Specialty and location of recent medical school graduates in Georgia--implications for primary care.
Explore the source record for details and available documents.
Biomedical subjects
Publications and source records attributed to B J Kay.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
Explore the source record for details and available documents.
The practicalities of formulating regulatory policy associated with elective abortion often place public health officials at the center of political controversy. Resulting conflicts can inhibit a rational consideration of long-term objectives in implementing a national policy which assures legal accessibility to all who would select abortion as an alternative to term birth. Regulation which uses primarily structural criteria for monitoring and evaluating services tends to de-emphasize the importanc of contraceptive counseling as a component of abortion services. Our process/outcome evaluation of abortion clinics located in Chicago suggests that contraceptive counseling provided at the time of the abortion procedure has a potential long-term impact in terms of reducing the need for elective abortion. We suggest that regulation policy should include process and outcome criteria which support the eventual reduction in need for abortion as a long-range policy goal and suggest key issues for consideration when such a policy is formulated.
With the reduction in need for elective abortion as a long-term goal, the effectiveness of abortion clinic counseling programs provided at the time of elective pregnancy termination is evaluated using post-abortion contraceptive behavior as a measure. Using eight, free-standing abortion clinics located in Chicago, Illinois a control group design is employed in order to examine the hypothesis that patients attending clinics which provide a structured, comprehensive birth control counseling session at the time of their abortion will show a higher use rate of effective contraceptive methods than those patients attending clinics which do not provide such information. Results support this hypothesis. The differences are particularly noticeable in the subpopulation of teenagers with no preabortion history of contraceptive use.