Skip to main content

Main menu

  • HOME
  • ARTICLES
    • Current Issue
    • Abstracts In Press
    • Archives
    • Special Issue Archive
    • Subject Collections
  • INFO FOR
    • Authors
    • Reviewers
    • Call For Papers
    • Subscribers
    • Advertisers
  • SUBMIT
    • Manuscript
    • Peer Review
  • ABOUT
    • The JABFM
    • The Editing Fellowship
    • Editorial Board
    • Indexing
    • Editors' Blog
  • CLASSIFIEDS
  • Other Publications
    • abfm

User menu

Search

  • Advanced search
American Board of Family Medicine
  • Other Publications
    • abfm
American Board of Family Medicine

American Board of Family Medicine

Advanced Search

  • HOME
  • ARTICLES
    • Current Issue
    • Abstracts In Press
    • Archives
    • Special Issue Archive
    • Subject Collections
  • INFO FOR
    • Authors
    • Reviewers
    • Call For Papers
    • Subscribers
    • Advertisers
  • SUBMIT
    • Manuscript
    • Peer Review
  • ABOUT
    • The JABFM
    • The Editing Fellowship
    • Editorial Board
    • Indexing
    • Editors' Blog
  • CLASSIFIEDS
  • JABFM on Bluesky
  • JABFM On Facebook
  • JABFM On Twitter
  • JABFM On YouTube
Research ArticleOriginal Research

Family Physicians' Barriers and Facilitators in Incorporating Medication Abortion

Na'amah Razon, Sarah Wulf, Citlali Perez, Sarah McNeil, Lisa Maldonado, Alison Byrne Fields, Kelsey Holt, Edith Fox, Ilana Silverstein and Christine Dehlendorf
The Journal of the American Board of Family Medicine May 2022, 35 (3) 579-587; DOI: https://doi.org/10.3122/jabfm.2022.03.210266
Na'amah Razon
From the Department of Family and Community Medicine, University of California, Davis, Sacramento, CA (NR); Person-Centered Reproductive Health Program, Department of Family and Community Medicine, University of California, San Francisco, CA (SW, CP, KH, EF, IS and CD); Departments of Family Medicine and Ob/Gyn, Contra Costa Regional Medical Center, Martinez, CA (SM); Reproductive Health Access Project, New York, NY (LM); Aggregate, Seattle, WA (BF).
MD, PhD
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Sarah Wulf
From the Department of Family and Community Medicine, University of California, Davis, Sacramento, CA (NR); Person-Centered Reproductive Health Program, Department of Family and Community Medicine, University of California, San Francisco, CA (SW, CP, KH, EF, IS and CD); Departments of Family Medicine and Ob/Gyn, Contra Costa Regional Medical Center, Martinez, CA (SM); Reproductive Health Access Project, New York, NY (LM); Aggregate, Seattle, WA (BF).
MPH
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Citlali Perez
From the Department of Family and Community Medicine, University of California, Davis, Sacramento, CA (NR); Person-Centered Reproductive Health Program, Department of Family and Community Medicine, University of California, San Francisco, CA (SW, CP, KH, EF, IS and CD); Departments of Family Medicine and Ob/Gyn, Contra Costa Regional Medical Center, Martinez, CA (SM); Reproductive Health Access Project, New York, NY (LM); Aggregate, Seattle, WA (BF).
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Sarah McNeil
From the Department of Family and Community Medicine, University of California, Davis, Sacramento, CA (NR); Person-Centered Reproductive Health Program, Department of Family and Community Medicine, University of California, San Francisco, CA (SW, CP, KH, EF, IS and CD); Departments of Family Medicine and Ob/Gyn, Contra Costa Regional Medical Center, Martinez, CA (SM); Reproductive Health Access Project, New York, NY (LM); Aggregate, Seattle, WA (BF).
MD
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Lisa Maldonado
From the Department of Family and Community Medicine, University of California, Davis, Sacramento, CA (NR); Person-Centered Reproductive Health Program, Department of Family and Community Medicine, University of California, San Francisco, CA (SW, CP, KH, EF, IS and CD); Departments of Family Medicine and Ob/Gyn, Contra Costa Regional Medical Center, Martinez, CA (SM); Reproductive Health Access Project, New York, NY (LM); Aggregate, Seattle, WA (BF).
MA, MPH
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Alison Byrne Fields
From the Department of Family and Community Medicine, University of California, Davis, Sacramento, CA (NR); Person-Centered Reproductive Health Program, Department of Family and Community Medicine, University of California, San Francisco, CA (SW, CP, KH, EF, IS and CD); Departments of Family Medicine and Ob/Gyn, Contra Costa Regional Medical Center, Martinez, CA (SM); Reproductive Health Access Project, New York, NY (LM); Aggregate, Seattle, WA (BF).
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Kelsey Holt
From the Department of Family and Community Medicine, University of California, Davis, Sacramento, CA (NR); Person-Centered Reproductive Health Program, Department of Family and Community Medicine, University of California, San Francisco, CA (SW, CP, KH, EF, IS and CD); Departments of Family Medicine and Ob/Gyn, Contra Costa Regional Medical Center, Martinez, CA (SM); Reproductive Health Access Project, New York, NY (LM); Aggregate, Seattle, WA (BF).
MA, ScD
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Edith Fox
From the Department of Family and Community Medicine, University of California, Davis, Sacramento, CA (NR); Person-Centered Reproductive Health Program, Department of Family and Community Medicine, University of California, San Francisco, CA (SW, CP, KH, EF, IS and CD); Departments of Family Medicine and Ob/Gyn, Contra Costa Regional Medical Center, Martinez, CA (SM); Reproductive Health Access Project, New York, NY (LM); Aggregate, Seattle, WA (BF).
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Ilana Silverstein
From the Department of Family and Community Medicine, University of California, Davis, Sacramento, CA (NR); Person-Centered Reproductive Health Program, Department of Family and Community Medicine, University of California, San Francisco, CA (SW, CP, KH, EF, IS and CD); Departments of Family Medicine and Ob/Gyn, Contra Costa Regional Medical Center, Martinez, CA (SM); Reproductive Health Access Project, New York, NY (LM); Aggregate, Seattle, WA (BF).
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
Christine Dehlendorf
From the Department of Family and Community Medicine, University of California, Davis, Sacramento, CA (NR); Person-Centered Reproductive Health Program, Department of Family and Community Medicine, University of California, San Francisco, CA (SW, CP, KH, EF, IS and CD); Departments of Family Medicine and Ob/Gyn, Contra Costa Regional Medical Center, Martinez, CA (SM); Reproductive Health Access Project, New York, NY (LM); Aggregate, Seattle, WA (BF).
MD, MAS
  • Find this author on Google Scholar
  • Find this author on PubMed
  • Search for this author on this site
  • Article
  • Figures & Data
  • References
  • Info & Metrics
  • PDF
Loading

