Perspectives on Sexual and Reproductive Health | |
The Accessibility of Abortion Services |
FIGURE 1. Percentage of facilities performing abortions, by gestational age at which abortions are performed, according to type of facility, 2001 |
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 |
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. |
FIGURE 2. Mean amount paid for a nonhospital abortion at 10 weeks LMP, by dollar measure, selected years, 1983-2001 |
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. |
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. |
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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© copyright 2003, The Alan Guttmacher Institute. |