College of Finance and Banking, National Kaohsiung University of Science and Technology, Kaohsiung, Taiwan; Department of Obstetrics and Gynecology, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan.
Department of Obstetrics and Gynecology, National Yang-Ming University School of Medicine, Taipei, Taiwan; Department of Obstetrics and Gynecology, Taipei Veterans General Hospital, Taipei, Taiwan; Department of Medical Research, China Medical University Hospital, Taiwan.
Taiwan J Obstet Gynecol. 2021 Jan;60(1):24-30. doi: 10.1016/j.tjog.2020.11.005.
Cross-border reproductive care (CBRC) has become popular in the world, including mainland China. We designed a questionnaire and aimed to determine the main factors that infertile couples from mainland China may consider for CBRC.
In this cross-sectional questionnaire-based study, we retrospectively analyzed the data from questionnaires collected at the Reproductive Center of Beijing BaoDao Obstetrics and Gynecology Hospital from January 2018 to June 2018. The questionnaire contained 38 items that belonged to six different categories (environment and equipment, service quality, patient safety, medical quality, information acquisition channel and overseas medical services). The item scores for each factor were calculated and then weighted using principal component analysis.
A total of 297 infertile couples were identified. Most of the infertile women were aged 31-35 years, were married 1-3 years, and had a bachelor's degree. In the weighted factor analysis, "clean outpatient clinic and medical equipment" had the highest weight in the dimension of environment and equipment. The item with the highest weight in the dimension of service quality was "wait time for examination". In the dimension of patient safety, "health education on medication and surgery by counselors" had the highest weight. The item with the highest weight in the dimension of medical quality was "fee charged for ART treatment". The items with the three highest weights in the dimension of information acquisition channel were "other (seminar, exhibition, dissertation …)", "introduction from friends and relatives", and "telephone inquiry". In the dimension of overseas medical services, the two items with the highest weights were "cultural similarities" and "language similarities".
For CBRC, infertile couples from mainland China may take following significant factors into consideration: a high success rate and inexpensive treatment, cultural and linguistic familiarity, high-quality service and short wait time.
跨境生殖保健（CBRC）在世界范围内变得流行，包括中国大陆。我们设计了一份问卷，旨在确定中国大陆不孕夫妇可能考虑跨境生殖保健的主要因素。
在这项基于横断面问卷调查的研究中，我们回顾性分析了 2018 年 1 月至 6 月北京宝岛妇产医院生殖中心收集的问卷数据。问卷包含 38 个项目，分为环境与设备、服务质量、患者安全、医疗质量、信息获取渠道和海外医疗服务 6 个不同类别。使用主成分分析计算每个因素的项目得分并加权。
共确定了 297 对不孕夫妇。大多数不孕女性年龄在 31-35 岁，结婚 1-3 年，拥有学士学位。在加权因子分析中，“门诊和医疗设备清洁”在环境和设备维度中的权重最高。服务质量维度中权重最高的项目是“检查等待时间”。在患者安全维度中，“顾问进行的用药和手术健康教育”权重最高。医疗质量维度中权重最高的项目是“ART 治疗费用”。信息获取渠道维度中权重最高的 3 个项目是“其他（研讨会、展览、论文……）”、“亲友介绍”和“电话咨询”。在海外医疗服务维度中，权重最高的两个项目是“文化相似性”和“语言相似性”。
对于跨境生殖保健，中国大陆的不孕夫妇可能会考虑以下重要因素：高成功率和低廉的治疗费用、文化和语言熟悉度、高质量的服务和短的等待时间。
