title: Women know best--findings from a thematic analysis of 5,214 surveys of abortion care experience.
abstract: OBJECTIVE
  Patient experience is an essential component of quality care. Few studies have comprehensively evaluated patient experiences of abortion care. The objectives of this study were to describe women's experiences of abortion care in their own words, and to determine themes across patient experiences.
  
  
  METHODS
  Data for this thematic analysis, a qualitative method that allows for the identification, analysis, and report of patterns or themes within data, come from a larger study of safety and quality of aspiration abortion care across 22 clinical sites. Participants completed an abortion experience survey including fixed choice questions and an open-ended question: "Is there anything you would like to tell us about your experience?" The data were then categorized by responses to another survey question: "Overall, was your experience about, better, or worse than you expected?"
  
  
  RESULTS
  A total of 5,214 responses were analyzed. Women reported positive abortion care experiences with the majority of women rating their experience as better than expected (n = 3,600). Two major themes that emerged from the data include clinic- and patient-level factors that impact how patients rate their experiences. Analysis of the responses categorized in the worse than expected group (n = 136) found that women primarily faulted clinic-level factors for their negative experiences, such as pain control and management, and wait time for appointments and in clinic.
  
  
  CONCLUSIONS
  This analysis highlights specific areas of abortion care that influence patients' experience. The few women who were disappointed by care in the clinic tended to fault readily modifiable clinical factors, and provided suggested areas of improvement to enhance positive experiences related to their abortion care.
authors.affiliation: University of California, School of Nursing - Family Health Care Nursing Department, San Francisco, California; Advancing New Standards in Reproductive Health, Bixby Center for Global Reproductive Health, University of California, San Francisco, California. Electronic address: mclemoremr@alumni.ucsf.edu.
authors.forename: Monica R
authors.initials: MR
authors.lastname: McLemore
authors.affiliation: Advancing New Standards in Reproductive Health, Bixby Center for Global Reproductive Health, University of California, San Francisco, California.
authors.forename: Sheila
authors.initials: S
authors.lastname: Desai
authors.affiliation: Advancing New Standards in Reproductive Health, Bixby Center for Global Reproductive Health, University of California, San Francisco, California.
authors.forename: Lori
authors.initials: L
authors.lastname: Freedman
authors.affiliation: Advancing New Standards in Reproductive Health, Bixby Center for Global Reproductive Health, University of California, San Francisco, California.
authors.forename: Evelyn Angel
authors.initials: EA
authors.lastname: James
authors.affiliation: University of California, School of Nursing - Family Health Care Nursing Department, San Francisco, California; Advancing New Standards in Reproductive Health, Bixby Center for Global Reproductive Health, University of California, San Francisco, California.
authors.forename: Diana
authors.initials: D
authors.lastname: Taylor
mesh_terms: D000028:Abortion, Induced / Q000523:psychology*; D002140:California; D005260:Female; D006801:Humans; D007407:Interviews as Topic; D033262:Narration; D010342:Patient Acceptance of Health Care / Q000523:psychology*; D017060:Patient Satisfaction; D011247:Pregnancy; D011275:Pregnancy, Unwanted / Q000523:psychology*; D036301:Qualitative Research; D012959:Socioeconomic Factors; D011795:Surveys and Questionnaires; D014930:Women / Q000523:psychology*