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The objective of this study is to evaluate whether there are different clinical outcomes and unscheduled follow-ups between in-person and telemedicine medication abortion, and to better understand patients' experiences with telemedicine medication abortion and their motivations for seeking unscheduled follow-up care in a setting where abortion care, including both virtual and in-person follow-up care, is readily accessible.
This study will be retrospective chart review comparing clinical and demographic characteristics, eligibility, treatment success, participation in unscheduled and scheduled follow-ups, and adverse events of patients who obtained a telemedicine medication abortion through the Telehealth Medication Abortion Clinic with patients who received an in-person medication abortion provided at the Family Planning Faculty Practice from June 2023 through September 2024.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Telemedicine Med Ab | Patients who received medication abortion through the telemedicine medication abortion service during the study period. |
| |
| In-person Med Ab | Patients who received an in-person medication abortion at the clinic during the study period. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Telemedicine Medication Abortion | Other | Meeting with a clinician via video visit to determine if patient is eligible for medication abortion without pre-treatment ultrasound or laboratory testing. If eligible, the patient travels to clinic to pick up medications in person. |
| Measure | Description | Time Frame |
|---|---|---|
| Number of unscheduled follow-ups | If patients engaged in follow-up are outside of their routinely scheduled follow-up visit 1-2 weeks after medication abortion | 3 months after initial encounter |
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Inclusion Criteria:
Exclusion Criteria:
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Biologically female patients of reproductive age with an unwanted pregnancy seeking care at Columbia University's family planning clinics and interested in medication abortion.
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Columbia University Irving Medical Center | New York | New York | 10032-3720 | United States |
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