The patient perspective: perceptions of the quality of the abortion experience

@article{Altshuler2018ThePP,
  title={The patient perspective: perceptions of the quality of the abortion experience},
  author={Anna L. Altshuler and Natalie S. Whaley},
  journal={Current Opinion in Obstetrics and Gynecology},
  year={2018},
  volume={30},
  pages={407–413}
}
Purpose of review Abortion services are essential in sexual and reproductive health and should be held to the same standards as other health services. Patient (or person)-centeredness is a key dimension of healthcare quality that incorporates the perspectives of patients in care provision. The purpose of this review is to summarize studies published in the last year examining women's experiences with abortion care and to describe facilitators and barriers to person-centered care. Recent… 
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Person-centred care for abortion services in private facilities to improve women’s experiences in Kenya
TLDR
When women received clear communication and personalised comprehensive information on abortion and post-abortion care from their healthcare providers, they reported more positive experiences overall and higher reproductive autonomy.
Development and validation of a person-centered abortion scale: the experiences of care in private facilities in Kenya
TLDR
The developed and validated person-centered abortion care scale had high content, construct, criterion validity, and reliability, and will facilitate measurement and further research to better understand women’s experiences during abortion care and to improve the quality of women's overall reproductive health experiences to improve health outcomes.
Is there a difference in women’s experiences of care with medication vs. manual vacuum aspiration abortions? Determinants of person-centered care for abortion services
TLDR
A cross-sectional study of 353 women undergoing abortions at one of six family planning clinics in Nairobi County, Kenya in 2018 finds that the MVA sample had a 92% greater likelihood of reporting higher person-centered abortion care scores compared to MA clients, and suggests that more efforts are needed to improve the domain of Communication and Autonomy, particularly for MA clients.
Breaking the silence in the primary care office: patients' attitudes toward discussing abortion during contraceptive counseling
Perspectives on high-quality interpersonal care among people obtaining abortions in Argentina
Introduction Little is known about how people who have abortions describe high-quality interpersonal care in Argentina. This qualitative study aimed to understand preferences and priorities in their…
A Constructivist Vision of the First-Trimester Abortion Experience
TLDR
This paper critically assesses the evidence about how a high-quality abortion experience might be achieved in the first trimester and highlights the broader environment and framework of state obligations necessary to underpin the lived experience of abortion.
“It's not a seven-headed beast”: abortion experience among women that received support from helplines for medication abortion in restrictive settings
TLDR
Helpline models can provide high-quality, person-centered abortion care to people seeking abortions in legally restrictive contexts and improve service within the formal healthcare systems and expand access to high- quality, safe abortion by redefining what it means to provide care.
Factors influencing abortion decisions, delays, and experiences with abortion accompaniment in Mexico among women living outside Mexico City: results from a cross-sectional study
Abstract Access to abortion throughout much of Mexico has been restricted. Fondo Maria is an abortion accompaniment fund that provides informational, logistical, financial, and emotional support to…
Improving experience of medical abortion at home in a changing therapeutic, technological and regulatory landscape: a realist review
TLDR
The synthesis suggests that having a choice of abortion location remains essential as some people are unable to have a medical abortion at home and that strategies that reduce surprise or anxiety and enable preparation and a sense of control support the transition of this complex intervention outside healthcare environments.
Role of Social and Informational Support while Deciding on Pregnancy Termination for Medical Reasons
TLDR
The decision to terminate a pregnancy is made by mature women with a stable life situation—supported by their partner and close family, who do not expect systemic support, as they believe it is marginal, and only seek emotional support from their closest family.
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