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1.
J Assist Reprod Genet ; 40(6): 1317-1328, 2023 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-37310665

RESUMO

OBJECTIVE: To determine factors associated with a positive male patient experience (PMPE) at fertility clinics among male patients. DESIGN: Cross-sectional study Setting: Not applicable Patients: Male respondents to the FertilityIQ questionnaire ( www.fertilityiq.com ) reviewing the first or only US clinic visited between June 2015 and August 2020. INTERVENTIONS: None Main outcome measures: PMPE was defined as a score of 9 or 10 out of 10 to the question, "Would you recommend this fertility clinic to a best friend?". Examined predictors included demographics, payment details, infertility diagnoses, treatment, and outcomes, physician traits, and clinic operations and resources. Multiple imputation was used for missing variables and logistic regression was used to calculate adjusted odds ratios (aORs) for factors associated with PMPE. RESULTS: Of the 657 men included, 60.9% reported a PMPE. Men who felt their doctor was trustworthy (aOR 5.01, 95% CI 0.97-25.93), set realistic expectations (aOR 2.73, 95% CI 1.10-6.80), and was responsive to setbacks (aOR 2.43, 95% CI 1.14-5.18) were more likely to report PMPE. Those who achieved pregnancy after treatment were more likely to report PMPE; however, this was no longer significant on multivariate analysis (aOR 1.30, 95% CI 0.68-2.47). Clinic-related factors, including ease of scheduling appointments (aOR 4.03, 95% CI 1.63-9.97) and availability of same-day appointments (aOR 4.93, 95% CI 1.75-13.86), were associated with PMPE on both univariate and multivariate analysis. LGBTQ respondents were more likely to report PMPE, whereas men with a college degree or higher were less likely to report PMPE; however, sexual orientation (aOR 3.09, 95% CI 0.86-11.06) and higher educational level (aOR 0.54, 95% CI 0.30-1.10) were not associated with PMPE on multivariate analysis. CONCLUSION: Physician characteristics and clinic characteristics indicative of well-run administration were the most highly predictive of PMPE. By identifying factors that are associated with a PMPE, clinics may be able to optimize the patient experience and improve the quality of infertility care that they provide for both men and women.


Assuntos
Infertilidade Masculina , Adulto , Feminino , Humanos , Masculino , Gravidez , Clínicas de Fertilização , Infertilidade Masculina/terapia , Parceiros Sexuais , Estados Unidos , Inquéritos e Questionários
2.
Arch Gynecol Obstet ; 308(1): 239-253, 2023 07.
Artigo em Inglês | MEDLINE | ID: mdl-37072582

RESUMO

OBJECTIVE: To investigate if differences in self-reported satisfaction with fertility clinics and doctors differ by race/ethnicity. STUDY DESIGN: We used cross-sectional survey data from FertilityIQ online questionnaires completed by patients receiving US. fertility care from July 2015 to December 2020. Univariate and multivariate logistic and linear regression analyses were performed to assess association of race/ethnicity on patient-reported clinic and physician satisfaction. RESULTS: Our total sample size included 21,472 unique survey responses (15,986 Caucasian, 1856 Black, 1780 LatinX, 771 East Asian, 619 South Asian, 273 Middle Eastern, 187 Native American self-reported). When adjusting for potential confounders (demographic and patient satisfaction), we found that Black patients rated their doctors more highly (odds ratio (OR) 1.30, 95% confidence interval (CI) 1.04-1.62 p = 0.022 logistic and Coefficient 0.082, 95% CI 0.013-0.15 p = 0.02 linear), while other ethnic groups did not show significant differences compared to Caucasian patients. East Asians had borderline lower satisfaction with clinic satisfaction in logistic regression (OR 0.74 95% CI 0.55-1.00 p = 0.05), while significant differences were not found for other ethnic groups for clinic satisfaction. CONCLUSIONS: In summary, some but not all minority groups differed in their self-reported perception of satisfaction with fertility clinic and doctors compared to Caucasian patients. Cultural differences towards surveys may contribute to some of these findings, and satisfaction by racial/ethnic group may also be modified by results of care.


Assuntos
Clínicas de Fertilização , Médicos , Humanos , Autorrelato , Estudos Transversais , Etnicidade
3.
J Assist Reprod Genet ; 38(10): 2679-2685, 2021 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-34374923

RESUMO

PURPOSE: To determine the frequency of and factors associated with a patient being declined from pursuing a cycle of in vitro fertilization with autologous oocytes (IVF-AO). METHODS: A cross-sectional study using a nationwide cohort of female respondents aged 35 or over, who visited a US fertility clinic from 1/2015 to 3/2020, responded to the online FertilityIQ questionnaire ( http://www.fertilityiq.com ). All respondents were asked if they were previously declined from pursuing a cycle of IVF-AO. Examined demographic and clinical predictors included age, race/ethnicity, education, income, clinic type, care received in a mandated state, insurance coverage for fertility treatment, and self-reported infertility diagnosis. Logistic regression was used to calculate the adjusted odds ratios for factors associated with being declined from pursuing IVF-AO. RESULTS: Of 8660 women who met inclusion criteria, 418 (4.8%) reported previously being declined a cycle of IVF-AO. In the multivariate analysis, predictors of being declined from pursuing IVF-AO included increasing age, income of less than $50,000, and diagnoses of poor oocyte quality and diminished ovarian reserve. Predictors of being less likely to report decline included some college or college degree and diagnoses of male factor, unexplained or tubal infertility. Notably, diagnosis of PCOS or residence in a state with mandated fertility coverage was not predictive of patients being declined from pursuing IVF-AO. CONCLUSION: Nearly 5% of patients who pursued IVF reported being declined from pursuing IVF-AO. Further studies are needed to confirm our findings and explore whether patients being declined treatment meet the criteria for futile or very poor prognosis.


