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Consensus Guidelines for Facilities Performing Outpatient Procedures: Evidence Over Ideology.
Barbara S Levy1, Debra L Ness, Steven E Weinberger
1American College of Obstetricians and Gynecologists and National Partnership for Women & Families, Washington, DC; and the American College of Physicians, Philadelphia, Pennsylvania.
Obstetrics and Gynecology
|January 12, 2019
Summary
Stricter facility regulations for abortion are not supported by evidence. The study found that abortion safety is comparable to other office procedures, and no specific safety concerns were identified.
Area of Science:
- Medical policy and public health
- Reproductive health services research
Background:
- Abortion regulation is often distinct from other healthcare services.
- Concerns about patient safety are sometimes used to justify targeted abortion regulations.
Purpose of the Study:
- To develop evidence-informed consensus guidelines for safe outpatient care.
- To assess the necessity of facility standards beyond those for general medical offices.
Main Methods:
- Review of available evidence and guidelines for office- and clinic-based procedures.
- Consensus development involving clinicians, consumers, and accrediting bodies.
Main Results:
- Abortion safety is comparable to other office- and clinic-based procedures.
- No specific safety concerns were identified for abortion procedures.
- Existing standards for general medical offices are adequate for abortion care.
Conclusions:
- Enhanced facility requirements for abortion are not justified by current evidence.
- Guidelines should focus on high-quality, safe performance of all office-based procedures.
- Regulations should be based on scientific evidence, not unsubstantiated safety concerns.
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