Quandalle C, Favre J, Vérité E, Gautier S, Subtil D, Berkhout C, Rochoy M
Département de médecine générale, université de Lille, 59000 Lille, France.
Agence régionale de santé Hauts-de-France, 59000 Lille, France.
Rev Epidemiol Sante Publique. 2019 Feb;67(1):51-57. doi: 10.1016/j.respe.2018.10.001. Epub 2018 Nov 11.
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.
根据法国国家卫生管理局（“Hautes Autorité de santé”）的规定，首次堕胎预约应在申请后的五天内进行。目前尚不清楚法国北部地区是否能满足这一期限要求。
本研究旨在测量在法国北部地区获得首次堕胎预约所需的时间。
我们对法国北部地区进行堕胎手术的医疗机构、计划生育机构和注册从业者进行了电话调查，以确定为要求堕胎的女性提供的下一次预约时间。电话调查于2017年4月10日至14日进行。计算了该地区、各部门、各区以及医疗机构和从业者获得首次预约所需的时间（均值±标准差）。
我们联系了93家医疗机构和从业者，其中70家被纳入研究。法国北部地区获得首次堕胎预约所需的时间为5.25±5.20天：医疗机构为6.32±4.72天，妇科医生为3.84±5.11天，全科医生为5.22±5.88天，私人执业助产士为0.67±0.58天。56%的医疗机构和从业者在五天内提供了预约。各区之间的平均时间从1天到15.5天不等。
法国北部地区获得首次堕胎预约所需的平均时间接近法国国家卫生管理局建议的五天期限。在一些医疗服务获取有限的地区，对私人执业助产士和全科医生进行培训可能是缩短这一期限的第一步。
