Haining Casey Michelle, Bowman-Smart Hilary, O'Rourke Anne, de Crespigny Lachlan, Keogh Louise Anne, Savulescu Julian
Centre for Health Equity, Melbourne School of Population and Global Health, University of Melbourne, Victoria, Australia.
Australian Centre for Precision Health, University of South Australia, South Australia, Australia.
Womens Stud Int Forum. 2023 Nov-Dec;101:102822. doi: 10.1016/j.wsif.2023.102822.
Despite abortion being decriminalised in Victoria, Australia, access remains difficult, especially at later gestations. Institutions (i.e. health services) place restrictions on the availability of late abortions and/or require additional requirements to be satisfied (e.g. Hospital Termination Review Committee approval), as a consequence of local regulation (i.e. policies and processes determined at the institutional level). This paper reports on the results of 27 interviews with Victorian health professionals about late abortion processes and the operation of Termination Review Committees in Victorian health services, which were analysed thematically. The results reveal the operation of an 'institutional lottery' whereby patients' experiences in seeking late abortion services were variable and largely shaped by the institution(s) they found themselves in.
尽管在澳大利亚维多利亚州堕胎已合法化，但获取堕胎服务仍然困难，尤其是在孕晚期。由于当地规定（即机构层面确定的政策和流程），医疗机构（即医疗服务机构）对晚期堕胎的可及性设置了限制，和/或要求满足额外条件（如医院终止妊娠审查委员会的批准）。本文报告了对维多利亚州医疗专业人员进行的27次访谈结果，这些访谈围绕晚期堕胎流程以及维多利亚州医疗服务机构中终止妊娠审查委员会的运作情况展开，并进行了主题分析。结果揭示了一种“机构抽签”现象，即患者寻求晚期堕胎服务的经历各不相同，很大程度上取决于他们所在的机构。
