High Health School, Geneva, University of Applied Sciences of Western Switzerland (HES-SO), Switzerland.
Swiss Med Wkly. 2011 Oct 19;141:w13282. doi: 10.4414/smw.2011.13282. eCollection 2011.
In 2002, Swiss citizens voted to accept new laws legalising the termination of pregnancy (TOP) up to 12th week of pregnancy. As a result the cantons formulated rules of implementation. Health institutions then had to modify their procedures and practices.
QUESTIONS UNDER STUDY/PRINCIPLES: One of the objectives of these changes was to simplify the clinical course for women who decide to terminate a pregnancy. Have the various health institutions in French-speaking Switzerland attained this goal? Are there differences between cantons? Are there any other differences, and if so, which ones?
Comparative study of cantonal rules of implementation. Study by questionnaire of what happened to 281 women having undergone a TOP in French-speaking Switzerland. Quantitative and qualitative method.
The comparative legal study of the six cantonal rules of implementation showed differences between cantons. The clinical course for women are defined by four quantifiable facts: 1) the number of days delay between the woman's decision (first step) and TOP; 2) the number of appointments attended before TOP; 3) the method of TOP; 4) the cost of TOP. On average, the waiting time was 12 days and the number of appointments was 3. The average cost of TOP was 1360 CHF. The differences, sometimes quite large, are explained by the size of the institutions (large university hospitals; average-sized, non-university hospitals; private doctors' offices).
The cantonal rules of implementation and the size of the health care institutions play an important role in these courses for women in French-speaking Switzerland.
2002 年，瑞士公民投票通过新法律，将妊娠终止（TOP）的合法时间延长至妊娠第 12 周。因此，各州制定了实施细则。卫生机构随后不得不修改其程序和做法。
研究问题/原则：这些变化的目标之一是简化决定终止妊娠的妇女的临床流程。瑞士法语区的各种卫生机构是否实现了这一目标？各州之间是否存在差异？是否存在其他差异，如果有，是哪些？
对瑞士法语区各州实施细则的比较研究。对瑞士法语区 281 名接受 TOP 的妇女进行问卷调查，了解她们的情况。定量和定性方法。
对六个州实施细则的比较法律研究显示了各州之间的差异。妇女的临床流程由四个可量化的事实来定义：1）妇女做出决定（第一步）与 TOP 之间的天数延迟；2）在 TOP 之前参加的预约次数；3）TOP 的方法；4）TOP 的费用。平均而言，等待时间为 12 天，预约次数为 3 次。TOP 的平均费用为 1360 瑞士法郎。差异有时很大，原因是医疗机构的规模不同（大型大学医院；规模适中、非大学医院；私人医生办公室）。
瑞士法语区的实施细则和医疗机构的规模在这些妇女的课程中起着重要作用。
