{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T23:27:22Z","timestamp":1773271642705,"version":"3.50.1"},"reference-count":35,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,2,11]],"date-time":"2026-02-11T00:00:00Z","timestamp":1770768000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,2,11]],"date-time":"2026-02-11T00:00:00Z","timestamp":1770768000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100000923","name":"Australian Research Council","doi-asserted-by":"publisher","award":["DP210102916"],"award-info":[{"award-number":["DP210102916"]}],"id":[{"id":"10.13039\/501100000923","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Perspect Sexual Reproductive"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Researchers have done limited empirical work to explore how healthcare providers are claiming conscientious objection to abortion care in Australia. Without this research, we cannot assess if existing mechanisms to regulate conscientious objection meet the needs of abortion seekers, abortion providers, and healthcare providers who conscientiously object to abortion care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methodology<\/jats:title>\n                    <jats:p>We conducted semi\u2010structured interviews with 41 interest\u2010holders (including healthcare providers who provided or conscientiously objected to abortion care) across Australia about conscientious objection to abortion care and its regulation. We analyzed the data using framework analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>We identified four themes describing how healthcare providers were claiming conscientious objection to abortion care. First, claims existed on a spectrum from \u201cpartial provision\u201d to \u201crefusal without referral.\u201d When healthcare providers refused to provide an abortion, they did not always refer the abortion seeker to a willing provider or service. Second, claims of conscientious objection could change over time. Third, the relationship between religion and conscientious objection was not necessarily direct. Finally, some healthcare providers refused to provide abortion for reasons other than conscience.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The findings demonstrated that conscientious objection provisions provided a flexible mechanism for healthcare providers to opt\u2010out of providing abortion care at different times, in different contexts, and for different reasons (including reasons other than conscience). Education and guidelines may improve healthcare providers' understandings and interpretations of conscientious objection provisions. Destigmatizing interventions may also reduce the number of healthcare providers who refuse to participate in abortion care for conscience\u2010based and non\u2010conscience\u2010based reasons.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/psrh.70058","type":"journal-article","created":{"date-parts":[[2026,2,12]],"date-time":"2026-02-12T04:28:29Z","timestamp":1770870509000},"page":"58-68","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["How Are Healthcare Providers Conscientiously Objecting to Abortion in Australia? A Qualitative Study"],"prefix":"10.1111","volume":"58","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9263-362X","authenticated-orcid":false,"given":"Bronwen","family":"Merner","sequence":"first","affiliation":[{"name":"Melbourne School of Population and Global Health, University of Melbourne Parkville Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9596-6654","authenticated-orcid":false,"given":"Casey M.","family":"Haining","sequence":"additional","affiliation":[{"name":"Melbourne School of Population and Global Health, University of Melbourne Parkville Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lindy","family":"Willmott","sequence":"additional","affiliation":[{"name":"Australian Centre for Health Law Research, Faculty of Business and Law, Queensland University of Technology Brisbane Queensland Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Julian","family":"Savulescu","sequence":"additional","affiliation":[{"name":"Oxford Uehiro Centre for Practical Ethics, University of Oxford Oxford UK"},{"name":"Centre for Biomedical Ethics, Yong Loo Lin School of Medicine, National University of Singapore Singapore Singapore"},{"name":"Murdoch Children's Research Institute Parkville Victoria Australia"},{"name":"University of Melbourne Parkville Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Louise A.","family":"Keogh","sequence":"additional","affiliation":[{"name":"Melbourne School of Population and Global Health, University of Melbourne Parkville Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,2,11]]},"reference":[{"key":"e_1_2_10_2_1","volume-title":"Abortion