Travel undertaken by women accessing private Victorian pregnancy termination services

Nickson, Carolyn, Smith, Anthony M. A. and Shelley, Julia M. 2006, Travel undertaken by women accessing private Victorian pregnancy termination services, Australian and New Zealand journal of public health, vol. 30, no. 4, pp. 329-333, doi: 10.1111/j.1467-842X.2006.tb00844.x.

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Title Travel undertaken by women accessing private Victorian pregnancy termination services
Author(s) Nickson, Carolyn
Smith, Anthony M. A.
Shelley, Julia M.
Journal name Australian and New Zealand journal of public health
Volume number 30
Issue number 4
Start page 329
End page 333
Total pages 5
Publisher Wiley - Blackwell Publishing Asia
Place of publication Richmond, Vic.
Publication date 2006
ISSN 1326-0200
Summary Objective: To investigate the extent and cost of travel undertaken by women accessing Victorian termination of pregnancy services.

Design, setting and participants: This was a multi-centre, cross-sectional observational study of women receiving privately funded pregnancy termination services, conducted between November 2002 and June 2003 at eight major pregnancy termination service providers in Victoria.

Main outcome measures: Distance travelled, money and time expended undertaking travel, and reasons women chose particular clinics.

Results: Of the 1,244 Australian resident respondents who resided in Victoria, 9.3% travelled more than 100 km to access services. Teenagers were 2.5 times more likely than other respondents to travel further than 100 kilometres (km) (18.2% compared with 7.8%, OR=2.5, 95% CI 1.5-4.2, p<0.001). Women originated from all Australian States and Territories except South Australia and 13.7% were from Statistical Divisions other than Melbourne. More than one-third of respondents (41.3%) chose their clinic because they were referred by a doctor or general practitioner.

Conclusion: Many pregnancy termination patients face substantial and immediate costs beyond the service fee, as well as the diffculties associated with poor continuity of care and signifcant time away from home. Patients and service providers should be consulted further to determine appropriate clinical services, support services and subsidy schemes for the sizeable proportion of patients who undertake long-distance travel to access pregnancy termination services.
Language eng
DOI 10.1111/j.1467-842X.2006.tb00844.x
Field of Research 111709 Health Care Administration
140208 Health Economics
HERDC Research category C1.1 Refereed article in a scholarly journal
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Document type: Journal Article
Collections: Faculty of Health
School of Health and Social Development
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