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Original research article| Volume 75, ISSUE 1, P45-51, January 2007

Provider practice models for and costs of delivering medication abortion ��� evidence from 11 US abortion care settings

  • Aimee Afable-Munsuz
    Correspondence
    Corresponding author. Institute for Health Policy Studies, University of California, San Francisco (UCSF), Box 0936, San Francisco, CA 94143, USA. Tel.: +1 415 476 1639; fax: +1 415 476 0705.
    Affiliations
    University of California, San Francisco and Advancing New Standards in Reproductive Health (ANSIRH) program, Bixby Center for Reproductive Health Research & Policy, San Francisco, CA 94143, USA
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  • Heather Gould
    Affiliations
    University of California, San Francisco and Advancing New Standards in Reproductive Health (ANSIRH) program, Bixby Center for Reproductive Health Research & Policy, San Francisco, CA 94143, USA
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  • Felicia Stewart
    Affiliations
    University of California, San Francisco and Advancing New Standards in Reproductive Health (ANSIRH) program, Bixby Center for Reproductive Health Research & Policy, San Francisco, CA 94143, USA

    Department of Obstetrics, Gynecology and Reproductive Sciences, UCSF, San Francisco, CA 94143, USA
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  • Kathryn A. Phillips
    Affiliations
    University of California, San Francisco and Advancing New Standards in Reproductive Health (ANSIRH) program, Bixby Center for Reproductive Health Research & Policy, San Francisco, CA 94143, USA

    Department of Clinical Pharmacy, UCSF, San Francisco, CA 94143, USA
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  • Stephanie L. Van Bebber
    Affiliations
    University of California, San Francisco and Advancing New Standards in Reproductive Health (ANSIRH) program, Bixby Center for Reproductive Health Research & Policy, San Francisco, CA 94143, USA

    Department of Clinical Pharmacy, UCSF, San Francisco, CA 94143, USA
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  • Charlie Moore
    Affiliations
    HealthMetrics, Inc., Bedford, MA 01730, USA
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      Abstract

      Purpose

      Understanding practice models and provider costs for medication abortion (MAB) provision may elucidate ways to facilitate MAB integration into a larger arena of health care services. This study provides descriptive data on the diverse MAB practice models currently being utilized by US health care providers and the costs associated with the components of those models.

      Method

      Data were gathered from a sample of 11 abortion care settings, using clinic administrative records and patient satisfaction surveys.

      Results

      Practice models varied dramatically, with a wide range in the type of staff employed to provide MAB. The total episode cost for providing MAB ranged from $252 to $460, and patient satisfaction was high across all practices.

      Conclusion

      Information from this study can be used to guide decisions regarding MAB integration into practices not currently providing abortion or which provide only aspiration abortions. The information may also be useful for providers wishing to refine their MAB services.

      Keywords

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