Assuntos
Fertilização in vitro/estatística & dados numéricos , Custos de Cuidados de Saúde , Infertilidade/terapia , Cobertura do Seguro/estatística & dados numéricos , Oócitos/citologia , Aceitação pelo Paciente de Cuidados de Saúde , Adulto , Estudos Transversais , Feminino , Fertilização in vitro/economia , Humanos , Infertilidade/economia , Infertilidade/epidemiologia , Masculino , Gravidez , Prevalência , Estudos Retrospectivos , Estados Unidos/epidemiologia
4.
Fertil Steril ; 113(4): 797-810, 2020 04.
Artigo em Inglês | MEDLINE | ID: mdl-32147181

RESUMO

OBJECTIVE: To determine factors associated with a positive patient experience (PPE) at fertility clinics. DESIGN: Cross-sectional study. SETTING: Not applicable. PATIENT(S): Female respondents to the FertilityIQ questionnaire (www.fertilityiq.com) reviewing the first or only U.S. clinic visited from July 2015 to July 2018. INTERVENTION(S): None. MAIN OUTCOME MEASURE(S): PPE was defined as a score of 9 or 10 out of 10 on the question, "Would you recommend this fertility clinic to a best friend?" Examined predictors included demographics, payment details, infertility diagnoses and treatment, physician traits, and clinic operations and resources. Multiple imputation was used for missing variables. Logistic regression was used to calculate adjusted odds ratios for factors associated with PPE. RESULT(S): Of the 7,456 women included, 63.1% reported PPE. Pregnancy resulting from treatment was a predictor of PPE. In multivariable analysis, the strongest predictors of PPE were related to the patient-physician relationship ("feeling treated like a human rather than a number" and having a doctor with good communication skills and who set reasonable expectations). Multiple clinic-related factors were also independently associated with PPE, including satisfaction with billing, shorter wait times, and easy appointment scheduling. CONCLUSION(S): While pregnancy influences patients' views of their fertility clinic experience, there are other modifiable patient, physician, and clinic factors associated with PPE. Clinics may be able to optimize patient experience and improve the quality of care that they provide by being cognizant of such factors.


Assuntos
Clínicas de Fertilização/tendências , Infertilidade Feminina/epidemiologia , Infertilidade Feminina/terapia , Satisfação do Paciente , Assistência Centrada no Paciente/métodos , Assistência Centrada no Paciente/tendências , Adulto , Estudos Transversais , Feminino , Humanos , Infertilidade Feminina/psicologia , Inquéritos e Questionários , Estados Unidos/epidemiologia
5.
Urology ; 139: 97-103, 2020 05.
Artigo em Inglês | MEDLINE | ID: mdl-32057791

RESUMO

OBJECTIVE: To characterize the evaluation, treatment, and insurance coverage among couples with male factor infertility in the United States. MATERIALS AND METHODS: A cohort of 969 couples undergoing fertility treatment with a diagnosis of male factor infertility were identified from an online survey. The proportion of men that were seen/not seen by a male were compared. Insurance coverage related to male factor was also assessed. RESULTS: Overall, 98.0% of the men reported at least one abnormal semen parameter. Of these, 72.0% were referred to a male fertility specialist with the majority being referred by the gynecologist of their female partner. As part of the male evaluation, 72.2% had blood hormone testing. Of the 248 men who were not recommended to see a male fertility specialist, 96.0% had an abnormal semen analysis including 7.6% who had azoospermia. Referral to a male fertility specialist was largely driven by severity of male factor infertility rather than socioeconomic status. Insurance coverage related to male factor infertility was poor with low coverage for sperm extractions (72.9% reported 0-25% coverage) and sperm freezing (83.7% reported 0-25% coverage). CONCLUSION: Although this cohort includes couples with abnormal semen parameters, 28% of the men were not evaluated by a male fertility specialist. In addition, insurance coverage for services related to male factor was low. These findings may be of concern as insufficient evaluation and coverage of the infertile man could lead to missed opportunities for identifying reversible causes of infertility/medical comorbidities and places an unfair burden on the female partner.


Assuntos
Infertilidade Masculina , Cobertura do Seguro , Serviços de Saúde Reprodutiva , Análise do Sêmen , Adulto , Azoospermia/sangue , Azoospermia/diagnóstico , Estudos de Coortes , Estudos Transversais , Características da Família , Saúde da Família , Feminino , Hormônios Esteroides Gonadais/sangue , Necessidades e Demandas de Serviços de Saúde , Humanos , Infertilidade Masculina/diagnóstico , Infertilidade Masculina/economia , Infertilidade Masculina/epidemiologia , Infertilidade Masculina/terapia , Cobertura do Seguro/normas , Cobertura do Seguro/estatística & dados numéricos , Masculino , Serviços de Saúde Reprodutiva/economia , Serviços de Saúde Reprodutiva/normas , Análise do Sêmen/métodos , Análise do Sêmen/estatística & dados numéricos , Estados Unidos/epidemiologia
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