{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,31]],"date-time":"2026-07-31T18:35:04Z","timestamp":1785522904871,"version":"3.56.0"},"reference-count":29,"publisher":"BMJ","license":[{"start":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T00:00:00Z","timestamp":1785196800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"European Society for Contraception","award":["N\/A"],"award-info":[{"award-number":["N\/A"]}]},{"DOI":"10.13039\/100011396","name":"Irish College of General Practitioners","doi-asserted-by":"publisher","award":["N\/A"],"award-info":[{"award-number":["N\/A"]}],"id":[{"id":"10.13039\/100011396","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Sex Reprod Health"],"accepted":{"date-parts":[[2026,7,13]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Early medical abortion (EMA) in Ireland is delivered through general practitioners (GPs) operating within a nationally standardised, three-visit care protocol. Since 2020, a blended model has emerged in which the initial consultation and follow-up may be conducted by telemedicine, with in-person attendance required for medication administration. We describe the development and implementation of the Activity Data on Abortion in General Practice (ADAPT) data collection tool and present the first GP-level evidence on the integration of telemedicine into Irish GP-delivered EMA.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>ADAPT was developed in 2025 by a subcommittee of the Southern Taskforce on Abortion and Reproductive Topics (START) and researchers at Trinity College Dublin to fill a critical void in abortion data collection in Ireland. The tool collects 49 prospective anonymous patient- and practice-level measures. Descriptive, provider-level statistics were reviewed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Between August 2025 and April 2026, 124 GPs expressed interest in ADAPT, 112 signed consent and data-sharing agreements and 64 submitted at least one complete patient record. Of these 64 GPs, 48.4% provided mixed (both remote and in-person) consultation modalities, 32.8% delivered fully in-person care and 18.8% provided fully remote care at Visit 1, with no significant differences by provider characteristics.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>ADAPT provides the first structured GP-level evidence base for EMA in Ireland. Our early data show that telemedicine is not a marginal or exceptional feature of Irish GP-delivered EMA: the majority of participating GPs offer it in some form.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjsrh-2026-203296","type":"journal-article","created":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T17:20:34Z","timestamp":1785259234000},"page":"bmjsrh-2026-203296","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Early medical abortion in Irish general practice: the Activity Data on Abortion in General Practice (ADAPT) data collection project and telemedicine as routine care"],"prefix":"10.1136","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-8781-1874","authenticated-orcid":false,"given":"Katelin","family":"Bratt","sequence":"first","affiliation":[{"name":"School of Social Work and Social Policy, Trinity College Dublin, Dublin, Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Danielle","family":"Young","sequence":"additional","affiliation":[{"name":"School of Social Work and Social Policy, Trinity College Dublin, Dublin, Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mary","family":"Favier","sequence":"additional","affiliation":[{"name":"Parklands Surgery, Cork, Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Patricia","family":"Horgan","sequence":"additional","affiliation":[{"name":"Broad Lane Family Practice, Cork, Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6744-7382","authenticated-orcid":false,"given":"Catherine","family":"Conlon","sequence":"additional","affiliation":[{"name":"School of Social Work and Social Policy, Trinity College Dublin, Dublin, Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mark","family":"Murphy","sequence":"additional","affiliation":[{"name":"Strand Medical, Dublin, Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2026,7,28]]},"reference":[{"key":"2026073110201953000_bmjsrh-2026-203296v2.1","doi-asserted-by":"crossref","unstructured":"Paul M , Lichtenberg E , Borgatta L . Management of unintended and abnormal pregnancy . In: Comprehensive abortion care. 2009. Available: https:\/\/onlinelibrary.wiley.com\/doi\/book\/10.1002\/9781444313031","DOI":"10.1002\/9781444313031"},{"key":"2026073110201953000_bmjsrh-2026-203296v2.2","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2012.06.011"},{"key":"2026073110201953000_bmjsrh-2026-203296v2.3","doi-asserted-by":"crossref","first-page":"164","DOI":"10.1363\/3816412","article-title":"Use of medicines changing the face of abortion","volume":"38","author":"Winikoff","year":"2012","journal-title":"Int Perspect Sex Reprod Health"},{"key":"2026073110201953000_bmjsrh-2026-203296v2.4","unstructured":"World Health Organization . Abortion care guideline. 2022. Available: https:\/\/www.who.int\/publications\/i\/item\/9789240039483"},{"key":"2026073110201953000_bmjsrh-2026-203296v2.5","article-title":"The use of telemedicine services for medical abortion","volume":"6","author":"Cleeve","year":"2025","journal-title":"Cochrane Database Syst Rev"},{"key":"2026073110201953000_bmjsrh-2026-203296v2.6","doi-asserted-by":"crossref","first-page":"67","DOI":"10.1016\/j.contraception.2022.06.009","article-title":"Telemedicine for medical abortion service provision in Mexico: A safety, feasibility, and acceptability study","volume":"114","author":"Pe\u00f1a","year":"2022","journal-title":"Contraception"},{"key":"2026073110201953000_bmjsrh-2026-203296v2.7","doi-asserted-by":"publisher","DOI":"10.1007\/s10728-021-00439-9"},{"key":"2026073110201953000_bmjsrh-2026-203296v2.8","doi-asserted-by":"publisher","DOI":"10.1370\/afm.3058"},{"key":"2026073110201953000_bmjsrh-2026-203296v2.9","doi-asserted-by":"publisher","DOI":"10.3122\/jabfm.2023.230178R1"},{"key":"2026073110201953000_bmjsrh-2026-203296v2.10","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.16765"},{"key":"2026073110201953000_bmjsrh-2026-203296v2.11","doi-asserted-by":"crossref","first-page":"561","DOI":"10.1111\/1469-8676.12914","article-title":"Repealing Ireland\u2019s Eighth Amendment: abortion rights and democracy today","volume":"28","author":"Dr\u0105\u017ckiewicz","year":"2020","journal-title":"Soc Anthropol"},{"key":"2026073110201953000_bmjsrh-2026-203296v2.12","first-page":"109","article-title":"From the Grassroots to the Oireachtas: Abortion Law Reform in the Republic of Ireland","volume":"21","author":"Carnegie","year":"2019","journal-title":"Health Hum Rights"},{"key":"2026073110201953000_bmjsrh-2026-203296v2.13","unstructured":"Department of Health . Notifications in accordance with section 20 of the health (regulation of termination of pregnancy) act 2018: annual report 2024. Government of Ireland, 2025. Available: https:\/\/www.gov.ie\/en\/department-of-health\/publications\/notifications-in-accordance-with-section-20-of-the-health-regulation-of-termination-of-pregnancy-act-2018-annual-report-2024\/"},{"key":"2026073110201953000_bmjsrh-2026-203296v2.14","doi-asserted-by":"crossref","first-page":"502","DOI":"10.1016\/j.contraception.2021.05.021","article-title":"Termination of pregnancy services in Irish general practice from January 2019 to June 2019","volume":"104","author":"Horgan","year":"2021","journal-title":"Contraception"},{"key":"2026073110201953000_bmjsrh-2026-203296v2.15","unstructured":"World Health Organization . Primary health care 2025. 2025. 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