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对体外受精治疗的满意度:患者体验与专业人员认知

Satisfaction with in vitro fertilization treatment: patients' experiences and professionals' perceptions.

作者信息

Gonen Limor Dina

机构信息

Department of Economics and Business Administration, Ariel University, Ariel, Israel.

出版信息

Fertil Res Pract. 2016 Apr 2;2:6. doi: 10.1186/s40738-016-0019-4. eCollection 2016.

DOI:10.1186/s40738-016-0019-4
PMID:28620533
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5424374/
Abstract

BACKGROUND

This paper investigates patients' satisfaction with various aspects of fertility care and seeks to determine to what extent fertility specialists are able to assess patient satisfaction. Patients' experiences with in-vitro fertilization (IVF) services and facilities have been compiled and examined in order to discover whether patients' satisfaction is correlated to psychological factors and demographic, socio-economic, and health characteristics, and whether patients' satisfaction has an influence on the willingness to pay (WTP) for IVF treatment.

METHODS

The study was carried out on 204 patients and 19 fertility professionals from 8 public IVF units in Israel.

RESULTS

The study found that, overall, infertile patients are satisfied with the care they received. Several demographic variables (age; education; income; number of fertility treatments) and psychological factors ('Pessimism' and 'Activeness'), were found to be significantly correlated with patient satisfaction with IVF. The results yielded a negative correlation between the WTP for IVF treatment and the satisfaction with access to care and physical conditions.

CONCLUSIONS

Patient satisfaction is an important component in the evaluation of fertility treatments as well as other medical interventions. Insights into the quality of care as seen from the patients' perspective may help healthcare staff better meet patients' needs, wishes, and priorities.

摘要

背景

本文调查了患者对生育治疗各个方面的满意度,并试图确定生育专家能够在多大程度上评估患者满意度。为了发现患者满意度是否与心理因素、人口统计学、社会经济和健康特征相关,以及患者满意度是否对体外受精(IVF)治疗的支付意愿(WTP)产生影响,已对患者在IVF服务和设施方面的经历进行了汇总和研究。

方法

该研究对来自以色列8个公立IVF单位的204名患者和19名生育专业人员进行。

结果

研究发现,总体而言,不孕患者对他们接受的治疗感到满意。发现几个人口统计学变量(年龄;教育程度;收入;生育治疗次数)和心理因素(“悲观主义”和“积极性”)与患者对IVF的满意度显著相关。结果显示,IVF治疗的WTP与对获得治疗的满意度和身体状况之间呈负相关。

结论

患者满意度是评估生育治疗以及其他医疗干预措施的重要组成部分。从患者角度洞察护理质量可能有助于医护人员更好地满足患者的需求

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本文引用的文献

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Professionals' perceptions of their patients' experiences with fertility care.专业人士对患者在生育护理方面的体验的看法。
Hum Reprod. 2011 May;26(5):1119-27. doi: 10.1093/humrep/der054. Epub 2011 Mar 9.
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Measuring patient-centredness, the neglected outcome in fertility care: a random multicentre validation study.测量以患者为中心的结局,关注生育保健中的被忽视问题:一项随机多中心验证研究。
Hum Reprod. 2010 Oct;25(10):2516-26. doi: 10.1093/humrep/deq219. Epub 2010 Aug 18.
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Gender perspective on quality of life, comparisons between groups 4-5.5 years after unsuccessful or successful IVF treatment.性别视角下生活质量的比较:未成功或成功接受 IVF 治疗 4-5.5 年后的组间比较。
Acta Obstet Gynecol Scand. 2010 May;89(5):683-91. doi: 10.3109/00016341003657892.
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The patients' perspective on fertility care: a systematic review.患者对生育护理的看法:系统评价。
Hum Reprod Update. 2010 Sep-Oct;16(5):467-87. doi: 10.1093/humupd/dmq004. Epub 2010 Mar 11.
5
Weaknesses, strengths and needs in fertility care according to patients.根据患者的说法,生育护理的优缺点和需求。
Hum Reprod. 2010 Jan;25(1):142-9. doi: 10.1093/humrep/dep362. Epub 2009 Oct 27.
6
The relative contribution of IVF to the total ongoing pregnancy rate in a subfertile cohort.体外受精对生育能力低下队列中持续妊娠率的相对贡献。
Hum Reprod. 2010 Jan;25(1):118-26. doi: 10.1093/humrep/dep341. Epub 2009 Oct 24.
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Patient surveys--a key to organizational change?患者调查——组织变革的关键?
Patient Educ Couns. 2010 Mar;78(3):394-401. doi: 10.1016/j.pec.2009.08.017. Epub 2009 Oct 2.
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When and why do subfertile couples discontinue their fertility care? A longitudinal cohort study in a secondary care subfertility population.何时以及为何不育夫妇停止生育护理?二级保健不育人群中的纵向队列研究。
Hum Reprod. 2009 Dec;24(12):3127-35. doi: 10.1093/humrep/dep340. Epub 2009 Sep 26.
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Provider attitudes associated with adherence to evidence-based clinical guidelines in a managed care setting.在管理式医疗环境下,与遵循循证临床指南相关的提供者态度。
Med Care Res Rev. 2010 Feb;67(1):93-116. doi: 10.1177/1077558709342882. Epub 2009 Aug 19.
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Measuring patient experiences in Europe: what can we learn from the experiences in the USA and England?衡量欧洲患者的就医体验:我们能从美国和英国的经验中学到什么?
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