{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,3]],"date-time":"2025-10-03T18:06:46Z","timestamp":1759514806008,"version":"3.37.3"},"reference-count":25,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2018,11,13]],"date-time":"2018-11-13T00:00:00Z","timestamp":1542067200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Services Research"],"published-print":{"date-parts":[[2019,4]]},"abstract":"<jats:sec><jats:title>Objective<\/jats:title><jats:p>To examine the pathways of care for abortion patients transferred or referred to emergency departments (<jats:styled-content style=\"fixed-case\">ED<\/jats:styled-content>s) or hospitals before and after abortion\u2010providing physicians obtained hospital admitting privileges.<\/jats:p><\/jats:sec><jats:sec><jats:title>Data Sources<\/jats:title><jats:p>This case series was based on retrospective chart review at three abortion clinics in which physicians had obtained admitting privileges in the previous 5\u00a0years.<\/jats:p><\/jats:sec><jats:sec><jats:title>Study Design<\/jats:title><jats:p>We identified patients who were transferred or referred to a hospital or <jats:styled-content style=\"fixed-case\">ED<\/jats:styled-content>. Patients were grouped according to the pathway by which their care was transferred or referred to the <jats:styled-content style=\"fixed-case\">ED<\/jats:styled-content>\/hospital.<\/jats:p><\/jats:sec><jats:sec><jats:title>Principal Findings<\/jats:title><jats:p>Both before and after admitting privileges, the majority of patients were referred to a hospital before the abortion was attempted and most were for suspected ectopic pregnancy or to perform the abortion in a hospital. Direct ambulance transfer from the facility to the <jats:styled-content style=\"fixed-case\">ED<\/jats:styled-content>\/hospital was the least common pathway. We observed few changes in practice from before to after admitting privileges. Preexisting mechanisms of coordination and communication facilitated care that was tailored for the specific patient.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>We did not find evidence that physician admitting privileges influenced the pathways through which abortion patients obtain hospital\u2010based care, as existing mechanisms of collaboration between hospitals and abortion facilities allowed for management of patients who sought hospital\u2010based care.<\/jats:p><\/jats:sec>","DOI":"10.1111\/1475-6773.13080","type":"journal-article","created":{"date-parts":[[2018,11,13]],"date-time":"2018-11-13T17:02:39Z","timestamp":1542128559000},"page":"425-436","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Admitting privileges and hospital\u2010based care after presenting for abortion: A retrospective case series"],"prefix":"10.1111","volume":"54","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2731-2157","authenticated-orcid":false,"given":"Ushma D.","family":"Upadhyay","sequence":"first","affiliation":[{"name":"Advancing New Standards in Reproductive Health (ANSIRH) Bixby Center for Global Reproductive Health Department of Obstetrics, Gynecology and Reproductive Sciences University of California  San Francisco, Oakland California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alice F.","family":"Cartwright","sequence":"additional","affiliation":[{"name":"Advancing New Standards in Reproductive Health (ANSIRH) Bixby Center for Global Reproductive Health Department of Obstetrics, Gynecology and Reproductive Sciences University of California  San Francisco, Oakland California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vinita","family":"Goyal","sequence":"additional","affiliation":[{"name":"Population Research Center University of Texas at Austin  Austin Texas"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Elise","family":"Belusa","sequence":"additional","affiliation":[{"name":"Advancing New Standards in Reproductive Health (ANSIRH) Bixby Center for Global Reproductive Health Department of Obstetrics, Gynecology and Reproductive Sciences University of California  San Francisco, Oakland California"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarah C.M.","family":"Roberts","sequence":"additional","affiliation":[{"name":"Advancing New Standards in Reproductive Health (ANSIRH) Bixby Center for Global Reproductive Health Department of Obstetrics, Gynecology and Reproductive Sciences University of California  San Francisco, Oakland California"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,11,13]]},"reference":[{"key":"e_1_2_10_2_1","unstructured":"Guttmacher Institute.State Policies in Brief: Targeted Regulation of Abortion Providers.2018;https:\/\/www.guttmacher.org\/state-policy\/explore\/targeted-regulation-abortion-providers."},{"key":"e_1_2_10_3_1","unstructured":"U.S. Court of Appeals for the Fifth Circuit.Planned Parenthood of Greater Tex. Surgical Health Servs. v. Abbot. 769 F.3d 330 3352014."},{"key":"e_1_2_10_4_1","unstructured":"Texas Policy Evaluation Project.Change in number of physicians providing abortion care in Texas after HB2.2016;https:\/\/liberalarts.utexas.edu\/txpep\/_files\/pdf\/TxPEP-ResearchBrief-AdmittingPrivileges.pdf."},{"key":"e_1_2_10_5_1","unstructured":"U.S. Supreme Court.Whole Woman's Health v. 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