{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T02:38:20Z","timestamp":1772159900397,"version":"3.50.1"},"reference-count":12,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2021,12,20]],"date-time":"2021-12-20T00:00:00Z","timestamp":1639958400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["obgyn.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BJOG"],"published-print":{"date-parts":[[2022,5]]},"abstract":"\n Objective<\/jats:title>\n To determine the potential cost savings resulting from the introduction of routine early medical abortion (EMA) at home by telemedicine in the UK.<\/jats:p>\n <\/jats:sec>\n \n Design<\/jats:title>\n A costing study.<\/jats:p>\n <\/jats:sec>\n \n Setting<\/jats:title>\n The UK.<\/jats:p>\n <\/jats:sec>\n \n Population<\/jats:title>\n Women in 2020 undergoing EMA provided by three independent abortion providers and two National Health Service (NHS) abortion clinics.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n Computation of the costs of each abortion procedure and of managing failed or incomplete abortion and haemorrhage requiring blood transfusion.<\/jats:p>\n <\/jats:sec>\n \n Main outcome measures<\/jats:title>\n Cost savings.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n Overall estimated cost savings are \u00a315.80 per abortion undertaken by independent abortion providers, representing a saving to the NHS of over \u00a33\u2009million per year. Limited data from NHS services resulted in an estimated average saving of \u00a3188.84 per abortion.<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n Were telemedicine EMA to become routine, an increase in the number of women eligible for medical rather than surgical abortion, and a reduction in adverse events resulting from earlier abortion, could result in significant cost savings.<\/jats:p>\n <\/jats:sec>\n \n Tweetable abstract<\/jats:title>\n Early medical abortion at home using telemedicine could save the NHS \u00a33\u2009million per year.<\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/1471-0528.17033","type":"journal-article","created":{"date-parts":[[2021,11,28]],"date-time":"2021-11-28T09:00:31Z","timestamp":1638090031000},"page":"969-975","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Early medical abortion by telemedicine in the United Kingdom: a costing analysis"],"prefix":"10.1111","volume":"129","author":[{"given":"JE","family":"Hawkins","sequence":"first","affiliation":[{"name":"National Guideline Alliance Royal College of Obstetricians and Gynaecologists London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"A","family":"Glasier","sequence":"additional","affiliation":[{"name":"MRC Centre for Reproductive Health University of Edinburgh Edinburgh UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"S","family":"Hall","sequence":"additional","affiliation":[{"name":"Royal College of Obstetricians and Gynaecologists London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"L","family":"Regan","sequence":"additional","affiliation":[{"name":"Department of Metabolism, Digestion and Reproduction Imperial College London London UK"},{"name":"Wellbeing of Women London UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"the RCOG Telemedicine cost\u2010effectiveness working group","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2021,12,20]]},"reference":[{"key":"e_1_2_7_2_1","unstructured":"Department of Health. Abortion statistics for England and Wales:2019. Available at:https:\/\/www.gov.uk\/government\/statistics\/abortion\u2010statistics\u2010for\u2010england\u2010and\u2010wales\u20102019. Accessed 11 January 2020"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.15684"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD013181.pub2"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.16668"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.319.7211.652"},{"key":"e_1_2_7_7_1","unstructured":"National Institute for Health and Care Excellence. (2019). Abortion Care [NICE Guideline No. 145].https:\/\/www.nice.org.uk\/guidance\/ng140\/evidence\/a\u2010accessibility\u2010and\u2010sustainability\u2010of\u2010abortion\u2010services\u2010pdf\u20106905052973. Accessed 11th January 2021"},{"key":"e_1_2_7_8_1","unstructured":"NHS Improvement. National Cost Collection for the NHS 2018\/2019.2020www.england.nhs.uk\/national\u2010cost\u2010collection. Accessed 20th January 2020"},{"key":"e_1_2_7_9_1","unstructured":"National Institute for Health and Care Excellence. Blood Transfusion. (NICE Guideline 24)2015. www.nice.org.uk\/guidance\/NG24. Accessed 20th January 2020"},{"key":"e_1_2_7_10_1","volume-title":"Unit Costs of Health and Social Care 2019","author":"Curtis L","year":"2019"},{"key":"e_1_2_7_11_1","volume-title":"Coronavirus (COVID\u201019) Infection and Abortion Care","author":"RCOG","year":"2020"},{"key":"e_1_2_7_12_1","unstructured":"Public Health England. Contraception: Economic Analysis Estimation of the ROI for publicly funded contraception in England(2018). https:\/\/www.gov.uk\/government\/publications\/contraceptive\u2010services\u2010estimating\u2010the\u2010return\u2010on\u2010investment. Accessed 20th January 2020"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.l668"}],"container-title":["BJOG: An International Journal of Obstetrics & Gynaecology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/1471-0528.17033","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/1471-0528.17033","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/1471-0528.17033","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,24]],"date-time":"2023-08-24T05:42:40Z","timestamp":1692855760000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1111\/1471-0528.17033"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,12,20]]},"references-count":12,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2022,5]]}},"alternative-id":["10.1111\/1471-0528.17033"],"URL":"https:\/\/doi.org\/10.1111\/1471-0528.17033","archive":["Portico"],"relation":{"has-preprint":[{"id-type":"doi","id":"10.1101\/2021.02.26.21252518","asserted-by":"object"}]},"ISSN":["1470-0328","1471-0528"],"issn-type":[{"value":"1470-0328","type":"print"},{"value":"1471-0528","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,12,20]]},"assertion":[{"value":"2021-03-01","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-11-16","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2021-12-20","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}