References

  1. 1.↵
    1. Jones RK,
    2. Witwer E,
    3. Jerman J
    . Abortion Incidence and Service Availability the United States, 2017.; 2019. Abortion Incidence and Service Availability in the United States, 2017.
  2. 2.↵
    1. Espey E,
    2. Leeman L,
    3. Ogburn T,
    4. Skipper B,
    5. Eyman C,
    6. North M
    . Has mifepristone medical abortion expanded abortion access in New Mexico? A survey of OB-GYN and Family Medicine physicians. Contraception 2011;84:178–83.
    OpenUrl
  3. 3.↵
    1. Freedman L,
    2. Landy U,
    3. Darney P,
    4. Steinauer J
    . Obstacles to the integration of abortion into obstetrics and gynecology practice. Perspect Sex Reprod Health 2010;42:146–51.
    OpenUrlCrossRefPubMed
  4. 4.↵
    1. Munro S,
    2. Guilbert E,
    3. Wagner MS,
    4. et al
    . Perspectives among canadian physicians on factors influencing implementation of mifepristone medical abortion: A national qualitative study. Ann Fam Med 2020;18:413–21.
    OpenUrlAbstract/FREE Full Text
  5. 5.↵
    1. Rowlands S,
    2. López-Arregui E
    , Expert Group on Abortion, European Society of Contraception and Reproductive Health. How health services can improve access to abortion. Eur J Contracept Reprod Health Care 2016;21:1–3.
    OpenUrl
  6. 6.↵
    1. Darney BG,
    2. Weaver MR,
    3. Stevens N,
    4. Kimball J,
    5. Prager SW
    . Management: impact on practice in Washington state., Fam Med 2013;45:102–8.
    OpenUrl
  7. 7.↵
    1. Nothnagle M,
    2. Prine L,
    3. Goodman S
    . Benefits of comprehensive reproductive health education in family medicine residency. Fam Med 2008;40:204–7.
    OpenUrlPubMed
  8. 8.↵
    1. Beaman J,
    2. Schillinger D
    . Beaman_responding to evolving abortion regulations2019.pdf. N Engl J Med 2019;380:e30.
    OpenUrl
  9. 9.↵
    1. Rubin SE,
    2. Godfrey E,
    3. Gold M
    . Patient attitudes toward early abortion services in the family medicine clinic. J Am Board Fam Med 2008;21:162–4.
    OpenUrlAbstract/FREE Full Text
  10. 10.↵
    1. Prine L,
    2. Lesnewski R
    . Medication abortion and family physicians' scope of practice. Journal of the American Board of Fam Med. 2005;18(4)304–6.
    OpenUrl
  11. 11.↵
    1. Prine L,
    2. Lesnewski R,
    3. Berley N,
    4. Gold M
    . Medical abortion in family practice: a case series. J Am Board Fam Pract 2003;16:290–5.
    OpenUrlAbstract/FREE Full Text
  12. 12.↵
    1. Burns M,
    2. Rochat R,
    3. Bryant AG,
    4. Andersen K
    . Is abortion included in maternal and child health curricula in the United States? Matern Child Health J 2018;22:1556–62.
    OpenUrl
  13. 13.↵
    1. Grossman D,
    2. Grindlay K,
    3. Altshuler AL,
    4. Schulkin J
    . Induced abortion provision among a national sample of obstetrician-gynecologists. Obstet Gynecol 2019;133:477–83.
    OpenUrl
  14. 14.↵
    1. Dehlendorf C,
    2. Brahmi D,
    3. Engel D,
    4. Grumbach K,
    5. Joffe C,
    6. Gold M
    . Integrating abortion training into family medicine residency programs. Fam Med 2007;39:337–42.
    OpenUrlPubMedWeb of Science
  15. 15.↵
    1. Greenberg M
    . Barriers and enablers to becoming abortion providers. Fam Med 2017;44:493–500.
    OpenUrl
  16. 16.↵
    1. Goodman S,
    2. Shih G,
    3. Hawkins M,
    4. et al.
