{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T04:25:33Z","timestamp":1786940733646,"version":"build-2736575974"},"reference-count":22,"publisher":"Wiley","license":[{"start":{"date-parts":[[2026,8,16]],"date-time":"2026-08-16T00:00:00Z","timestamp":1786838400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,8,16]],"date-time":"2026-08-16T00:00:00Z","timestamp":1786838400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100012297","name":"Society of Family Planning","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100012297","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Perspect Sexual Reproductive"],"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>While most people in the United States obtain abortion care in outpatient settings, such facilities may limit care for some individuals because of a variety of conditions. The situations when abortion care cannot be obtained in the outpatient setting have not been evaluated, leaving a deficit in understanding the need for hospital\u2010based abortion care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We obtained outpatient abortion facility care protocols from the Society of Family Planning #We Count project, which, in January 2024, invited participating organizations with outpatient physical facilities to share their protocols for determining when patients were unable to be cared for in their facility(ies). Using summative content analysis, we identified health conditions for which a patient could be deemed ineligible, organizing individual conditions thematically and, as appropriate, by organ system.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>We analyzed 20 unique protocols. Protocols delineated ineligibility for temporary conditions (e.g., fever), conditions specific to current pregnancy (e.g., placenta previa), conditions related to the patient's reproductive history or conditions (e.g., history of uterine surgery), and chronic conditions (e.g., hypertension). Protocols varied in quantity of limiting conditions (range: two to 26 conditions) and most frequently included limits to outpatient care for heart disease (15 [75%]), bleeding conditions (15 [75%]), seizure disorders (15 [75%]), hypertension (13 [65%]), anemia (12 [60%]), and asthma (11 [55%]). The definitions for a given condition as a limit for care frequently varied between protocols.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>US outpatient abortion clinics commonly define limitations to outpatient care, but the specific limiting conditions and their criteria vary substantially across protocols.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/psrh.70072","type":"journal-article","created":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T04:06:29Z","timestamp":1786939589000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Conditions That Limit Outpatient Abortion Care at Clinics in the United States"],"prefix":"10.1111","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7472-3074","authenticated-orcid":false,"given":"Katrina","family":"Kimport","sequence":"first","affiliation":[{"name":"ANSIRH University of California  San Francisco California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4569-5614","authenticated-orcid":false,"given":"Melissa J.","family":"Chen","sequence":"additional","affiliation":[{"name":"University of California  Davis, Sacramento California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5967-8180","authenticated-orcid":false,"given":"Mitchell D.","family":"Creinin","sequence":"additional","affiliation":[{"name":"University of California  Davis, Sacramento California USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,8,16]]},"reference":[{"key":"e_1_2_9_2_1","unstructured":"Society of Family Planning \u201c#Wecount Report April 2022 Through December 2024 \u201d2025 June 23 https:\/\/societyfp.org\/wecount\u2010report\u20109\u2010december\u20102024\u2010data\/."},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1363\/psrh.12215"},{"key":"e_1_2_9_4_1","volume-title":"The Safety and Quality of Abortion Care in the United States","author":"National Academies of Sciences, Engineering and Medicine","year":"2018"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0190975"},{"key":"e_1_2_9_6_1","unstructured":"National Abortion Federation \u201cClinical Policy Guidelines for Abortion Care \u201d2024 https:\/\/prochoice.org\/providers\/quality\u2010standards\/."},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000003058"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2012.09.001"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/psrh.12288"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.whi.2014.01.003"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2018.04.004"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2008.07.011"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000003876"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1177\/0022146516669970"},{"key":"e_1_2_9_15_1","unstructured":"KFF \u201cAbortion in the United States Dashboard \u201daccessed 2025 March 14 https:\/\/www.kff.org\/womens\u2010health\u2010policy\/dashboard\/abortion\u2010in\u2010the\u2010u\u2010s\u2010dashboard\/."},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2022.20424"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2025.308191"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0209991"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2023.109956"},{"key":"e_1_2_9_20_1","first-page":"55","volume-title":"When Roe Fell: How Barriers, Inequities, and Systemic Failures of Justice in Abortion Became Visible","author":"O'Donnell J.","year":"2025"},{"key":"e_1_2_9_21_1","doi-asserted-by":"publisher","DOI":"10.1177\/1049732305276687"},{"key":"e_1_2_9_22_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000005821"},{"key":"e_1_2_9_23_1","unstructured":"B.FrederiksenandA.Salganicoff \u201cOut\u2010of\u2010Pocket Costs for Abortion Care Among Individuals Enrolled in Employer Sponsored Insurance Plans \u201d2025 accessed 2026 July 21 https:\/\/www.kff.org\/womens\u2010health\u2010policy\/out\u2010of\u2010pocket\u2010costs\u2010for\u2010abortion\u2010care\u2010among\u2010individuals\u2010enrolled\u2010in\u2010employer\u2010sponsored\u2010insurance\u2010plans\/."}],"container-title":["Perspectives on Sexual and Reproductive Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/psrh.70072","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/psrh.70072","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/psrh.70072","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T04:06:31Z","timestamp":1786939591000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/psrh.70072"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,16]]},"references-count":22,"alternative-id":["10.1111\/psrh.70072"],"URL":"https:\/\/doi.org\/10.1111\/psrh.70072","archive":["Portico"],"relation":{},"ISSN":["1538-6341","1931-2393"],"issn-type":[{"value":"1538-6341","type":"print"},{"value":"1931-2393","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,16]]},"assertion":[{"value":"2026-01-23","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication 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