-05-19T22:24:51Z","timestamp":1621463091000},"page":"297-303","source":"Crossref","is-referenced-by-count":5,"title":["Termination of pregnancy in Tasmania: access and service provision from the perspective of GPs"],"prefix":"10.1071","volume":"27","author":[{"given":"Kathryn","family":"Ogden","sequence":"first","affiliation":[{"name":"ATasmanian School of Medicine, University of Tasmania, Locked Bag 1377, Launceston, Tas. 7250, Australia."},{"name":"BFamily Planning Tasmania, 269 Wellington Street, Launceston, Tas. 7250, Australia."},{"name":"ECorresponding author. Email: Kathryn.Ogden@utas.edu.au"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emily","family":"Ingram","sequence":"additional","affiliation":[{"name":"ATasmanian School of Medicine, University of Tasmania, Locked Bag 1377, Launceston, Tas. 7250, Australia."},{"name":"BFamily Planning Tasmania, 269 Wellington Street, Launceston, Tas. 7250, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joanna","family":"Levis","sequence":"additional","affiliation":[{"name":"ATasmanian School of Medicine, University of Tasmania, Locked Bag 1377, Launceston, Tas. 7250, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Georgia","family":"Roberts","sequence":"additional","affiliation":[{"name":"ATasmanian School of Medicine, University of Tasmania, Locked Bag 1377, Launceston, Tas. 7250, Australia."},{"name":"CTasmanian Health Service, Department of Health and Human Services, GPO Box 125, Hobart, Tas. 7001, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Iain","family":"Robertson","sequence":"additional","affiliation":[{"name":"DCollege of Health and Medicine, University of Tasmania, Locked Bag 1322, Launceston, Tas. 7250, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"67","published-online":{"date-parts":[[2021,5,20]]},"reference":[{"key":"2025102822191454500_R1","unstructured":"Australian Government Department of Health (2008) \u2018Rural, Remote and Metropolitan Areas Classification (RRMA).\u2019 Available at https:\/\/www1.health.gov.au\/internet\/publications\/publishing.nsf\/Content\/work-res-ruraud-toc~work-res-ruraud-lis~work-res-ruraud-lis-e#:~:text=Rural%2C%20Remote%20and%20Metropolitan%20Areas%20Classification%20(RRMA)&text=RRMA%20allocates%20areas%20into%20seven,various%20sizes%20and%20population%20density [Verified 8 June 2020]"},{"key":"2025102822191454500_R2","doi-asserted-by":"publisher","first-page":"250","DOI":"10.5694\/mja2.50058","article-title":"The Guttmacher\u2013Lancet Commission on sexual and reproductive health and rights: how does Australia measure up?","volume":"210","author":"Bateson","year":"2019","journal-title":"The Medical Journal of Australia"},{"key":"2025102822191454500_R3"},{"key":"2025102822191454500_R4","doi-asserted-by":"publisher","first-page":"S16","DOI":"10.1016\/j.ijgo.2013.02.003","article-title":"Addressing barriers to safe abortion.","volume":"121","author":"Culwell","year":"2013","journal-title":"International Journal of Gynaecology and Obstetrics"},{"key":"2025102822191454500_R5","doi-asserted-by":"publisher","first-page":"612","DOI":"10.1186\/s12913-016-1846-z","article-title":"Towards comprehensive early abortion service delivery in high income countries: insights for improving universal access to abortion in Australia.","volume":"16","author":"Dawson","year":"2016","journal-title":"BMC Health Services Research"},{"key":"2025102822191454500_R6","doi-asserted-by":"publisher","first-page":"39","DOI":"10.1186\/s12978-017-0303-8","article-title":"Medical termination of pregnancy in general practice in Australia: a descriptive-interpretive qualitative study.","volume":"14","author":"Dawson","year":"2017","journal-title":"Reproductive Health"},{"key":"2025102822191454500_R7","doi-asserted-by":"publisher","first-page":"114","DOI":"10.1080\/13625187.2016.1276162","article-title":"The legal and non-legal barriers to abortion access in Australia: a review of the evidence.","volume":"22","author":"de Moel-Mandel","year":"2017","journal-title":"The European Journal of Contraception & Reproductive Health Care"},{"key":"2025102822191454500_R8","doi-asserted-by":"publisher","first-page":"331","DOI":"10.31128\/AJGP-01-20-5198","article-title":"Providing medical abortion in general practice: general practitioner insights and tips for future providers.","volume":"49","author":"Deb","year":"2020","journal-title":"Australian Journal of General Practice"},{"key":"2025102822191454500_R9","doi-asserted-by":"publisher","first-page":"121","DOI":"10.1111\/ajr.12096","article-title":"Rural New South Wales women\u2019s access to abortion services: highlights from an exploratory qualitative study.","volume":"22","author":"Doran","year":"2014","journal-title":"The Australian Journal of Rural Health"},{"key":"2025102822191454500_R10","doi-asserted-by":"publisher","first-page":"170","DOI":"10.1136\/jfprhc-2013-100862","article-title":"Barriers and facilitators of access to first-trimester abortion services for women in the developed world: a systematic review.","volume":"41","author":"Doran","year":"2015","journal-title":"The Journal of Family Planning and Reproductive Health Care"},{"key":"2025102822191454500_R11","unstructured":"Family Planning Alliance Australia (2018) \u2018Access to Abortion Services in Australia. 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