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Fertility clinicians and infertile patients in China have different preferences in fertility care

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单位: [1]Huazhong Univ Sci & Technol, Tongji Hosp, Tongji Med Coll, Reprod Med Ctr, Wuhan 430030, Hubei, Peoples R China [2]Univ Penn, Ctr Clin Epidemiol & Biostat, Philadelphia, PA 19104 USA [3]Women & Childrens Hosp Fujian Prov, Reprod Med Ctr, Fuzhou 350000, Fujian, Peoples R China [4]Women & Childrens Hosp Hubei Prov, Reprod Med Ctr, Wuhan 430070, Hubei, Peoples R China
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关键词: patient-centredness treatment effectiveness fertility care patient preferences conjoint survey

摘要:
Do the preferences for fertility care of infertile Chinese patients differ from those of fertility care providers? Infertile Chinese patients attached the greatest importance to physicians attitude but, in contrast, fertility care providers in China considered treatment effectiveness to be the most important factor in fertility care. In Europe, physicians underestimate the importance of patient-centred infertility care. A conjoint survey was distributed among 417 female infertile Chinese patients and 83 fertility care providers from February 2013 to August 2013. In this pilot study, 389 patients and 83 fertility care providers completed the survey at three reproductive medicine centres. Rating-based conjoint analysis was performed to elicit patients and their caregivers preferences regarding fertility care. Cluster analysis was used to explore the heterogeneity among patients preferences. When searching for fertility care, patients valued the physicians attitude the most, followed by success rates, distance from home to the fertility centre, physician continuity throughout the treatment period and type of fertility centre. Fertility care providers considered success rates (effectiveness) to be the most important factor when recommending a fertility centre. Fertility patients and care providers had significantly different views on the value of treatment effectiveness, physician attitude and physician continuity (P-values 0.05). Cluster analysis revealed that patients preferences were heterogeneous. The sample size is relatively small, and there is insufficient power for heterogeneity analysis. Two levels for each of five design factors (2(5)) may not fully capture the characteristics of realistic fertility centres. Rating-based conjoint analysis could be inferior to choice-based conjoint analysis in terms of predictive accuracy. Fertility care providers in China significantly underestimate the importance of patient-centredness to infertile patients. To deliver optimal fertility care to infertile Chinese patients, fertility care providers need to understand the importance of patient-centred care, such as a friendly attitude, sympathy for patients suffering, respect for patients right to informed consent and a transparent treatment process. This study was not funded, and there are no conflicts of interest. None.

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出版当年[2013]版:
大类 | 2 区 医学
小类 | 1 区 妇产科学 2 区 生殖生物学
最新[2025]版:
大类 | 1 区 医学
小类 | 1 区 妇产科学 1 区 生殖生物学
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出版当年[2012]版:
Q1 REPRODUCTIVE BIOLOGY Q1 OBSTETRICS & GYNECOLOGY
最新[2023]版:
Q1 OBSTETRICS & GYNECOLOGY Q1 REPRODUCTIVE BIOLOGY

影响因子: 最新[2023版] 最新五年平均 出版当年[2012版] 出版当年五年平均 出版前一年[2011版] 出版后一年[2013版]

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第一作者单位: [1]Huazhong Univ Sci & Technol, Tongji Hosp, Tongji Med Coll, Reprod Med Ctr, Wuhan 430030, Hubei, Peoples R China
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通讯机构: [1]Huazhong Univ Sci & Technol, Tongji Hosp, Tongji Med Coll, Reprod Med Ctr, Wuhan 430030, Hubei, Peoples R China [*1]Huazhong Univ Sci & Technol, Tongji Hosp, Tongji Med Coll, Reprod Med Ctr, 1095 Jiefang Ave, Wuhan 430030, Hubei, Peoples R China
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