{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,8]],"date-time":"2026-10-08T02:55:11Z","timestamp":1791428111315,"version":"4.3.3"},"reference-count":23,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2018,3,30]],"date-time":"2018-03-30T00:00:00Z","timestamp":1522368000000},"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":["Aust NZ J Obst Gynaeco"],"published-print":{"date-parts":[[2018,6]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>In 2015, the Tabbot Foundation launched a nationwide direct\u2010to\u2010patient telemedicine service to enable women to obtain medical abortion without visiting an abortion provider.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>We aimed to describe results from the first 18\u00a0months of this service.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and Methods<\/jats:title>\n                    <jats:p>To have an abortion through the Foundation, a woman obtained screening tests locally and had a telephone consultation with a Foundation doctor. If she was eligible, mifepristone, misoprostol and other medications were sent to her by mail. After taking the drugs, the woman obtained follow\u2010up tests at local facilities and had a consultation with Foundation professionals. The Foundation charged $250 to patients with Medicare eligibility and $600 otherwise. We summarised clinical data collected by the service.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Between June 2015 and December 2016, 1010 women received medications, of whom 56% lived outside of major cities. Ninety\u2010five percent of packages were sent within 15\u00a0days after registration. Of the 965 women who took misoprostol, outcomes were definitively documented for 754 (78%), of whom 96% had a complete abortion without surgical intervention, and 95% had no face\u2010to\u2010face clinical encounter after treatment. Of women with Medicare cards, 72% paid no out\u2010of\u2010pocket charges other than to the Foundation. Nearly all women (781\/802; 97%) were highly satisfied.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The direct\u2010to\u2010patient telemedicine medical abortion service was effective, safe, inexpensive and satisfactory. It disproportionately served women in parts of Australia with limited access to abortion facilities. This experience may be instructive for others desiring to use telemedicine to enhance access to abortion.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ajo.12800","type":"journal-article","created":{"date-parts":[[2018,3,30]],"date-time":"2018-03-30T20:15:27Z","timestamp":1522440927000},"page":"335-340","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":77,"title":["A direct\u2010to\u2010patient telemedicine abortion service in Australia: Retrospective analysis of the first 18 months"],"prefix":"10.1111","volume":"58","author":[{"given":"Paul","family":"Hyland","sequence":"first","affiliation":[{"name":"Tabbot Foundation  Sydney New South Wales Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elizabeth G.","family":"Raymond","sequence":"additional","affiliation":[{"name":"Gynuity Health Projects  New York NY USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erica","family":"Chong","sequence":"additional","affiliation":[{"name":"Gynuity Health Projects  New York NY USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,3,30]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2015.06.014"},{"key":"e_1_2_6_3_1","unstructured":"Pharmaceutical Benefits Scheme Drug Utilization Subcommittee.Mifepristone and misoprostol: predicted versus actual analysis: Australian Government Department of Health;2016."},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/1753-6405.12641"},{"key":"e_1_2_6_5_1","first-page":"197","article-title":"Decriminalization and women's access to abortion in Australia","volume":"19","author":"Baird B","year":"2017","journal-title":"Health Hum Rights"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajo.12642"},{"key":"e_1_2_6_7_1","unstructured":"Australian Statistical Geography Standard (ASGS).Australian Bureau of Statistics 2017. 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