Department of Obstetrics and Gynaecology, Radboud University Nijmegen Medical Centre, Nijmegen, the Netherlands.
Fertil Steril. 2011 Feb;95(2):513-9. doi: 10.1016/j.fertnstert.2010.08.021. Epub 2010 Sep 18.
To identify organizational determinants of positive patient experiences with fertility care, with the goal of improving patient centeredness of care.
Cross-sectional survey.
One large university clinic and 12 medium-sized fertility clinics in the Netherlands.
PATIENT(S): Three hundred and sixty-nine couples receiving medically assisted reproduction in one of the participating clinics between March and May 2008.
INTERVENTION(S): None.
MAIN OUTCOME MEASURE(S): Organizational determinants of patients' experiences with patient centeredness in fertility care.
RESULT(S): Of the patients during the relevant period, 78% of the women and 76% of their partners participated in the study. Infertile couples who have a lead physician, have access to an electronic personal health record, or see trained fertility nurses have more positive experiences with aspects of patient-centered care, like continuity of care and partner involvement. Moreover, receiving a treatment other than in vitro fertilization was negatively associated with the perceived patient centeredness of care. The identified determinants explained 5.1% to 22.4% of the total variance.
CONCLUSION(S): This study provides organizational determinants of patients' experiences with fertility care on numerous facets of patient centeredness. These organizational determinants can be used as valuable tools to enable clinics to provide a more positive patient experience.
确定影响患者对生育护理积极体验的组织决定因素，以提高护理的以患者为中心程度。
横断面调查。
荷兰的一家大型大学诊所和 12 家中型生育诊所。
2008 年 3 月至 5 月期间在参与诊所之一接受医学辅助生殖的 369 对夫妇。
无。
生育护理中患者以患者为中心体验的组织决定因素。
在相关期间，78%的女性及其伴侣中的 76%参与了该研究。有主治医生、可访问电子个人健康记录或接受过培训的生育护士的不孕夫妇对以患者为中心的护理方面（如护理的连续性和伴侣参与）有更积极的体验。此外，接受除体外受精以外的治疗与感知到的以患者为中心的护理呈负相关。确定的决定因素解释了 5.1%至 22.4%的总方差。
本研究提供了患者对生育护理体验的组织决定因素，涉及以患者为中心的多个方面。这些组织决定因素可用作有价值的工具，使诊所能够为患者提供更积极的体验。