    ,. A long-term evaluation of a required reproductive health training rotation with opt-out provisions for family medicine residents. Fam Med 2013;45:180–6.
    OpenUrl
  17. 17.↵
    1. Kaye J,
    2. Reeves R,
    3. Chaiten L
    . The mifepristone REMS: A needless and unlawful barrier to care. Contraception 2021;104:12–5.
    OpenUrlPubMed
  18. 18.↵
    1. Raymond EG,
    2. Blanchard K,
    3. Blumenthal PD
    , Mifeprex REMS Study Group, et al. Sixteen years of overregulation: time to unburden Mifeprex. N Engl J Med 2017;376:790–4.
    OpenUrlCrossRefPubMed
  19. 19.↵
    1. Ajzen I
    . The theory of planned behavior. Organizational Behavior and Human Decision Processes 1991;50:179–211.
    OpenUrlCrossRefWeb of Science
  20. 20.↵
    1. Hsieh HF,
    2. Shannon SE
    . Three approaches to qualitative content analysis. Published online 2005.
  21. 21.↵
    1. Nash E
    . State Abortion Policy Landscape: From Hostile to Supportive. Guttmacher Institute; 2019. https://www.guttmacher.org/article/2019/08/state-abortion-policy-landscape-hostile-supportive.
  22. 22.↵
    1. Patel P,
    2. Narayana S,
    3. Thill Z,
    4. Gold M,
    5. Paul A
    . Family physicians' role in simplifying medication abortion during the COVID-19 pandemic. J Am Board Fam Med 2021;34:S33–S36.
    OpenUrlAbstract/FREE Full Text
  23. 23.↵
    1. Coffman M,
    2. Wilkinson E,
    3. Jabbarpour Y
    . Despite adequate training, only half of family physicians provide women's health care services. J Am Board Fam Med 2020;33:186–8.
    OpenUrlAbstract/FREE Full Text
  24. 24.↵
    1. Chelvakumar M,
    2. Shaw J
    . Trained and ready, but not serving?—family physicians' role in reproductive health care. J Am Board Fam Med 2020;33:182–5.
    OpenUrlFREE Full Text
  25. 25.↵
    1. Kumar V,
    2. Herbitter C,
    3. Karasz A,
    4. Gold M
    . Being in the room: reflections on pregnancy options counseling during abortion training. Fam Med 2010;42:41–6.
    OpenUrlPubMed
  26. 26.↵
    1. Herbitter C,
    2. Bennett A,
    3. Schubert FD,
    4. Bennett IM,
    5. Gold M
    . Management of early pregnancy failure and induced abortion by family medicine educators. J Am Board Fam Med 2013;26:751–8.
    OpenUrlAbstract/FREE Full Text
  27. 27.↵
    1. Calloway D,
    2. Stulberg D,
    3. Janiak E
    . Mifepristone restrictions and primary care: Breaking the cycle of stigma through a learning collaborative model in the United States. Contraception 2021;104:24–8.
    OpenUrl
  28. 28.↵
    Reproductive Health Access Project. Frequently asked questions about integrating medication abortion care into community health centers. Published September 2019. Accessed June 30, 2021.
  29. 29.↵
    1. Jabbarpour Y,
    2. Westfall J
    . Diversity in the family medicine workforce. Fam Med 2021;53:640–3.
    OpenUrlCrossRef
  30. 30.↵
    1. Peabody MR,
    2. Eden AR,
    3. Douglas M,
    4. Phillips RL
    . Board certified family physician workforce: progress in racial and ethnic diversity. J Am Board Fam Med 2018;31:842–3.
    OpenUrlAbstract/FREE Full Text
  31. 31.↵
    Association of the American Medical Colleges (AAMC). Diversity in Medicine: Facts and Figures 2019. Accessed October 5, 2021. https://www.aamc.org/data-reports/workforce/interactive-data/figure-18-percentage-all-active-physicians-race/ethnicity-2018.
PreviousNext
Back to top

