دورية أكاديمية
Our hands are tied: abortion bans and hesitant medicine.
| العنوان: | Our hands are tied: abortion bans and hesitant medicine. |
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| المؤلفون: | Lilly AG; Anthropology Department, Vanderbilt University, Garland Hall, Nashville, TN, 37240, USA. Electronic address: anna-grace.lilly@Vanderbilt.Edu., Newman IP; Anthropology Department, Vanderbilt University, Garland Hall, Nashville, TN, 37240, USA. Electronic address: isabelle.p.newman@Vanderbilt.Edu., Bjork-James S; Anthropology Department, Vanderbilt University, Garland Hall, Nashville, TN, 37240, USA. Electronic address: sophie.bjork-james@vanderbilt.edu. |
| المصدر: | Social science & medicine (1982) [Soc Sci Med] 2024 Jun; Vol. 350, pp. 116912. Date of Electronic Publication: 2024 Apr 26. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Pergamon Country of Publication: England NLM ID: 8303205 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1873-5347 (Electronic) Linking ISSN: 02779536 NLM ISO Abbreviation: Soc Sci Med Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: Oxford ; New York : Pergamon, c1982- |
| مواضيع طبية MeSH: | Abortion, Induced*/legislation & jurisprudence, Humans ; Female ; Tennessee ; Pregnancy ; Qualitative Research ; Defensive Medicine ; Health Personnel/psychology ; Decision Making ; Abortion, Legal/legislation & jurisprudence |
| مستخلص: | Trained for decades to analyze risks, benefits, unique body compositions, and complex medical scenarios, healthcare providers are now faced with one of medicine's most trying obstacles: how to practice medicine when new abortion bans contradict best practice standards. Drawn from qualitative interviews with medical providers in Tennessee, USA conducted between October 2022 and December 2022, this study shows how medical providers often must make medical decisions based on legal risks as opposed to standards of care. This is particularly significant as malpractice insurance does not cover criminal charges. In states with abortion bans, often hastily implemented and subject to changes by lawmakers, medical providers are now practicing a new kind of defensive medicine in an effort to protect themselves from legal threats. We call this hesitant medicine, where providers often experience a tension between their own legal protection and the well-being of their patients, making them hesitant to provide necessary abortion care. This has serious, far-reaching consequences. We focus on three distinct arenas impacted by this new form of defensive medicine, specifically: providers' decision-making around patient care, impacts on patient relationships, and finally, what we call the ultimate defense, leaving states with abortion bans to move to states with fewer legal risks. We conclude with commentary on potential ways to reduce the negative impacts of these trends. (Copyright © 2024 The Authors. Published by Elsevier Ltd.. All rights reserved.) |
| فهرسة مساهمة: | Keywords: Abortion; Defensive medicine; Health policy; Reproductive policy |
| تواريخ الأحداث: | Date Created: 20240509 Date Completed: 20240519 Latest Revision: 20240519 |
| رمز التحديث: | 20240520 |
| DOI: | 10.1016/j.socscimed.2024.116912 |
| PMID: | 38723584 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1873-5347 |
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| DOI: | 10.1016/j.socscimed.2024.116912 |