Details

Autor(en) / Beteiligte

• Duffy, Deirdre
• Mishtal, Joanna
• Grimes, Lorraine
• Murphy, Mark
• Reeves, Karli
• Chakravarty, Dyuti
• Chavkin, Wendy
• Favier, Mary
• Horgan, Patricia
• Stifani, Bianca
• Lavelanet, Antonella F.

Titel

Information flow as reproductive governance. Patient journey analysis of information barriers and facilitators to abortion care in the republic of Ireland

Ist Teil von

• SSM - population health, 2022-09, Vol.19, p.101132-101132, Article 101132

Ort / Verlag

Elsevier Ltd

Erscheinungsjahr

2022

Quelle

Free E-Journal (出版社公開部分のみ）

Beschreibungen/Notizen

• Information flow – information communication and transmission pathways and practices within healthcare systems – impacts patient journeys. Historically, regulating information flow was a key technology of reproductive governance in the Republic of Ireland. Pre-2018, law and the State sustained informational barriers to and through abortion care in Ireland. An expanded abortion service was implemented in January 2019. Patient Journey Analysis (PJA) interrogates informational facilitators and barriers to/through post-2019 abortion care in Ireland. We focus on information flow at the interfaces between the ‘public’ sphere and ‘point of entry’, ‘point of entry’ and primary care, and primary and secondary care. The paper uses data from a mixed-method study. A tool for assessing online abortion service information (ASIAT), desktop research, and qualitative data from 108 in-depth interviews with providers, policy-makers, advocacy groups, and service users informed the analysis. Abortion patient journeys vary. Information flow issues, e.g. communication of how to access services, referral systems, and information handover, act as barriers and facilitators. Barriers increase where movement from primary to secondary is needed. The article identifies good practice in information flow strategy, as well as areas for development. It illustrates the significance of information flow in accomplishing reproductive governance. •Information flow facilitating abortion access was restricted in Ireland under pre-2018 legislation.•Information flow can now act as a barrier and facilitator to patient journeys to abortion care.•The ‘informational barriers/facilitators’ vary as the patient journey progresses.•Pro-active promotion and targeting disinformation address informational barriers at ‘point of entry’.•Referral mechanisms and information handover systems can cause delays as patient journeys progress.