Page 111 - Shared Guideline Development Experiences in Fertility Care

Online tool for patient partnership in guidelines
recommendations. e top ves of recommendations within the laboratory and urologic care sections remained unaltered. Table 3 provides an overview of the two main recommendations per care phase.
Table 3: Main recommendations per treatment phase
Care phase General care
General practitioner’s care Gynaecologic care
Urologic care Laboratory
Psychologic care
Occupational Physicians’ care
Remaining care
GP=General practitioner
Main patients’ recommendations
- I want the Dutch government to educate and explain to the broader public what the law entails regarding arti cial donor insemination.
- I want the Dutch government to reimburse fertility treatments in all
cases.
- I want my GP to provide a clear transferral to the gynaecologist.
- I want my GP to take the information given to her/him seriously and
consider this in determining the time of referral.
- I want my gynaecologist to schedule an appointment within 15 days a er a failed IUI/IVF/ICSI attempt to discuss the treatment plan.
- I want my gynaecologist to provide me during my rst appointment with a general brochure explaining how I can increase the chance of pregnancy.
- I want my urologist to engage my partner in the conversation.
- I want my urologist to enable patients to make an appointment in the
rst month a er referral.
- I want the laboratory’s sta to inform patients as soon as possible when embryos are not dividing.
- I want the laboratory’s sta to inform patients of how many embryos developed the day before the embryo transfer instead of by the time of the embryo transfer.
- I want the healthcare system to enable quick and adequate care in case 5 of problems due to unwanted childlessness.
- I want my psychologist or sexologist to be present during the rst intake as a standard operating procedure.
- I want the occupational physician to educate employers and provide tools for employees receiving fertility treatments.
- I want employers to give every patient the opportunity to have fertility treatments during working hours.
- I want the insurance company to o er patients the opportunity to insure for a fourth IVF/ICSI attempt if the third attempt has not resulted in a pregnancy.
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