@Article{信息:doi 10.2196 / / jmir。9717，作者=“Cartwright, Alice F and Karunaratne, Mihiri and Barr-Walker, Jill and Johns, Nicole E and Upadhyay, Ushma D”，标题=“确定全国堕胎护理的可用性和与美国主要城市的距离:系统在线搜索”，期刊=“J Med Internet Res”，年=“2018”，月=“May”，日=“14”，卷=“20”，数=“5”，页=“e186”，关键词=“堕胎寻求者”;生殖健康;互联网;获取信息;信息寻求;流产的患者;生殖健康服务;背景:堕胎是一种常见的医疗程序，但在过去十年中，堕胎在美国的可用性变得越来越有限。不知道去哪里寻求堕胎护理的妇女可以使用互联网查找堕胎设施的信息，在堕胎法律更严格的州，似乎有更多的在线堕胎搜索。 While previous studies have examined the distances women must travel to reach an abortion provider, to our knowledge no studies have used a systematic online search to document the geographic locations and services of abortion facilities. Objective: The objective of our study was to describe abortion facilities and services available in the United States from the perspective of a potential patient searching online and to identify US cities where people must travel the farthest to obtain abortion care. Methods: In early 2017, we conducted a systematic online search for abortion facilities in every state and the largest cities in each state. We recorded facility locations, types of abortion services available, and facility gestational limits. We then summarized the frequencies by region and state. If the online information was incomplete or unclear, we called the facility using a mystery shopper method, which simulates the perspective of patients calling for services. We also calculated distance to the closest abortion facility from all US cities with populations of 50,000 or more. Results: We identified 780 facilities through our online search, with the fewest in the Midwest and South. Over 30{\%} (236/780, 30.3{\%}) of all facilities advertised the provision of medication abortion services only; this proportion was close to 40{\%} in the Northeast (89/233, 38.2{\%}) and West (104/262, 39.7{\%}). The lowest gestational limit at which services were provided was 12 weeks in Wyoming; the highest was 28 weeks in New Mexico. People in 27 US cities must travel over 100 miles (160 km) to reach an abortion facility; the state with the largest number of such cities is Texas (n=10). Conclusions: Online searches can provide detailed information about the location of abortion facilities and the types of services they provide. However, these facilities are not evenly distributed geographically, and many large US cities do not have an abortion facility. Long distances can push women to seek abortion in later gestations when care is even more limited. ", issn="1438-8871", doi="10.2196/jmir.9717", url="//www.mybigtv.com/2018/5/e186/", url="https://doi.org/10.2196/jmir.9717", url="http://www.ncbi.nlm.nih.gov/pubmed/29759954" }