Page 132 - Shared Guideline Development Experiences in Fertility Care

Chapter 6
Table 1: Continued
Patients’ nal set of 16 quality indicators for
patient-centredness (PC)
Patients would like their gynaecologist to provide them with information on all possible infertility treatments
Each fertility professional should inform infertile couples on the negative in uences and consequences of a high BMI (>29) regarding pregnancy-chances and if anovulatory, that losing weight increases the pregnancy-chancesa
Sub-dimension of PC
Information on alternatives
Information on helping themselves
Dimension of PC
Information, Communication and Education
Information, Communication and Education
IVF, in vitro fertilization; OI, ovulation induction; IUI, intrauterine insemination; GP, General Practitioner; NVOG, Dutch society of Obstetrics and Gynaecology.
a Similar indicators in patients’ and professionals’ nal set.
Table 2: Professionals’ nal set of quality indicators for patient-centredness
Professionals’ nal set of 18 quality indicators for patient-centredness (PC)
In accordance with the Dutch IVF planning decree, every licensed IVF centre and their corresponding transport and satellite clinics must provide annual reports on treatment outcomes and complications (OI, IUI, IVF) for uniform national IVF registration (NVOG)a
e GP should conduct an initial fertility assessment comprising a semen analysis in men and screening for Chlamydia trachomatis and when in doubt of an ovulatory cycle a single basal body temperature chart in women
e GP should perform a semen analysis in an accredited laboratory (ISO 15189) or in a referral hospital
e GP should refer an infertile couple to a gynaecologist if there are indications for tubal pathology, such as a positive chlamydia antibody test and/or a medical history of (recurrent) abdominal infections or abdominal surgery
Regarding the semen analysis, the laboratory o cer should at least report on the test-criteria used, the results including normal limits, the total motile sperm count, the completeness of the sample, the time span between production and analysis and an overall conclusiona
Fertility clinics (licensed and non-licensed) should at least have the possibility to perform IUI 6 days a weeka
e GP should immediately refer an infertile couple with ovulations abnormalities to a gynaecologist
e gynaecologist should refer the infertile couple with sexual dysfunction, male genital abnormalities or azoospermia to a urologist
e laboratory o cer (and not the gynaecologist) should ask and report the time-span of production and the completeness of the semen sample by accepting it
Each fertility professional should counsel infertile couples about the potential positive e ects of eliminating harmful lifestyle choices on pregnancy-chancesa
Sub-dimension of PC
Quality management
Role demarcation
Quality management
Transition of care
Providing adjusted professional information
Accessibility Transition of care
Transition of care Role demarcation
Information on helping themselves
Dimension of PC
Sta s’ competence and technical skills
Coordination and integration of care
Sta s’ competence and technical skills
Coordination and integration of care
Transition and continuity of care
Access to care
Coordination and integration of care
Coordination and integration of care
Coordination and integration of care
Information, Communication and Education
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