{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,5]],"date-time":"2026-08-05T04:26:57Z","timestamp":1785904017924,"version":"3.56.0"},"reference-count":35,"publisher":"SAGE Publications","issue":"5","license":[{"start":{"date-parts":[[2023,5,1]],"date-time":"2023-05-01T00:00:00Z","timestamp":1682899200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2023,5,1]],"date-time":"2023-05-01T00:00:00Z","timestamp":1682899200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Telemedicine and e-Health"],"published-print":{"date-parts":[[2023,5]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction:<\/jats:title>\n                    <jats:p>Telemedicine has the potential to improve abortion access disparities in Canada. We aimed to explore the provision of telemedicine for first-trimester medical abortion and related barriers in 2019.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We conducted a national, cross-sectional, anonymized, web-based survey of clinicians who provided abortion care in 2019 in Canada. We distributed our survey through professional health organizations to maximize identification of possible eligible respondents and used a modified Dillman technique to foster responses. Questions elicited provider demographics, clinical characteristics, including telemedicine first-trimester medical abortion and perceived related barriers. Descriptive statistics were analyzed using R software.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Among 465 respondents, 388 reported providing first-trimester medical abortion across Canada; 44.0% reported experience using telemedicine for some components of care: 49.3% of primary care clinicians and 28.7% of specialists. Telemedicine was used for initial consultation (86.0%), prescription (82.2%), or follow-up (92.2%). The median percentage of telemedicine providers' patients who underwent a dating ultrasound was 90.0. The majority usually followed up with patients through quantitative human chorionic gonadotropin (hCG) (84.2%). Seventy-eight percent perceived barriers to telemedicine; the most common being inability to confirm gestational age with ultrasound (43.0%), and lack of provincial telemedicine abortion fee code to pay practitioners (30.2%), timely access to serum hCG testing (24.6%), and nearby emergency services (23.3%).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion:<\/jats:title>\n                    <jats:p>In 2019, fewer than half of respondents reported providing some aspects of first-trimester medical abortion through telemedicine and the majority perceived barriers. Our results can inform knowledge translation activities to reduce barriers and increase telemedicine abortion care in Canada.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/tmj.2022.0245","type":"journal-article","created":{"date-parts":[[2022,9,20]],"date-time":"2022-09-20T17:05:35Z","timestamp":1663693535000},"page":"686-695","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":11,"title":["Telemedicine for First-Trimester Medical Abortion in Canada: Results of a 2019 Survey"],"prefix":"10.1177","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7988-0877","authenticated-orcid":false,"given":"Regina M.","family":"Renner","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynaecology and University of British Columbia, Vancouver, Canada."},{"name":"Contraception and Abortion Research Team, Women's Health Research Institute, British Columbia Women's Hospital and Health Centre, Vancouver, Canada."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Madeleine","family":"Ennis","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynaecology and University of British Columbia, Vancouver, Canada."},{"name":"Contraception and Abortion Research Team, Women's Health Research Institute, British Columbia Women's Hospital and Health Centre, Vancouver, Canada."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ama","family":"Kyeremeh","sequence":"additional","affiliation":[{"name":"Contraception and Abortion Research Team, Women's Health Research Institute, British Columbia Women's Hospital and Health Centre, Vancouver, Canada."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4340-7882","authenticated-orcid":false,"given":"Wendy V.","family":"Norman","sequence":"additional","affiliation":[{"name":"Contraception and Abortion Research Team, Women's Health Research Institute, British Columbia Women's Hospital and Health Centre, Vancouver, Canada."},{"name":"Department of Family Practice, University of British Columbia, Vancouver, Canada."},{"name":"Faculty of Public Health and Policy, London School of Hygiene and Tropical Medicine, London, United Kingdom."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sheila","family":"Dunn","sequence":"additional","affiliation":[{"name":"Contraception and Abortion Research Team, Women's Health Research Institute, British Columbia Women's Hospital and Health Centre, Vancouver, Canada."},{"name":"Department of Family and Community Medicine, University of Toronto, Ontario, Canada."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Helen","family":"Pymar","sequence":"additional","affiliation":[{"name":"Contraception and Abortion Research Team, Women's Health Research Institute, British Columbia Women's Hospital and Health Centre, Vancouver, Canada."},{"name":"Department of Obstetrics, Gynecology and Reproductive Sciences, University of Manitoba, Manitoba, Canada."}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Edith","family":"Guilbert","sequence":"additional","affiliation":[{"name":"Contraception and Abortion Research Team, Women's Health Research Institute, British Columbia Women's Hospital and Health Centre, Vancouver, Canada."},{"name":"Department of Obstetrics, Gynecology and Reproduction, Universit\u00e9 Laval, Qu\u00e9bec City, Canada."}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2023,5,8]]},"reference":[{"key":"e_1_3_7_2_2","article-title":"Induced Abortions Reported in Canada in 2019","author":"Canadian Institute for Health Information","year":"2021","unstructured":"Canadian Institute for Health Information. 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Committee on the Elimination of Discrimination Against Women: Concluding Observations on the Combined Eighth and Ninth Periodic Reports of Canada; 2016; Available from: https:\/\/digitallibrary.un.org\/record\/3802136?ln=en [Last accessed: February 12 2018]."},{"issue":"4","key":"e_1_3_7_4_2","first-page":"e209","article-title":"Abortion health services in Canada: Results of a 2012 national survey","volume":"62","author":"Norman WV","year":"2016","unstructured":"Norman WV, , Guilbert ER, , Okpaleke C, et al. Abortion health services in Canada: Results of a 2012 national survey. Can Fam Physician, 2016; 62(4):e209\u2013e217.","journal-title":"Can Fam Physician"},{"key":"e_1_3_7_5_2","unstructured":"Health Canada. Regulatory decision summary: MIFEGYMISO. 2015. 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