{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,6]],"date-time":"2026-10-06T23:52:51Z","timestamp":1791330771814,"version":"4.3.1"},"reference-count":26,"publisher":"CSIRO Publishing","issue":"6","license":[{"start":{"date-parts":[[2025,5,8]],"date-time":"2025-05-08T00:00:00Z","timestamp":1746662400000},"content-version":"vor","delay-in-days":150,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council","doi-asserted-by":"publisher","award":["APP1153592"],"award-info":[{"award-number":["APP1153592"]}],"id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,12,23]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Abortion is a common procedure in Australia; it is estimated that the rate is between 15 and 17 per 1000 women. Surgical and medical abortion options are available; however, the use of medical abortion is not as common as in other similar countries. The aim of this study is to understand preferences for the provision of early abortion services in Australia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We conducted a survey of 821 members of an online panel representative of the Australian adult general population. The survey consisted of a discrete choice experiment including 16 choice tasks and a number of follow-up questions. A mixed logit model was used to analyse the responses to the discrete choice experiment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Respondents preferred services that provided surgical abortion compared with early medical abortion (EMA). They preferred consultations with a specialist gynaecologist compared with a general practitioner (GP); consultations with a GP were preferred to those with a nurse practitioner. Face-to-face consultations were preferred to telehealth. For EMA, respondents preferred to collect medication from the doctor\u2019s surgery rather than from a pharmacy or to receive it by post. Overall, respondents preferred lower-cost services. There were no differences in preferences between respondents with or without experience of abortion or between genders.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Respondents prefer abortion services with low out-of-pocket costs. Their reluctance to use a nurse-led service may reflect the general public\u2019s lack of understanding of and familiarity with the training and expertise of nurse practitioners. Similarly, the safety and benefits of EMA relative to surgery, including EMA delivered by telehealth, need to be emphasised.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1071\/sh24112","type":"journal-article","created":{"date-parts":[[2024,12,9]],"date-time":"2024-12-09T04:27:32Z","timestamp":1733718452000},"source":"Crossref","is-referenced-by-count":2,"title":["Preferences for the delivery of early abortion services in Australia: a discrete choice experiment"],"prefix":"10.1071","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9584-8431","authenticated-orcid":true,"given":"Jody","family":"Church","sequence":"first","affiliation":[{"name":"ACentre for Health Economics Research and Evaluation, Faculty of Health, University of Technology Sydney, Sydney, NSW, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marion","family":"Haas","sequence":"additional","affiliation":[{"name":"ACentre for Health Economics Research and Evaluation, Faculty of Health, University of Technology Sydney, Sydney, NSW, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Deborah J.","family":"Street","sequence":"additional","affiliation":[{"name":"ACentre for Health Economics Research and Evaluation, Faculty of Health, University of Technology Sydney, Sydney, NSW, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1035-7110","authenticated-orcid":true,"given":"Deborah","family":"Bateson","sequence":"additional","affiliation":[{"name":"BThe Daffodil Centre, Faculty of Medicine and Health, University of Sydney, Sydney, NSW, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Danielle","family":"Mazza","sequence":"additional","affiliation":[{"name":"CDepartment of General Practice, School of Public Health and Preventive Medicine, Monash University, Melbourne, Vic, Australia."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"67","published-online":{"date-parts":[[2024,12,9]]},"reference":[{"issue":"9","key":"2025111816484709200_R1","doi-asserted-by":"publisher","first-page":"407","DOI":"10.5694\/mja17.01094","article-title":"Unintended and unwanted pregnancy in Australia: a cross-sectional, national random telephone survey of prevalence and outcomes.","volume":"209","author":"Taft","year":"2018","journal-title":"Med J Aust"},{"issue":"8","key":"2025111816484709200_R2","doi-asserted-by":"publisher","first-page":"375","DOI":"10.5694\/mja2.51217","article-title":"Estimating the abortion rate in Australia from national hospital morbidity and pharmaceutical benefits scheme data.","volume":"215","author":"Keogh","year":"2021","journal-title":"Med J Aust"},{"key":"2025111816484709200_R3","unstructured":"Wright SM, Bateson D, McGeechan K. Induced abortion in Australia: 2000\u20132020. Ashfield, Australia: Family Planning NSW; 2021. Available at https:\/\/www.fpnsw.org.au\/sites\/default\/files\/assets\/Induced-Abortion-in-Australia_2000-2020.pdf [cited 15 August 2024]"},{"key":"2025111816484709200_R4","unstructured":"WHO. Abortion care guideline. Geneva: World Health Organization; 2022. Available at https:\/\/www.who.int\/publications\/i\/item\/9789240039483 [cited 30 September 2024]"},{"issue":"2","key":"2025111816484709200_R5","doi-asserted-by":"publisher","first-page":"95","DOI":"10.1136\/bmjsrh-2018-200149","article-title":"Trends in the method and gestational age of abortion in high-income countries.","volume":"45","author":"Popinchalk","year":"2019","journal-title":"BMJ Sex Reprod Health"},{"key":"2025111816484709200_R6","unstructured":"SPHERE Women\u2019s Sexual and Reproductive