Community‐based health services would ensure that appropriate care is available to some of our most vulnerable patients
It seems incongruous that, although almost half of all general practitioners are women1 and abortion has been decriminalised in every state and territory in Australia, access to sexual and reproductive health services, including for abortion,2 contraception3 and menopause management,4 remains difficult for many women. Further, profound disparities in women’s sexual reproductive health care persist, with women in rural or socio‐economically disadvantaged areas, younger women, those who have experienced violence, and women from culturally and linguistically diverse backgrounds all having poorer outcomes.5,6
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- 8. Gramenz E. Abortion providers take private flights to regional Queensland as coronavirus triggers industry collapse. ABC News (Australia), 2 May 2020. https://www.abc.net.au/news/2020-05-02/abortion-providers-take-private-flights-during-coronavirus/12181846 (viewed Aug 2021).
- 9. Australian Department of Health. COVID‐19 temporary MBS telehealth services. Updated 16 July 2021. http://www.mbsonline.gov.au/internet/mbsonline/publishing.nsf/Content/Factsheet‐TempBB (viewed Aug 2021).
- 10. Cheng Y, Boerma C, Peck L, et al. Telehealth sexual and reproductive health care during the COVID‐19 pandemic. Med J Aust 2021; 215: 371–372.
- 11. Smith MA, Hall MT, Saville M, et al. Could HPV testing on self‐collected samples be routinely used in an organized cervical screening program? A modeled analysis. Cancer Epidemiol Biomarkers Prev 2021; 30: 268–277.
- 12. Fix L, Seymour JW, Sandhu MV, et al. At‐home telemedicine for medical abortion in Australia: a qualitative study of patient experiences and recommendations. BMJ Sex Reprod Health 2020; 46: 172–176.
- 13. Bateson DJ, Black KI, Sawleshwarkar S. The Guttmacher‐Lancet Commission on sexual and reproductive health and rights: how does Australia measure up? Med J Aust 2019; 210: 250–252. https://www.mja.com.au/journal/2019/210/6/guttmacher-lancet-commission-sexual-and-reproductive-health-and-rights-how-does
- 14. Hew A, Arunogiri S, Lubman DI. Challenges in delivering telemedicine to vulnerable populations: experiences of an addiction medical service during COVID‐19 [letter]. Med J Aust 2021; 215: 237. https://www.mja.com.au/journal/2021/215/5/challenges-delivering-telemedicine-vulnerable-populations-experiences-addiction
- 15. Australian Department of Health. Draft recommendations from the Primary Health Reform Steering Group. Aug 2021. https://www.health.gov.au/resources/publications/draft-recommendations-from-the-primary-health-reform-steering-group (viewed Aug 2021).
- 16. Australian Department of Health. National women’s health strategy: 2020–2030. Apr 2019. https://www.health.gov.au/resources/publications/national-womens-health-strategy-2020-2030 (viewed Aug 2021).
- 17. National Institute of Clinical Excellence. Abortion care (quality standard qs199). Jan 2021. https://www.nice.org.uk/guidance/qs199/resources/abortion-care-pdf-75545790237637 (viewed Aug 2021).
- 18. Healthcare Improvement Scotland. Draft sexual health standards: Mar 2021. https://www.healthcareimprovementscotland.org/our_work/standards_and_guidelines/stnds/sexual_health_standards.aspx (viewed Aug 2021).
- 19. Department of Health (Ireland). National sexual health strategy 2015‒2020. Updated Oct 2020. https://www.gov.ie/en/publication/345796-national-sexual-health-strategy-2015-2020 (viewed Aug 2021).
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