Department of Obstetrics and Gynecology, Beth Israel Deaconess Medical Center, B330 Brookline Avenue, Boston, MA 02215,USA.
Womens Health Issues. 2012 Sep;22(5):e415-20. doi: 10.1016/j.whi.2012.07.002.
To determine the accuracy of information regarding state-level abortion laws and policies received by a simulated patient from front-line staff at facilities providing abortion services.
U.S. states were ranked by restrictiveness of access to abortion, and a simulated patient made calls to the five most and six least restrictive states. Three scripts were used to simulate the following three patients: a 17-year-old minor, a married woman, and a woman at 15 weeks of gestation. Each facility was called three times. Accuracy of the information provided was assessed using a list of laws published monthly by the Guttmacher Institute.
Of 138 calls, 72 (52.2%) were made to least restrictive states, and 66 (47.8%) were made to most restrictive states. Information provided by front-line staff was generally excellent, with over 90% accuracy regarding spousal and parental involvement, presence of, and length of mandatory waiting periods. Most inaccuracies were owing to responses of "I don't know." Despite providing highly accurate information regarding the existence of parental involvement laws, only 55.6% of front-line staff members in states with parental involvement laws informed the simulated minor patient of her right to a judicial bypass.
Information regarding state abortion laws and policies provided by front-line staff members at facilities that provide abortion services is highly accurate, with the exception of judicial bypass for parental involvement. Resources should be developed for reproductive health care providers and their staff to ensure that all information provided to patients is accurate and comprehensive.
确定向提供堕胎服务的医疗机构一线工作人员提供的有关州级堕胎法和政策的信息的准确性。
根据堕胎准入的限制程度对美国各州进行排名，然后由一名模拟患者向最宽松的五个州和最严格的六个州的机构打电话。使用三个脚本来模拟以下三种患者：一名 17 岁的未成年人、一名已婚妇女和一名怀孕 15 周的妇女。每个机构被呼叫三次。使用盖特马赫研究所每月公布的法律清单评估提供信息的准确性。
在 138 次通话中，72 次（52.2%）打给了限制最宽松的州，66 次（47.8%）打给了限制最严格的州。一线工作人员提供的信息通常非常准确，对于配偶和父母的参与、强制性等待期的存在和长度，准确率超过 90%。大多数不准确之处是由于回答“我不知道”。尽管提供了有关父母参与法律存在的高度准确信息，但在有父母参与法律的州，只有 55.6%的一线工作人员告知模拟未成年患者她有权进行司法回避。
向提供堕胎服务的医疗机构一线工作人员提供的有关州堕胎法和政策的信息准确性很高，除了父母参与的司法回避。应开发资源，为生殖健康护理提供者及其工作人员提供信息，以确保向患者提供的所有信息都是准确和全面的。