Health Coalition. Fact Sheets. Melbourne, Australia: SPHERE CRE; 2023. Available at https:\/\/www.spherecre.org\/resources\/fact-sheets [cited 15 October 2024]"},{"issue":"6","key":"2025111816484709200_R7","doi-asserted-by":"publisher","first-page":"324","DOI":"10.31128\/AJGP-02-20-5223","article-title":"Medical abortion.","volume":"49","author":"Mazza","year":"2020","journal-title":"Aust J Gen Pract"},{"issue":"8","key":"2025111816484709200_R8","doi-asserted-by":"publisher","first-page":"352","DOI":"10.5694\/mja2.51258","article-title":"Increasing access to women\u2019s sexual and reproductive health services: telehealth is only the start.","volume":"215","author":"Mazza","year":"2021","journal-title":"Med J Aust"},{"key":"2025111816484709200_R9","unstructured":"RANZCOG. Clinical Guideline for Abortion Care: An evidence-based guideline on abortion care in Australia and Aotearoa New Zealand. Melbourne, Australia: Royal Australian and New Zealand College of Obstetricians and Gynaecologists; 2023. Available at https:\/\/ranzcog.edu.au\/wp-content\/uploads\/Clinical-Guideline-Abortion-Care.pdf [cited 15 August 2024]"},{"issue":"3","key":"2025111816484709200_R10","doi-asserted-by":"publisher","first-page":"252","DOI":"10.1071\/PY22130","article-title":"How can we encourage the provision of early medical abortion in primary care? Results of a best\u2013worst scaling survey.","volume":"29","author":"Haas","year":"2023","journal-title":"Aust J Prim Health"},{"issue":"9","key":"2025111816484709200_R11","doi-asserted-by":"publisher","first-page":"1094","DOI":"10.1111\/1471-0528.15684","article-title":"Telemedicine for medical abortion: a systematic review.","volume":"126","author":"Endler","year":"2019","journal-title":"BJOG"},{"issue":"11","key":"2025111816484709200_R12","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2022-066650","article-title":"Improving experience of medical abortion at home in a changing therapeutic, technological and regulatory landscape: a realist review.","volume":"12","author":"Baraitser","year":"2022","journal-title":"BMJ Open"},{"key":"2025111816484709200_R13"},{"issue":"4","key":"2025111816484709200_R14","doi-asserted-by":"publisher","first-page":"275","DOI":"10.2165\/11539660-000000000-00000","article-title":"Using best-worst scaling choice experiments to measure public perceptions and preferences for healthcare reform in australia.","volume":"3","author":"Louviere","year":"2010","journal-title":"Patient"},{"key":"2025111816484709200_R15","unstructured":"MSI Australia. Safe abortion services in Australia. Melbourne, Australia: MSI Australia; 2024. Available at https:\/\/www.msiaustralia.org.au\/abortion-services\/ [cited 2024 Aug 15]"},{"key":"2025111816484709200_R16"},{"issue":"5","key":"2025111816484709200_R17","doi-asserted-by":"publisher","first-page":"373","DOI":"10.1007\/s40271-015-0118-z","article-title":"Sample size requirements for discrete-choice experiments in healthcare: a practical guide.","volume":"8","author":"de Bekker-Grob","year":"2015","journal-title":"Patient"},{"issue":"1","key":"2025111816484709200_R18","doi-asserted-by":"publisher","first-page":"25","DOI":"10.1080\/15598608.2011.10412048","article-title":"Comparing designs for choice experiments: a case study.","volume":"5","author":"Burgess","year":"2011","journal-title":"J Stat Theory Pract"},{"key":"2025111816484709200_R19","unstructured":"R Core Team. R: A language and environment for statistical computing. R Foundation for Statistical Computing, Vienna, Austria; 2023. 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Canberra, Australia: Australian Government, Department of Health and Aged Care; 2023. Available at https:\/\/www.tga.gov.au\/news\/media-releases\/amendments-restrictions-prescribing-ms-2-step-mifepristone-and-misoprostol [cited 15 August 2024]"},{"key":"2025111816484709200_R24","unstructured":"The Pharmaceutical Benefits Scheme. Recommendations made out-of-session by the PBAC between meetings (March 2023 and July 2023). Canberra, Australia: Commonwealth of Australia; 2024. Available at https:\/\/www.pbs.gov.au\/industry\/listing\/elements\/pbac-meetings\/pbac-outcomes\/out-of-session\/items-recommended-between-meetings-OOS-Mar23-Jul23-v2.pdf [cited 15 August 2024]"},{"key":"2025111816484709200_R25","doi-asserted-by":"publisher","first-page":"797","DOI":"10.1111\/ajo.13731","article-title":"Telephone follow-up after early medical abortion using Australia\u2019s first low sensitivity urine pregnancy test.","volume":"63","author":"Melville","year":"2023","journal-title":"Aust NZJ Obstet Gynaecol"},{"issue":"6","key":"2025111816484709200_R26","doi-asserted-by":"publisher","first-page":"456","DOI":"10.1071\/PY20297","article-title":"General practitioner knowledge of and engagement with telehealth-at-home medical abortion provision.","volume":"27","author":"Mazza","year":"2021","journal-title":"Aust J Prim Health"}],"container-title":["Sexual Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/connectsci.au\/sh\/article-pdf\/doi\/10.1071\/SH24112\/157901\/sh24112.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/connectsci.au\/sh\/article-pdf\/doi\/10.1071\/SH24112\/157901\/sh24112.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T21:48:52Z","timestamp":1763502532000},"score":1,"resource":{"primary":{"URL":"https:\/\/connectsci.au\/sh\/article\/21\/6\/SH24112\/22879\/Preferences-for-the-delivery-of-early-abortion"}},"subtitle":[],"editor":[{"given":"Lei","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2024,12,9]]},"references-count":26,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2024,12,23]]}},"URL":"https:\/\/doi.org\/10.1071\/sh24112","relation":{},"ISSN":["1448-5028","1449-8987"],"issn-type":[{"value":"1448-5028","type":"print"},{"value":"1449-8987","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,12,9]]},"article-number":"SH24112"}}