Department of Obstetrics and Gynecology, Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA.
Womens Health Issues. 2013 Sep-Oct;23(5):e281-6. doi: 10.1016/j.whi.2013.06.003. Epub 2013 Jul 30.
To assess the accuracy of knowledge of state-level abortion laws and regulations among clinicians who provide reproductive health care.
Members of several reproductive health professional organizations completed a self-administered survey. Respondents were asked if laws and regulations were present in their state. Responses were graded according to the Guttmacher Institute's monthly publication State Policies in Brief: An Overview of Abortion Laws.
Three hundred forty-one surveys were completed. Fifty-nine respondents met exclusion criteria and were excluded. Of the remaining 282, most (80.1%) were physicians, and over half (55.0%) reported currently providing abortion services. Most (86.5%) considered themselves to be informed about abortion laws and regulations in their state. Knowledge of laws and regulations involving spousal involvement, mandatory waiting periods, and availability of private insurance coverage was high (77.0%-86.2%). Receiving reminders of state abortion laws and regulations was associated with significantly more accurate knowledge of parental notification and spousal consent laws, mandatory waiting periods, and availability of Medicaid and private insurance coverage (all p < .05). Receiving reminders and being a provider of abortion services were independent predictors of better knowledge of state abortion laws and regulations among clinicians who provide reproductive health care.
Clinicians who provide reproductive health care had highly accurate knowledge of some abortion laws and regulations, but less accurate knowledge of others. Reminders of laws and regulations may increase knowledge among clinicians. Given the importance of accurate information, evaluation of mechanisms to increase knowledge of abortion laws and regulations may be warranted.
评估提供生殖保健服务的临床医生对州级堕胎法例和规例的认知准确性。
几个生殖健康专业组织的成员完成了一份自我管理的调查。受访者被问到他们所在的州是否有法律和法规。根据古特马赫研究所（Guttmacher Institute）每月出版的《州政策简讯：堕胎法概述》，对回答进行评分。
完成了 341 份调查。59 名受访者符合排除标准并被排除在外。在剩下的 282 名受访者中，大多数（80.1%）是医生，超过一半（55.0%）报告目前提供堕胎服务。大多数（86.5%）认为自己对所在州的堕胎法例和规例有一定的了解。对涉及配偶参与、强制性等待期和私人保险覆盖范围的法律和规例的了解程度较高（77.0%-86.2%）。收到有关州堕胎法例和规例的提醒与对父母通知和配偶同意法例、强制性等待期以及医疗补助和私人保险覆盖范围的更准确知识之间存在显著关联（均 p<.05）。收到提醒和提供堕胎服务是生殖保健提供者临床医生对州级堕胎法律和法规的更好认知的独立预测因素。
提供生殖保健服务的临床医生对某些堕胎法例和规例的认知准确性很高，但对其他法例的认知准确性较低。对法律和规例的提醒可能会增加临床医生的知识。鉴于准确信息的重要性，评估增加堕胎法例和规例知识的机制可能是必要的。
