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AJPH First Look, published online ahead of print Aug 13, 2008
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October 2008, Vol 98, No. 10 | American Journal of Public Health 1770-1774
© 2008 American Public Health Association
DOI: 10.2105/AJPH.2008.136325

GOVERNMENT, POLITICS, AND LAW

Medical Liability Insurance as a Barrier to the Provision of Abortion Services in Family Medicine

Christine E. Dehlendorf, MD, MAS and Kevin Grumbach, MD

Christine E. Dehlendorf and Kevin Grumbach are with the Department of Family and Community Medicine, University of California, San Francisco. Christine E. Dehlendorf is also with the Department of Obstetrics, Gynecology, and Reproductive Sciences, University of California, San Francisco.

Correspondence: Requests for reprints should be sent to Christine E. Dehlendorf, 995 Potrero Ave, Ward 83, San Francisco, CA 94110 (e-mail: cdehlendorf{at}fcm.ucsf.edu).

Family physicians who wish to provide abortions have been subject to both denial of coverage by medical liability insurers and the imposition of large premium increases. These policy decisions by insurance companies raise questions about the role of family physicians in abortion care and about the autonomy of medical specialties in defining their scope of practice.

We review the issues specific to abortion services in the primary care setting and examine the broader implications for the medical profession. Finally, we review how advocacy and improved regulation of the insurance industry could help to ensure that clinicians who are trained and willing to provide services to their patients are not limited by the decisions of medical liability insurers.




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