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Objectives: In most European countries, patients seeking medication abortion during the COVID pandemic are still required to attend healthcare settings in person. We assessed whether demand for self-managed medication abortion provided by online telemedicine increased following the emergence of COVID Methods: We examined requests for self-managed abortion to online telemedicine service Women on Web WoW between 1 January and 1 June We used regression discontinuity to compare request rates in eight European countries before and after they implemented lockdown measures to slow COVID transmission.

We examined the prevalence of COVID infection, the degree of government-provided economic support, the severity of lockdown travel restrictions and the medication abortion service provision model in countries with Aiken Texas sex service without ificant changes in requests. Among countries with ificant increases in requests, abortion services are provided mainly in person in hospitals or abortion is unavailable and international travel was prohibited during lockdown.

By contrast, Great Britain implemented a fully remote no-test telemedicine service. Conclusion: These marked changes in requests for self-managed medication abortion during the COVID pandemic demonstrate demand for remote models of care, which could be fulfilled by expanding access to medication abortion by telemedicine.

Keywords: abortion; health policy; health services accessibility. No commercial re-use. See rights and permissions. Published by BMJ. The authors declare no financial relationships with any organisations that might have an interest in the submitted work in the 3 years. RG is the founder and director of Women on Web. The authors declare no other relationships or activities that could appear to have influenced the submitted work. Please enable it to take advantage of the complete set of features! Clipboard, Search History, and several other advanced features are temporarily unavailable.

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of items displayed: 5 10 15 20 50 Create RSS Cancel. RSS Link Copy. Full text links Cite Display options Display options. Abstract Objectives: In most European countries, patients seeking medication abortion during the COVID pandemic are still required to attend healthcare settings in person.

Figures Figure 1 Observed versus expected requests to…. Figure 1 Observed versus expected requests to Women on Web for all countries included in…. Observed versus expected requests to Women on Web for all countries included in the analysis.

Vertical dashed lines show the dates when stay-at-home orders were announced. The blue line shows the model without any discontinuities the null modeland the green line shows the model fit with a discontinuity. See this image and copyright information in PMC. Aiken ARA, et al. Am J Public Health. Epub Oct Federal, state, and institutional barriers to the expansion of medication and telemedicine abortion services in Ohio, Kentucky, and West Virginia during the COVID pandemic.

Mello K, et al. Epub Apr PMID: Bojovic N, et al. Health Policy. Epub May PMID: Review. Online access to abortion medications: a review of utilization and clinical outcomes. Endler M, et al. Epub Jul 2. See all similar articles. Montanari Vergallo G, et al. Medicina Kaunas. Obstacles and opportunities: a qualitative study of the experiences of abortion centre staff with abortion care during the first COVID lockdown in Flanders, Belgium. De Kort L, et al. Sex Reprod Health Matters. Baral S, et al.

Department of Health and Social Care Temporary approval of home use for both stages of early medical abortion in England, Department of Health and Social Services Temporary approval of home use for Aiken Texas sex service stages of early medical abortion in Wales, Scottish Government Chief Medical Officer Directorate Temporary approval of home use for both stages of early medical abortion in Scotland, Show all 30 references.

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Factors Associated With Use of an Online Telemedicine Service to Access Self-managed Medical Abortion in the US