Choosing to Provide: Early Medical Abortion and Clinician Conscience in Ireland

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dc.contributor.authorDonnelly, Maryen
dc.contributor.authorMurray, Claireen
dc.date.accessioned2025-01-21T09:32:12Z
dc.date.available2025-01-21T09:32:12Z
dc.date.issued2024en
dc.description.abstractProviders are essential to the delivery of abortion care. Yet, they often occupy an ambiguous space in political discourse around abortion. The introduction of a new abortion service in Ireland invites us to look afresh at providers. Since the Health (Regulation of Termination of Pregnancy) Act 2018 came into force, by far the most common form of abortion care has been early medical abortion (EMA). This is typically provided by General Practitioners (GPs), with approximately 10% of GPs having chosen to provide EMA. This article draws on an empirical study of providers to investigate their motivations for, and experiences of, provision and their views on colleagues who have not chosen to provide. The study shows that for many providers, the choice to provide was grounded in a moral commitment to protecting women’s rights to autonomy and health and ensuring that the harms of the past were not repeated. The article argues that notwithstanding increased normalisation of EMA in Ireland, conscience still has a role to play in abortion care provision and it is important to reflect on the various aspects of this role. © The Author(s) 2024.en
dc.description.statusPeer revieweden
dc.description.versionPublished Versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.citationDonnelly, M. and Murray, C. (2024) 'Choosing to provide: Early medical abortion and clinician conscience in Ireland', Health Care Analysis, 32(3), pp.165-183. https://doi.org/10.1007/s10728-024-00490-2en
dc.identifier.doihttps://doi.org/10.1007/s10728-024-00490-2en
dc.identifier.endpage183en
dc.identifier.issued3
dc.identifier.journaltitleHealth Care Analysisen
dc.identifier.startpage165en
dc.identifier.urihttps://hdl.handle.net/10468/16855
dc.identifier.volume32
dc.language.isoenen
dc.publisherSpringeren
dc.rights© 2024, the Authors. This work is made available under the CC BY license (https://creativecommons.org/licenses/by/4.0/)en
dc.rights.urihttps://creativecommons.org/licenses/by/4.0/
dc.subjectAbortionen
dc.subjectConscienceen
dc.subjectConscientious commitmenten
dc.subjectConscientious objectionen
dc.subjectProviders’ motivationen
dc.titleChoosing to Provide: Early Medical Abortion and Clinician Conscience in Irelanden
dc.typeArticle (peer reviewed)en
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