The 'Institutional Lottery': Institutional variation in the processes involved in accessing late abortion in Victoria, Australia.

Autor: Haining CM; Centre for Health Equity, Melbourne School of Population and Global Health, University of Melbourne, Victoria, Australia., Bowman-Smart H; Australian Centre for Precision Health, University of South Australia, South Australia, Australia.; Murdoch Children's Research Institute, Victoria, Australia.; Monash Bioethics Centre, Monash University, Victoria, Australia., O'Rourke A; Monash Business School, Monash University, Victoria, Australia., de Crespigny L; Centre for Health Equity, Melbourne School of Population and Global Health, University of Melbourne, Victoria, Australia., Keogh LA; Centre for Health Equity, Melbourne School of Population and Global Health, University of Melbourne, Victoria, Australia., Savulescu J; Murdoch Children's Research Institute, Victoria, Australia.; Centre for Biomedical Ethics, Yong Loo Lin School of Medicine, National University of Singapore, Singapore.; Melbourne Law School, University of Melbourne, Victoria, Australia.
Jazyk: angličtina
Zdroj: Women's studies international forum [Womens Stud Int Forum] 2023 Nov-Dec; Vol. 101, pp. 102822.
DOI: 10.1016/j.wsif.2023.102822
Abstrakt: Despite abortion being decriminalised in Victoria, Australia, access remains difficult, especially at later gestations. Institutions (i.e. health services) place restrictions on the availability of late abortions and/or require additional requirements to be satisfied (e.g. Hospital Termination Review Committee approval), as a consequence of local regulation (i.e. policies and processes determined at the institutional level). This paper reports on the results of 27 interviews with Victorian health professionals about late abortion processes and the operation of Termination Review Committees in Victorian health services, which were analysed thematically. The results reveal the operation of an 'institutional lottery' whereby patients' experiences in seeking late abortion services were variable and largely shaped by the institution(s) they found themselves in.
Competing Interests: One author, LDC, was involved in the Case discussed in this paper. He was not involved in the collection or analysis of the data. JS is a Partner Investigator on an Australian Research Council (grant number LP190100841) which involves industry partnership from Illumina. He does not personally receive any funds from Illumina. JS is a Bioethics Committee consultant for Bayer.
(Crown Copyright © 2023 Published by Elsevier Ltd.)
Databáze: MEDLINE
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