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13-09-2009 | Gynaecology | Article

Infertile women ‘generally satisfied with fertility care experience’


Journal abstract

MedWire News: Infertile women are generally satisfied with their experience of fertility care, but the least positive aspects of care are waiting times, information provision, and emotional support, Dutch scientists have discovered.

Jan Kremer, from Radboud University Nijmegen Medical Center, and colleagues studied 1499 infertile women who visited 16 fertility clinics during 2005 for diagnostics or treatment. The team administered a questionnaire developed to assess patients’ experiences and satisfaction with fertility care and their determinants.

Overall, 94 percent of patients expressed satisfaction with current fertility services. However, lack of continuity of care was reported by 27 percent of patients, 11 percent felt their doctor did not involve them in decision making, and 19 percent felt that their doctor was not really interested in them as a person. The least positive experiences were waiting times, information provision, and emotional support.

The most important aspect of care was the doctor’s attitude, cited by 36 percent of patients, followed by information provision (29 percent), organisation of diagnostics (24 percent), waiting time (8 percent), and emotional support (4 percent).

Four domains were found to be determinants of experiences of care, three at the patient level (demographic characteristics, type of received treatment, and health status) and one at the clinical level (organization of care).

The researchers conclude: “These results enable fertility professionals to tailor their care to specific subgroups of patients and adjust their organization of care where needed.”

MedWire ( is an independent clinical news service provided by Current Medicine Group, a part of Springer Science+Business Media. © Current Medicine Group Ltd; 2009

By Liam Davenport