High Health School, University of Applied Sciences of Western Switzerland (HES-SO), Geneva, Switzerland.
Swiss Med Wkly. 2012 May 31;142:w13584. doi: 10.4414/smw.2012.13584. eCollection 2012.
In 2002, by popular vote, Swiss citizens accepted to legalise termination of pregnancy (TOP), up to the 12th week of amenorrhoea (WA). As a result, the cantons formulated rules of application. In 2002, medical TOP was authorised. Health institutions then had to modify their procedures and practices.
QUESTIONS UNDER STUDY/PRINCIPLES: What are the views of healthcare professionals on the modifications of procedures and practices implemented in French-speaking Switzerland?
Qualitative method: in-depth interviews with 77 healthcare professionals, including doctors, nurses and midwives, and sexual and reproductive health social workers. Voluntary participation. Thematic analysis with content analysis software.
Most professionals have a balanced point of view on their practices. There is no point of view specific to each different category of professionals interviewed. They are unanimous on the elimination of the need for a second opinion. The points of view diverge on the usefulness of imposed waiting time to think before TOP, minors' access to TOP without parental consent, access to medical TOP and the right to refuse to practice TOP for personal reasons in public hospitals.
The professionals do not question women's right to have TOP up to 12 WA, but they do diverge over procedures and practices. Institutional and cantonal cultures are probably behind these differences.
2002 年，瑞士公民通过全民投票，同意将终止妊娠（TOP）合法化，最晚可在停经第 12 周（WA）进行。因此，各州制定了实施细则。2002 年，医疗性 TOP 被授权。卫生机构随后必须修改其程序和做法。
研究问题/原则：瑞士法语区的医疗保健专业人员对实施的程序和做法的修改有何看法？
定性方法：对 77 名医疗保健专业人员（包括医生、护士和助产士以及性与生殖健康社会工作者）进行深入访谈。自愿参与。使用主题分析和内容分析软件进行专题分析。
大多数专业人员对其做法持平衡观点。没有特定于采访的每个不同类别的专业人员的观点。他们一致认为无需再征求意见。对强制性等待时间的有用性的观点存在分歧，以便在 TOP 之前进行思考，未成年人未经父母同意获得 TOP 的机会，获得医疗 TOP 的机会以及出于个人原因在公立医院拒绝进行 TOP 的权利。
专业人员并没有质疑女性在停经 12 周内进行 TOP 的权利，但他们对程序和做法存在分歧。机构和州的文化可能是造成这些差异的原因。
