Table 2.

Components of the 5 Steps for Remote Medication Abortion Service Operation Across 4 Health Care Settings (N = 14)

Operational Factor	Practice Settings
Operational Factor	Independent Primary Care Practices (n = 5)		Telemedicine-Only Health Care Clinics (n = 3)		Specialized Family Planning Clinics (n = 4)		Primary Care in Multispecialty Health System (n = 2)
Patient engagement
Importance of marketing^a	Moderately important		Very important		Moderately important		Unimportant
Mechanism for recruitment^b	Website		Website		Website, call clinic		Internal referral, call clinic
Method of screening	Questionnaire		Questionnaire		Questionnaire		Call clinic
Scheduling consultation^c	Automated		Automated		Automated		Call clinic
Patient consultation
Technology platforms used	Doxy.me		Kareo, Rhinogram		DocuSign, Doxy.me, Phone.com		DocuSign
Type clinic staff^d	Clinician		Care coordinator, clinician		Care coordinator, clinician		Clinician
Type of visit^e	Synchronous	Asynchronous	Synchronous	Asynchronous	Synchronous	Synchronous
Duration, min^e	10-30	2-5	10-20	2-5	20-30	10-30
Payment
Source of funds^g	Insurance, cash		Cash		Insurance, cash		Insurance,
Cash cost, $	70-150		199-375		500-575		No Data
Medication dispensing
Method of delivery^h	Mailed, pick up, drop off		Mailed		Mailed, pick up		Mailed, pick up
Type of pharmacy	Mail order, clinic stock		Mail order		Clinic stock		Mail order, health system pharmacy
Follow-up communication
Type^e	Synchronous		Asynchronous		Synchronous		Synchronous
Timing after medication taken	2-3 d		3 d and 4 wk		1-2 wk		1 d and 4 wk

↵a Measured using a Likert Scale: 1 = unimportant; 2 = slightly unimportant; 3 = moderately important; 4 = important; 5 = very important.
↵b Mechanisms: website = patient navigates to clinic website to request abortion service; internal referral = primary care clinician refers patient to in-house abortion service; call clinic = patient calls clinic to discuss abortion service.
↵c Automated = website system automatically proceeds to scheduling options.
↵d Clinician = a family physician or nurse practitioner; care coordinator = member of abortion care team who screens and counsels patient before meeting a clinician.
↵e Synchronous = a live, scheduled telephone or video call; asynchronous = a non-live e-mail, chat, or messaging function, also known as an e-visit.
f Duration of visit = total time for clinician to meet with patient and complete all documentation.
↵g Insurance = private or federal/state insurance plan; cash = patient pays with cash or credit.
↵h Mailed = medications are mailed directly to a patient; pick up = patient picks up medication from clinic; drop off = clinician personally delivers medications to patient.