Private, independent clinics provide 59% of US abortions annually, and 60% are surgical procedures.1 Access to timely abortion is important, especially for people with medical conditions at increased risk for pregnancy-related physiological changes that exacerbate chronic conditions and morbidity and mortality associated with pregnancy.2 There are preexisting conditions that render community-based surgical abortion unsafe; however, referral to hospital-based care results in delay, increased risk, stigma, and cost at later gestations.3 Patients with stigmatised medical conditions like obesity and substance use disorder may be over-referred for hospital-based care due to provider bias, rather than increased risk of procedural complication.2 In our independent abortion clinic, eligibility screening for community-based procedures is conducted by telephone at time of appointment request for abortion up to 23 weeks 6 days’ gestation. We excluded medical abortion in this report. The Medical Director rules …

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在社区诊所确定手术流产资格的改进流程

美国每年 59% 的人工流产由私人独立诊所提供，其中 60% 是外科手术。 1 及时进行人工流产非常重要，尤其是对于那些因妊娠相关生理变化而加剧慢性病、发病率和死亡率的疾病风险较高的人与怀孕有关。2 存在使基于社区的手术流产不安全的预先存在的条件；但是，转诊到医院护理会导致延迟、增加风险、耻辱感和后期妊娠成本。 3 由于提供者的偏见，患有肥胖症和物质使用障碍等被污名化的医疗状况的患者可能会被过度转诊到医院护理，而不是增加手术并发症的风险。2 在我们独立的流产诊所，在妊娠 23 周零 6 天的预约堕胎申请时，通过电话进行基于社区的程序的资格筛选。我们在本报告中排除了药物流产。医务主任规定……