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Access to Medication Abortion in Vermont Primary Care
Davis, Maya Duisberg, Quinn Hyder, Zaafir Fitzgerald, Jessica Kay, Isabel Sabbaj, Michael Shea, Veronica Tikhomirova, Natalie
Davis, Maya
Duisberg, Quinn
Hyder, Zaafir
Fitzgerald, Jessica
Kay, Isabel
Sabbaj, Michael
Shea, Veronica
Tikhomirova, Natalie
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Abstract
Background: Vermont’s 2022 Reproductive Liberty Amendment solidified the right to medication abortion. In rural areas of the state, primary care providers (PCPs) may be the most accessible resource for this care, especially as six Planned Parenthood clinics have closed since 2022. This study evaluated access to medication abortion in Vermont primary care, barriers to provision, and continuing education needs.
Methods: An anonymous survey - including demographic, geographic, and scope of practice questions - was distributed to PCPs statewide. Survey items examined medication abortion training, provision, request frequency, and perceived barriers to care. Semi-structured interviews (n=10) were conducted with clinicians who opted in (n=25).
Results: Of 116 respondents, 14 provide medication abortion, with 8 practicing in metropolitan counties, and 2 publicly advertising these services. 60% of providers expressed interest in continuing education, particularly in managing complications and practice-level safety. A higher percentage of Advanced Practice Providers than physicians were interested in continuing education (p=0.026). 52% of PCPs expressed willingness to expand their practices to include medication abortion. Providers 45 years and younger were more willing to expand their practice to include this service (p=0.016). Reported barriers include low volume (49%), insufficient training (40%), and preference for referral (31%).
Conclusion: Medication abortion is offered by a minority of surveyed PCPs. Barriers reflect practical challenges integrating this service, though many clinicians express willingness to expand their practice and pursue further education.
Limitations include low response rate and limited generalizability. Future directions include expanding continuing education and forecasting state-wide gaps in care as Planned Parenthood services decline.
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2026-01-28
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Area Health Education Centers (AHEC)