Page 133 - Shared Guideline Development Experiences in Fertility Care

Table 2: Continued
Professionals’ nal set of 18 quality indicators for
patient-centredness (PC)
Both partners of the infertile couple should be involved in the assessment and management of infertility because it is a joint problem
e GP should provide a couple experiencing problems in conceiving, but with normal preliminary test results, with speci c information on the fertile period
e GP should o er infertile couples the opportunity to talk about their experiences and expectations throughout all phases of fertility care
e gynaecologist should o er infertile couples moral and psychosocial support throughout all phases of fertility care.
With respect to adoption, all fertility professionals should give information on: the age limit of 41 years for both adoptive parents (as opposed to foster care, i.e. no age limit), lengthy waiting times (3-6 years), websites for additional information and make a comparison with foster care
Each fertility professional should inform infertile couples on the in uences and consequences of a high BMI (>29) regarding pregnancy-chances and if anovulatory, that losing weight increases the pregnancy-chancesa
Each fertility professional should inform infertile men who smoke, or use more than 20 glasses of alcohol per week, use drugs and or anabolic steroids on the negative in uence of this lifestyle on the semen quality and fertility
Each fertility professional should inform infertile females, who smoke and/or use alcohol on the negative in uence on fertility as well as motivate them to preventively quit the smoking ore use of alcohol
Sub-dimension of PC
Involving the partner
Information on helping themselves
Provision of emotional support
Provision of emotional support
Concrete information
Information on helping themselves
Information on helping themselves
Information on helping themselves
Dimension of PC
Partner involvement
Information, Communication and Education
Emotional support
Emotional support
Information, Communication and Education
Information, Communication and Education
Information, Communication and Education
Information, Communication and Education
(Guideline-based) indicators for patient-centredness
IVF, in vitro fertilization; OI, ovulation induction; IUI, intrauterine insemination; GP, General Practitioner;
NVOG, Dutch Society of Obstetrics and Gynaecology 6 a Similar indicators in patients’ and professionals’ nal set.
Comparison of the two nal sets of indicators
Five indicators were included in both the patients’ and the professionals’ nal sets. ese concerned the need to: perform IUI at least 6 days a week; report on treatment outcomes and complications; report the results of a semen analysis in a standardized way; counsel infertile couples about positive e ects on pregnancy chances regarding the elimination of a harmful lifestyle; provide information on the negative consequences for achieving a pregnancy in case of a high BMI. Both sets comprised a variety of dimensions of patient-centredness. Of the six included dimensions for patient-centredness in the patients’ nal set of indicators (n=16), access to care (31%) and information and communication (25%) were
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