Perspectives on Sexual and Reproductive Health Volume 35, Number 1, January/February 2003

 

The Accessibility of Abortion Services
TABLES

FIGURE 1. Percentage of facilities performing abortions, by gestational age at which abortions are performed, according to type of facility, 2001

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TABLE 1. Mean, median and range in charges for nonhospital surgical abortion, by weeks of gestation, according to type of facility, 2001
Weeks of gestation and change All Abortion clinics Other clinics Physicians' offices
6 weeks
Mean charge $461 $362 $440 $599
Median charge 375 340 375 500
Range 150-4,000 170-1,380 150-4,000 150-1,765
10 weeks
Mean charge 468 364 426 632
Median charge 370 350 370 500
Range 150-4,000 170-1,380 150-4,000 200-1,765
16 weeks
Mean charge 774 720 758 855
Median charge 650 650 632 700
Range 250-4,000 300-2,200 250-4,000 300-3,000
20 weeks
Mean charge 1,179 1,290 1,178 1,051
Median charge 1,042 1,100 1,100 1,000
Range 300-3,000 675-3,000 450-2,500 300-2,000

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TABLE 2. Mean charge for nonhospital surgical abortion at 10 weeks of gestation, by caseload, according to type of facility, 2001
Caseload All Abortion clinics Other clinics Physicians' offices
<30 $787 $ * $827 $782
30-390 488 353 434 528
400-990 368 362 372 na
1,000-4,990 369 365 381 na
>=5,000 356 350 * na
*Too few cases to produce reliable statistics. Note: na=not applicable, because physicians' offices responsible for 400 or more abortions are classified as clinics.

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FIGURE 2. Mean amount paid for a nonhospital abortion at 10 weeks LMP, by dollar measure, selected years, 1983-2001

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TABLE 3. Percentage distribution of abortions performed in nonhospital facilities, by clients' source of payment, according to whether the facility is in a state that covers abortion under Medicaid, 2001
Source of payment All State covers State does not cover
(N=637) (N=360) (N=277)
Self 74 55 91
Full fee 62 43 79
Reduced fee 12 12 12
Medicaid 13 27 <1
Private insurance 13 19 8
Total 100 100 100
Notes: Percentages are weighted to represent women having abortions in nonhospital facilities. Ns are unweighted.

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TABLE 4. Percentage distribution of nonhospital abortion providers, by selected early medical abortion protocols and experiences, according to medical abortion caseload in first half of 2001
Protocols and experiences Total
(N=358)
Caseload
<50
(N=218)
>=50
(N=140)
Minimum gestation
No minimum 6 7 5
Positive pregnancy test 7 4 12
Visible sac on sonogram 9 9 10
<28 days 45 39 53
>28 days 33 41 20
Maximum gestation
<7 weeks 76 83 66
8 weeks 12 10 14
>=9 weeks 12 8 19
Mifepristone dosage used*
200 mg 83 76 93
600 mg 15 21 7
Other 2 3 0
Permits home administration of misoprostol
Yes 84 78 93
No 16 22 7
Counseling time required
More than for surgical abortion 74 80 64
The same as for surgical abortion 24 19 32
Less than for surgical abortion 2 1 4
% of clients who call with problems/questions
0-4 23 24 21
5-9 20 16 25
10-19 24 21 28
20-100 34 39 26
How pregnancy termination is confirmed†
By office visit 91 93 88
By other means 3 2 4
Not confirmed 6 5 8
Charge for mifepristone abortion*
$0-399 19 21 15
$400-449 17 16 18
$450-499 26 20 35
>=$500 38 43 32
Charge for mifepristone vs. surgical abortion at six weeks‡
Mifepristone costs less 9 14 3
Both are the same 21 22 18
Mifepristone costs $1-99 more 25 19 35
Mifepristone costs $100-199 more 29 29 30
Mifepristone costs >=$200 more 15 16 14
Charge includes surgical completion when needed
Yes 80 71 95
No 20 29 5
Total 100 100 100
*Excludes providers who used only methotrexate. †Mean percentages. ‡Among those that provided both surgical and mifepristone abortions. Note: Significance tests were not conducted because this is a census, not a sample survey.

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TABLE 5. Percentage of large nonhospital facilities that experienced any incidents of harassment, by type of harassment, according to year, 1985-2000; and percentage distribution of facilities, by number of incidents of harassment in 2000, according to type of harassment
Type of harassment Year No. of incidents in 2000
1985 1988 1992 1996 2000 0 1-4 5-19 >=20 Total
Picketing 80 81 83 78 80 20 12 7 61 100
Picketing plus physical contact with/blocking of patients 47 46 50 32 28 72 19 4 5 100
Vandalism* 28 34 42 24 18 82 16 2 0 100
Picketing of homes of staff 16 17 28 18 14 86 11 1 1 100
Bomb threats 48 36 24 18 15 85 15 <1 0 100
*Jamming of locks or physical damage. Note: Large nonhospital facilities are those that provide 400 or more abortions per year.

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