Page 131 - Shared Guideline Development Experiences in Fertility Care

Table 1: Patients’ nal set of quality indicators for patient-centredness
Patients’ nal set of 16 quality indicators for patient-centredness (PC)
Composition of the infertility treatment team in licensed IVF- clinics as well as transport- or satellite clinics should be according to the NVOG quality norm ‘IVF’
Fertility clinics (licensed and non-licensed) should have the possibility to perform IUI at least 6 days a weeka
In accordance with the Dutch IVF planning decree, every licensed IVF centre and their corresponding transport and satellite centres must provide annual reports on treatment outcomes and complications (OI, IUI, IVF) for uniform national IVF registration (NVOG)a
e gynaecologist should: complete or perform the initial fertility assessment, give information on possible causes of infertility, consult a urologist in case of urological problems and start treatment if it enhances pregnancy-probabilities (demarcation of rst, second and third line’s professionals ‘roles)
e gynaecologist should preferably accommodate daily monitoring in ovulation induction cycles in order to assess the individual response as well as to reduce complication risks
e gynaecologist should keep up detailed correspondence with the GP regularly
Regarding the semen analysis, the laboratory o cer should at least report on: the test-criteria used, the results including normal limits, the calculated total motile sperm count, the completeness of the sample, the time span between production and analysis and an overall conclusiona
Each fertility professional should counsel infertile couples about the potential positive e ects of eliminating harmful lifestyle choices on pregnancy-chancesa
Patients would like to have a consult with a gynaecologist within 1 month a er referral by a GP
Patients visiting a fertility clinic would like to have separate waiting rooms from pregnant women
Patients would like to be able to visit a fertility clinic during daytime as well as in the evening.
Patients would like to have the possibility of receiving treatments on weekends
Regarding infertility treatment, patients would like to see all members of the infertility treatment team following the same policy
With respect to the IVF laboratory phase, patients would like to be informed in case their embryos do not divide any further as soon as possible
Sub-dimension of PC
Quality management
Accessibility outside traditional working hours
Quality management
Role demarcation
Accessibility
Continuity in policy
Providing adjusted professional information
Information on helping themselves
Accessibility
Accommodation of clinic
Accessibility outside traditional working hours
Accessibility
Continuity in policy
Su ciency of information
Dimension of PC
Sta s’ competence and technical skills
Access to care
Sta s’ competence and technical skills
Coordination and integration of care
Access to care
Transition and continuity of care
Transition and continuity of care
Information, Communication & Education
Access to care 6 Physical comfort
Access to care
Access to care
Transition and continuity of care
Information, Communication and Education
(Guideline-based) indicators for patient-centredness
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