Perceived Importance of Abortion Care Features and Access to Telehealth Technologies Among Medication Abortion Patients by Abortion Care Model: Cross-Sectional Analysis of a Prospective Cohort Study - Scorecard - MDSpire

Perceived Importance of Abortion Care Features and Access to Telehealth Technologies Among Medication Abortion Patients by Abortion Care Model: Cross-Sectional Analysis of a Prospective Cohort Study

  • By

  • Rosalyn Schroeder

  • Antonia Biggs

  • Finley Baba

  • Lauren J Ralph

  • Amy Hagstrom Miller

  • Colleen McNicholas

  • Daniel Grossman

  • July 15, 2026

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Clinical Scorecard: Evaluation of the Significance of Abortion Care Attributes and Access to Telehealth for Patients Undergoing Medication Abortion: A Cross-Sectional Study within a Prospective Cohort

At a Glance

CategoryDetail
ConditionMedication Abortion
Key MechanismsTelehealth provision of medication abortion, including mail-order delivery of mifepristone.
Target PopulationPatients seeking medication abortion, aged 15 years or older, within 70 days of gestation.
Care SettingTelehealth and in-person abortion care settings.

Key Highlights

  • Medication abortion accounts for the majority of abortions in the U.S.
  • Telehealth now accounts for 1 in 4 abortions nationally.
  • Telehealth medication abortion is comparably safe and effective as in-person care.
  • Patients prioritize lower-cost care and shorter wait times.
  • Access to telehealth abortion is limited by state laws and technology availability.

Guideline-Based Recommendations

Diagnosis

  • Eligibility screening for medication abortion via telehealth.

Management

  • Provision of medication abortion through telehealth or in-person care.

Monitoring & Follow-up

  • Assessment of patient preferences and access to technology for telehealth.

Risks

  • Limited access for patients in states with total abortion bans or telehealth restrictions.

Patient & Prescribing Data

Patients aged 15 years or older seeking medication abortion.

Telehealth model allows for limited contact with facilities and mail-order delivery of medications.

Clinical Best Practices

  • Ensure eligibility criteria are met for telehealth medication abortion.
  • Provide synchronous care via phone or video for telehealth services.
  • Consider patient preferences when designing abortion care approaches.

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