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Biomedical subjects

C Joffe

Publications and source records attributed to C Joffe.

8 recordsLinked to original sources
PubMed2000

Medical abortion in social context.

Early medical abortion regimens, especially those that include mifepristone, have the potential to reshape the landscape of abortion provision in the United States. Because medical abortion does not require surgical training, it may attract new providers of abortion services from a variety of specialties, including advanced practice clinicians. The diffusion of abortion services into myriad clinical and office-based settings may reduce the violence that has been associated with abortion provision. However, a number of factors may slow the spread of medical abortion, at least initially. These factors include the need for accurate means to date early pregnancies, the need to arrange backup surgical services for the small number of patients who require them, the obligation to conform to existing legal mandates governing surgical abortion, and possible difficulties negotiating appropriate malpractice coverage and reimbursement. Educational initiatives are needed to help clinicians to overcome these barriers and to actualize mifepristone's potential in women's health care.

Abortifacient Agents, Nonsteroidal↗
PubMed2000

Medical abortion and the potential for new abortion providers: a cautionary tale.

The prochoice movement has expressed much hope that medical abortion will increase the pool of abortion providers because it does not require surgical training and does not need to be performed in specialized settings. By offering a detailed case study of the events surrounding a methotrexate abortion in a rural community health center by a family practice physician who had not previously performed surgical abortion, this article suggests that the diffusion of medical abortion to new providers and new settings may be more complex than some have suggested. The article illustrates that abortion is not only a medical procedure, but also a social process involving relations with large, often unfriendly bureaucracies as well as with the local community in which the abortion takes place. While still retaining optimism that medical abortion will ultimately increase the number of providers and hence increase access to abortion, the author believes that such a change will be considerably more gradual than commonly thought.

Abortifacient Agents, Nonsteroidal↗
PubMed1979

Abortion work: strains, coping strategies, policy implications.

As a result of the moral and social conflicts surrounding abortion, workers involved in counseling potential abortion recipients are subject to certain strains. The author uses observations made at one abortion clinic to support her conclusion that these strains, as well as the methods of coping developed by staff and administration, must be considered in formulating any policy on abortion.

Abortion, Legal↗