Care Guideline","author":"World Health Organization","year":"2022"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0237227"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12910-019-0346-1"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1363\/4214610"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ssmqr.2025.100685"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1017\/CBO9780511973727"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.bpobgyn.2019.06.002"},{"issue":"2","key":"e_1_2_10_9_1","first-page":"238","article-title":"Abortion Law in Australia: Conscientious Objection and Implications for Access","volume":"48","author":"Haining C. M.","year":"2022","journal-title":"Monash University Law Review"},{"key":"e_1_2_10_10_1","unstructured":"\u201cConscientious Objection Position Statement \u201d2019 https:\/\/www.ama.com.au\/position\u2010statement\/conscientious\u2010objection\u20102019."},{"issue":"4","key":"e_1_2_10_11_1","article-title":"General Practitioner Knowledge and Practice in Relation to Unintended Pregnancy in the Grampians Region of Victoria, Australia","volume":"19","author":"Keogh L.","year":"2019","journal-title":"Rural and Remote Health"},{"key":"e_1_2_10_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajr.12138"},{"key":"e_1_2_10_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.wsif.2021.102470"},{"key":"e_1_2_10_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2014.08.003"},{"key":"e_1_2_10_15_1","doi-asserted-by":"publisher","DOI":"10.1080\/20523211.2024.2323086"},{"key":"e_1_2_10_16_1","doi-asserted-by":"publisher","DOI":"10.1002\/cesm.70007"},{"key":"e_1_2_10_17_1","volume-title":"Successful Qualitative Research","author":"Braun V.","year":"2013"},{"key":"e_1_2_10_18_1","unstructured":"Lumivero \u201cNvivo (Version 14) \u201d2023."},{"key":"e_1_2_10_19_1","doi-asserted-by":"publisher","DOI":"10.4324\/9780203413081_chapter_9"},{"key":"e_1_2_10_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2019.03.034"},{"issue":"16","key":"e_1_2_10_21_1","first-page":"1","article-title":"Conscientious Objection and Its Impact on Abortion Service Provision in South Africa: A Qualitative Study","volume":"11","author":"Harries J.","year":"2014","journal-title":"Reproductive Health"},{"key":"e_1_2_10_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.midw.2022.103416"},{"key":"e_1_2_10_23_1","doi-asserted-by":"publisher","DOI":"10.1363\/42e1016"},{"key":"e_1_2_10_24_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e31822f12b7"},{"key":"e_1_2_10_25_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2018.12.018"},{"key":"e_1_2_10_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.wsif.2023.102822"},{"key":"e_1_2_10_27_1","doi-asserted-by":"publisher","DOI":"10.1111\/ajo.13038"},{"key":"e_1_2_10_28_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2015.11.048"},{"key":"e_1_2_10_29_1","unstructured":"\u201c1800 My Options: Who We Are \u201d2024 https:\/\/www.1800myoptions.org.au\/about\u2010us\/."},{"key":"e_1_2_10_30_1","doi-asserted-by":"publisher","DOI":"10.1080\/13625187.2025.2482828"},{"key":"e_1_2_10_31_1","doi-asserted-by":"publisher","DOI":"10.1136\/jfprhc-2016-101541"},{"key":"e_1_2_10_32_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12978-018-0480-0"},{"key":"e_1_2_10_33_1","doi-asserted-by":"publisher","DOI":"10.1177\/1049732316661166"},{"key":"e_1_2_10_34_1","doi-asserted-by":"publisher","DOI":"10.1007\/s44217-023-00080-9"},{"key":"e_1_2_10_35_1","doi-asserted-by":"publisher","DOI":"10.1080\/17441692.2016.1229353"},{"key":"e_1_2_10_36_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-031-25110-8_103"}],"container-title":["Perspectives on Sexual and Reproductive Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/psrh.70058","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/psrh.70058","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/psrh.70058","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T08:31:56Z","timestamp":1773217916000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/psrh.70058"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2,11]]},"references-count":35,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,3]]}},"alternative-id":["10.1111\/psrh.70058"],"URL":"https:\/\/doi.org\/10.1111\/psrh.70058","archive":["Portico"],"relation":{},"ISSN":["1538-6341","1931-2393"],"issn-type":[{"value":"1538-6341","type":"print"},{"value":"1931-2393","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,2,11]]},"assertion":[{"value":"2025-02-27","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-01-26","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-02-11","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}