{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T18:11:15Z","timestamp":1790791875261,"version":"4.1.0"},"reference-count":29,"publisher":"Guttmacher Institute","issue":"4","license":[{"start":{"date-parts":[[2022,10,13]],"date-time":"2022-10-13T00:00:00Z","timestamp":1665619200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100012297","name":"Society of Family Planning","doi-asserted-by":"publisher","award":["SFPRF20\u201004"],"award-info":[{"award-number":["SFPRF20\u201004"]}],"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"],"published-print":{"date-parts":[[2022,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Context<\/jats:title>\n                    <jats:p>Direct\u2010to\u2010patient telemedicine abortion allows people to receive mifepristone and misoprostol for medication abortion in their home without requiring an in\u2010person visit with a healthcare provider. This method has high efficacy and safety, but less is known about the person\u2010centered quality of care provided with telemedicine.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We interviewed 45 participants from the TelAbortion study of direct\u2010to\u2010patient telemedicine abortion in the United States from January to July 2020. Semi\u2010structured qualitative interviews queried their choices, barriers to care, expectations for care, actual abortion experience, and suggestions for improvement. We developed a codebook through an iterative, inductive process and performed content and thematic analyses.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The experience of direct\u2010to\u2010patient telemedicine abortion met the person\u2010centered domains of dignity, autonomy, privacy, communication, social support, supportive care, trust, and environment. Four themes relate to the person\u2010centered framework for reproductive health equity: (1) Participants felt well\u2010supported and safe with TelAbortion; (2) Participants had autonomy in their care which led to feelings of empowerment; (3) TelAbortion exceeded expectations; and (4) Challenges arose when interfacing with the healthcare system outside of TelAbortion. Participants perceived abortion stigma which often led them to avoid traditional care and experienced enacted stigma during encounters with non\u2010study healthcare workers.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>TelAbortion is a high quality, person\u2010centered care model that can empower patients seeking care in an increasingly challenging abortion context.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1363\/psrh.12210","type":"journal-article","created":{"date-parts":[[2022,10,13]],"date-time":"2022-10-13T22:24:47Z","timestamp":1665699887000},"page":"177-187","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":20,"title":["Person\u2010centered, high\u2010quality care from a distance: A qualitative study of patient experiences of\n                    <scp>TelAbortion<\/scp>\n                    , a model for direct\u2010to\u2010patient medication abortion by mail in the United States"],"prefix":"10.1363","volume":"54","author":[{"given":"Courtney","family":"Kerestes","sequence":"first","affiliation":[{"name":"Department of Obstetrics, Gynecology, and Women's Health, John A. Burns School of Medicine University of Hawai'i at M\u0101noa  Honolulu Hawai'i USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rebecca","family":"Delafield","sequence":"additional","affiliation":[{"name":"Department of Native Hawaiian Health University of Hawai'i at M\u0101noa  Honolulu Hawai'i USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer","family":"Elia","sequence":"additional","affiliation":[{"name":"Maternal and Infant Health Early Childhood Action Strategy  Honolulu Hawai'i USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tara","family":"Shochet","sequence":"additional","affiliation":[{"name":"Gynuity Health Projects  New York New York USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bliss","family":"Kaneshiro","sequence":"additional","affiliation":[{"name":"Department of Obstetrics, Gynecology, and Women's Health, John A. Burns School of Medicine University of Hawai'i at M\u0101noa  Honolulu Hawai'i USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Reni","family":"Soon","sequence":"additional","affiliation":[{"name":"Department of Obstetrics, Gynecology, and Women's Health, John A. Burns School of Medicine University of Hawai'i at M\u0101noa  Honolulu Hawai'i USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"259","published-online":{"date-parts":[[2022,10,13]]},"reference":[{"key":"e_1_2_7_2_1","volume-title":"Medication Abortion Now Accounts for More Than Half of All US Abortions","year":"2022"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1097\/GCO.0000000000000498"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0b013e318224d110"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.15684"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2021.04.010"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.conx.2020.100049"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/1471-0528.16668"},{"issue":"4","key":"e_1_2_7_9_1","first-page":"bmjsrh","article-title":"Telemedicine medical abortion at home under 12\u2009weeks' gestation: a prospective observational cohort study during the COVID\u201019 pandemic. BMJ Sex","volume":"47","author":"Reynolds\u2010Wright JJ","year":"2021","journal-title":"Reprod Health"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1097\/AOG.0000000000000897"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2019.05.013"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2021.03.019"},{"key":"e_1_2_7_13_1","volume-title":"Committee on Quality of Health Care in America. Crossing the Quality Chasm: A New Health System for the 21st Century","author":"Institute of Medicine (US)","year":"2001"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1596\/978-92-4-151390-6"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2019.07.006"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1136\/jfprhc-2015-101427"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.12688\/gatesopenres.12756.1"},{"key":"e_1_2_7_18_1","doi-asserted-by":"publisher","DOI":"10.1097\/GCO.0000000000000492"},{"key":"e_1_2_7_19_1","doi-asserted-by":"publisher","DOI":"10.1080\/13691050902842741"},{"key":"e_1_2_7_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.whi.2011.02.010"},{"key":"e_1_2_7_21_1","doi-asserted-by":"publisher","DOI":"10.1363\/48e8516"},{"key":"e_1_2_7_22_1","doi-asserted-by":"publisher","DOI":"10.1080\/17441692.2011.594072"},{"key":"e_1_2_7_23_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2021.04.028"},{"key":"e_1_2_7_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.contraception.2021.04.027"},{"key":"e_1_2_7_25_1","unstructured":"Guttmacher Institute.State abortion policy landscape: From hostile to supportive. 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