Article Figures & Data
Figures
- Figure 1.
Total medication abortions per month at Massachusetts primary care health system before and during public health emergency (April 2019–December 2021).
- Figure 2.
Flow diagram of inclusion criteria into study.
- Figure 3.
Days between first contact for medication abortion and appointment between in-clinic pre-PHE visits and teleMAB visits during the PHE. Abbreviation: PHE, public health emergency.
Tables
- Table 1.
Sociodemographic and Access Characteristics of Patients Receiving Medication Abortion in a Primary Care Health System Before and During the COVID-19 Public Health Emergency
In-Clinic MAB Pre-PHE (n = 137) TeleMAB during PHE (n = 47) P-Value Established Patient at Time of MAB* 124 (91.2%) 43 (91.5%) 1.0 Race 0.19 Asian 9 (6.6%) 6 (12.8%) Black 52 (37.9%) 13 (27.7%) White 22 (16.1%) 12 (25.5%) Other 50 (36.5%) 15 (31.9%) Unknown/Preferred not to Share 4 (2.9%) 1 (2.1%) Ethnicity± 0.46 African American 16 (11.8%) 6 (13.9%) Hispanic 19 (14.1%) 6 (13.9%) Brazilian/Portuguese 24 (17.8%) 9 (20.9%) Haitian 25 (18.5%) 3 (6.9%) Other 51 (37.8%) 19 (44.2%) Primary Language‡ 0.18 English 110 (80.3%) 42 (89.4%) Portuguese 12 (8.8%) 3 (6.4%) Other 15 (10.9%) 2 (4.3%) Form of Payment 0.95 Private Insurance 24 (17.5%) 14 (29.8%) Public Insurance§ 76 (55.5%) 33 (70.2%) Not documented in EMR‖ 37 (27.0%) 0 (0%) Gestational Age in Days at Time of MAB Appointment¶ 48.1 (28 to 68) 45.3 (30 to 75) 0.049# 41 days and under 32 (23.7%) 20 (42.6%) 42 to 56 days 79 (58.5%) 20 (42.6%) 57 to 69 days 24 (17.8%) 5 (10.6%) 70 to 77 days 0 (0%) 2 (4.3%) Completed Abortion** 130 (94.9%) 95% CI: 89.8%, 97.9% 42 (89.4%) 95% CI: 76.9%, 96.5% 0.187 ↵*1 in-clinic patient missing (n = 136).
↵±Ethnicity was self-reported by patients. “Other” category includes ethnicities such as: Nepali, Moroccan, Nigerian, American, Korean, etc.
↵‡χ2 test compared English and non-English speaking. Other languages included: Spanish, Haitian Creole, Nepali, and Arabic. Patients used phone interpreters, face-to-face interpreters, or spoke English during their visits.
↵§Includes payment by public insurance, grant, or out of pocket.
‖37 visits’ form of payment not documented in EMR due to a technology issue during specific segment of time. Assigned missing in fisher’s exact test.
↵¶2 in-clinic cases missing due to pregnancy of unknown location, medication abortion complete by drop in hcg; n = 135; mean, range, and independent t test for statistical differences reported here.
↵#significant results at P = .05.
↵**Complete abortions without additional doses of medication; no patients lost to follow-up as in-person appointments or phone calls were required to confirm completed abortion.
