number of non-specialized clinic providers increased, asdid the number of physician providers, most of whichperformed fewer than 30 abortions in 2005. The overallincrease in California’s number of providers was duelargely to an increase in hospitals that provided a smallnumber of abortions. Similarly, in Georgia, the 31%increase in provider numbers (a gain of eight facilities)was due to an increase in the number of hospitalsproviding a small number of abortions per year. Whilethe increase in hospital providers in Georgia may be real,it may also reflect that the abortion data from the statehealth department was more detailed in 2005 than inprior years. The largest absolute decreases in abortionproviders occurred in North Carolina (18), Pennsylvania(17) and Hawaii (12). Declines in Pennsylvania and NorthCarolina were mostly in the number of hospitals withsmall abortion caseloads, while the decline in Hawaii wasdue to fewer physicians’ performing, or reporting thatthey perform, abortions.In several states where provider numbers increased,such as California, Georgia and New York, abortion ratesdecreased between 2000 and 2005. Three of the ninestates where abortion rates increased (Maine, Marylandand New Hampshire) had a decrease in provider numbers, and three (Alaska, Colorado and Connecticut) hadan increase of two or more. In states that had fewproviders to begin with, such as Arkansas, Mississippiand North Dakota, declines in the number of providers
likely further restricted access to abortion services and, in
turn, contributed to lower abortion rates.
Provider Types and Case loads
dClinics.The 381 specialized abortion clinics performed
69% of all abortions in 2005 (Table 4). A large majority of
these reported 1,000 or more abortions during the year,
and a few performed 5,000 or more. The 435 non-specialized clinic providers performed 25% of abortions.
Even though a majority of patient visits to these facilities
are for other services, some non-specialized clinics are
similar to abortion clinics in that they have large abortion
case loads.
Between 2000 and 2005, abortion clinics declined both
in number (by 15%, from 447
3
) and as a proportion of all
providers (from 25% to 21%—not shown). Seventy-seven
abortion clinics closed during this period, and only 29
new clinics opened. In addition, while 36 providers
switched their focus and were reclassified as abortion
clinics, 54 facilities were removed from that category
because they changed their focus or did fewer abortions
in 2005. The number of nonspecialized clinic providers
increased by 13%, from 386 in 2000,
3
partly because
some clinics that previously had not offered abortion
services began to offer medication abortions; this number
also increased as a proportion of the total number of
providers, from 21% to 24%. Overall, the number of
clinics that performed 400 or more abortions fell from
668 to 617 between 2000 and 2005.
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