In this issue

The Journal of the American Board of Family Medicine: 35 (3)
The Journal of the American Board of Family Medicine
Vol. 35, Issue 3
May/June 2022
  • Table of Contents
  • Table of Contents (PDF)
  • Cover (PDF)
  • Index by author
  • Back Matter (PDF)
  • Front Matter (PDF)
Print
Download PDF
Article Alerts
Sign In to Email Alerts with your Email Address
Email Article

Thank you for your interest in spreading the word on American Board of Family Medicine.

NOTE: We only request your email address so that the person you are recommending the page to knows that you wanted them to see it, and that it is not junk mail. We do not capture any email address.

Enter multiple addresses on separate lines or separate them with commas.
Family Physicians' Barriers and Facilitators in Incorporating Medication Abortion
(Your Name) has sent you a message from American Board of Family Medicine
(Your Name) thought you would like to see the American Board of Family Medicine web site.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
2 + 13 =
Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.
Citation Tools
Family Physicians' Barriers and Facilitators in Incorporating Medication Abortion
Na'amah Razon, Sarah Wulf, Citlali Perez, Sarah McNeil, Lisa Maldonado, Alison Byrne Fields, Kelsey Holt, Edith Fox, Ilana Silverstein, Christine Dehlendorf
The Journal of the American Board of Family Medicine May 2022, 35 (3) 579-587; DOI: 10.3122/jabfm.2022.03.210266

Citation Manager Formats

  • BibTeX
  • Bookends
  • EasyBib
  • EndNote (tagged)
  • EndNote 8 (xml)
  • Medlars
  • Mendeley
  • Papers
  • RefWorks Tagged
  • Ref Manager
  • RIS
  • Zotero
Share
Family Physicians' Barriers and Facilitators in Incorporating Medication Abortion
Na'amah Razon, Sarah Wulf, Citlali Perez, Sarah McNeil, Lisa Maldonado, Alison Byrne Fields, Kelsey Holt, Edith Fox, Ilana Silverstein, Christine Dehlendorf
The Journal of the American Board of Family Medicine May 2022, 35 (3) 579-587; DOI: 10.3122/jabfm.2022.03.210266
Twitter logo Facebook logo Mendeley logo
  • Tweet Widget
  • Facebook Like
  • Google Plus One

Jump to section

  • Article
    • Abstract
    • Introduction
    • Methods
    • Results
    • Discussion
    • Acknowledgments
    • Notes
    • References
  • Figures & Data
  • References
  • Info & Metrics
  • PDF

Related Articles

  • No related articles found.
  • PubMed
  • Google Scholar

Cited By...

  • Primary Care Clinicians' Interest In, and Barriers To, Medication Abortion
  • Telemedicine Abortion in Primary Care: An Exploration of Patient Experiences
  • "They Go Hand in Hand": Perspectives on the Relationship Between the Core Values of Family Medicine and Abortion Provision Among Family Physicians Who Do Not Oppose Abortion
  • "They Go Hand in Hand": Perspectives on the Relationship Between the Core Values of Family Medicine and Abortion Provision Among Family Physicians Who Do Not Oppose Abortion
  • The "Telehealth Divide"--Who Are the Underserved, and What Care Is Improved?
  • Google Scholar

More in this TOC Section

  • Factors Associated with Documenting Social Determinants of Health in Electronic Health Records
  • Primary Care and Emergency Room Visits: The Virginia All-Payer Claims Database
  • Intervention to Improve Psychosocial Care for People with Type 2 Diabetes
Show more Original Research

Similar Articles

Keywords

  • Contraception
  • Drug-Induced Abortion
  • Family Medicine
  • Family Physicians
  • Health Policy
  • Health Services Accessibility
  • Mifepristone
  • Patient-Centered Care
  • Primary Health Care
  • Qualitative Research
  • Reproductive Health
  • Scope of Practice

Navigate

  • Home
  • Current Issue
  • Past Issues

Authors & Reviewers

  • Info For Authors
  • Info For Reviewers
  • Submit A Manuscript/Review

Other Services

  • Get Email Alerts
  • Classifieds
  • Reprints and Permissions

Other Resources

  • Forms
  • Contact Us
  • ABFM News

© 2025 American Board of Family Medicine

Powered by HighWire