[Abortion in Hauts-de-France: When to expect the first appointment?]

Interruption volontaire de grossesse dans les Hauts-de-France : quel délai pour un premier rendez-vous ?
Abortion Appointments and schedules Besoins et demandes de services de santé Health services needs and demand Interruption légale de grossesse Rendez-vous et plannings

Journal

Revue d'epidemiologie et de sante publique
ISSN: 0398-7620
Titre abrégé: Rev Epidemiol Sante Publique
Pays: France
ID NLM: 7608039

Informations de publication

Date de publication:
Feb 2019
Historique:
received: 24 12 2017
revised: 05 09 2018
accepted: 05 10 2018
pubmed: 16 11 2018
medline: 29 5 2019
entrez: 16 11 2018
Statut: ppublish

Résumé

According to the French National Authority for Health ("Haute Autorité de santé"), the first appointment for an abortion should take place within five days of the request. Whether this deadline is met or not in the Hauts-de-France region is not known. The aim of this study was to measure the time needed to get a first appointment for an abortion in Hauts-de-France. We conducted a telephone survey of health facilities, family planning and registered practitioners practicing abortions in the Hauts-de-France region, to determine the next appointment available for a woman requesting an abortion. The calls took place between April 10 and 14, 2017. The time needed to get a first appointment (means±standard deviations) was calculated for the region, the departments, the districts and the health facilities and practitioners. We contacted 93 health facilities and practitioners and 70 were included in the study. The time needed to get a first appointment for an abortion in Hauts-de-France was measured at 5.25±5.20 days: 6.32±4.72 days for health facilities, 3.84±5.11 days for gynecologists, 5.22±5.88 days for general practitioners and 0.67±0.58 days for private-practice midwives. Fifty-six percent of health facilities and practitioners gave the appointment within five days. Between the districts, the average time varied from 1 to 15.5 days. The average time needed to get a first appointment for an abortion in Hauts-de-France was near the 5-day deadline recommended by the French National Authority for Health. The training of private practice midwives and general practitioners may be the first step in shortening it in some districts where access to health care is limited.

Sections du résumé

BACKGROUND BACKGROUND
According to the French National Authority for Health ("Haute Autorité de santé"), the first appointment for an abortion should take place within five days of the request. Whether this deadline is met or not in the Hauts-de-France region is not known.
AIM OBJECTIVE
The aim of this study was to measure the time needed to get a first appointment for an abortion in Hauts-de-France.
METHOD METHODS
We conducted a telephone survey of health facilities, family planning and registered practitioners practicing abortions in the Hauts-de-France region, to determine the next appointment available for a woman requesting an abortion. The calls took place between April 10 and 14, 2017. The time needed to get a first appointment (means±standard deviations) was calculated for the region, the departments, the districts and the health facilities and practitioners.
RESULTS RESULTS
We contacted 93 health facilities and practitioners and 70 were included in the study. The time needed to get a first appointment for an abortion in Hauts-de-France was measured at 5.25±5.20 days: 6.32±4.72 days for health facilities, 3.84±5.11 days for gynecologists, 5.22±5.88 days for general practitioners and 0.67±0.58 days for private-practice midwives. Fifty-six percent of health facilities and practitioners gave the appointment within five days. Between the districts, the average time varied from 1 to 15.5 days.
CONCLUSION CONCLUSIONS
The average time needed to get a first appointment for an abortion in Hauts-de-France was near the 5-day deadline recommended by the French National Authority for Health. The training of private practice midwives and general practitioners may be the first step in shortening it in some districts where access to health care is limited.

Identifiants

pubmed: 30429061
pii: S0398-7620(18)31360-9
doi: 10.1016/j.respe.2018.10.001
pii:
doi:

Types de publication

Journal Article

Langues

fre

Sous-ensembles de citation

IM

Pagination

51-57

Informations de copyright

Copyright © 2018 Elsevier Masson SAS. All rights reserved.

Auteurs

C Quandalle (C)

Département de médecine générale, université de Lille, 59000 Lille, France.

J Favre (J)

Département de médecine générale, université de Lille, 59000 Lille, France.

E Vérité (E)

Agence régionale de santé Hauts-de-France, 59000 Lille, France.

S Gautier (S)

Centre régional de pharmacovigilance, université de Lille, CHU Lille, 59000 Lille, France.

D Subtil (D)

Service de gynécologie-obstétrique, université de Lille, CHU Lille, 59000 Lille, France.

C Berkhout (C)

Département de médecine générale, université de Lille, 59000 Lille, France.

M Rochoy (M)

Département de médecine générale, université de Lille, 59000 Lille, France. Electronic address: Michael.rochoy@gmail.com.

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Classifications MeSH