Yano Keiko, Ohashi Kazutomo
Division of Health Sciences Osaka University Graduate School of Medicine 1-7 Yamadaoka 565-0871 Suita Osaka Japan.
Reprod Med Biol. 2009 Nov 17;9(1):33-41. doi: 10.1007/s12522-009-0038-5. eCollection 2010 Mar.
At present, a team approach involving gynecologists, nurses, embryologists, and the other professionals is considered necessary to provide successful infertility treatment. First, we documented which professionals were in charge during various phases of infertility treatment. Second, clinical staff and patients were surveyed regarding their expectations regarding which of these professionals should contribute during examination, during treatment and after treatment for infertility.
We surveyed the actual situation perceived by staff as well as the desired situation for staff and patients in relation to 21 procedures related to infertility treatment. We distributed 781 questionnaires to staff and patients at 86 facilities. Of 380 returned by mail, we analyzed 128 responses from staff who worked with four types of professionals or specialists, i.e., medical doctors, nurses, embryologists, and medical clerks, and 46 from patients who consulted these professionals during their treatment.
Most staff recognized 5 of 15 procedures before and after treatment as being conducted by medical doctors alone. However, explanation and consultation regarding the methods and schedule were mainly performed with an interprofessional team approach. Expectations regarding professionals in charge differed between staff and patients. A team approach including infertility counselors and medical clerks was utilized and considered desirable during counseling.
An effective team approach should be established for each step of infertility treatment.
目前，人们认为不孕不育治疗要取得成功，需要妇科医生、护士、胚胎学家及其他专业人员组成的团队协作。首先，我们记录了不孕不育治疗各阶段由哪些专业人员负责。其次，针对这些专业人员在不孕不育检查、治疗及治疗后应发挥何种作用，我们对临床工作人员和患者进行了期望调查。
我们调查了工作人员所感知的实际情况，以及工作人员和患者对于21项与不孕不育治疗相关程序的期望情况。我们向86家机构的工作人员和患者发放了781份问卷。在通过邮件返回的380份问卷中，我们分析了128份来自与四类专业人员或专家（即医生、护士、胚胎学家和医务职员）共事的工作人员的回复，以及46份来自在治疗期间咨询过这些专业人员的患者的回复。
大多数工作人员认为，治疗前后的15项程序中有5项仅由医生执行。然而，关于治疗方法和日程安排的解释及咨询主要采用跨专业团队协作方式。工作人员和患者对负责专业人员的期望存在差异。在咨询过程中采用了包括不孕不育咨询师和医务职员在内的团队协作方式，且被认为是可取的。
应针对不孕不育治疗的每个环节建立有效的团队协作方式。
