scholarly journals SARS-CoV-2 and Assisted Reproductive Technology Practice: An Asia Pacific Initiative on Reproduction (ASPIRE) Position Paper

2020 ◽  
pp. 1-29
Author(s):  
Budi Wiweko ◽  
Tuong M. Ho ◽  
Rong Li ◽  
Tin-Chiu Li ◽  
Chii-Ruey Tzeng ◽  
...  
Keyword(s):  
Assisted Reproductive Technology ◽  
Healthcare Providers ◽  
Reproductive Technology ◽  
Asia Pacific ◽  
Depth Information ◽  
Tier 2 ◽  
Related Services ◽  
Quality Of Patient Care ◽  
Tier 1

Background: Asia Pacific Initiative on Reproduction (ASPIRE) aims to improve knowledge and awareness of Assisted Reproductive Technology (ART) and infertility-related services, with the aim of improving the quality of patient care. Methods:A survey was developed and responded by a group of 10 ASPIRE board members to gather in-depth information about current practices, recommendations, and perceptions about SARS-CoV-2 and ART. The collected data were summarized and individual responses pooled among questions requiring voting. The overall rates were computed by response category. The group discussed the summary evidence, until a consensus was reached concerning a series of recommendation on how to make decisions concerning ART service provision during the current (and any future) pandemic. A two-tier recommendation was developed based on agreement rate and implementation priority. Tier 1 comprises recommendations in which the rate of “absolutely agree” responses were [Formula: see text]60%, whereas tier 2 refers to recommendations in which the rate of “absolutely agree” plus “agree” was ¿60%, but the rate of “absolutely agree” was [Formula: see text]50%. Results:The survey was responded by all participants between July 24 and July 30, 2020. Nine tier 1 and five tier 2 recommendations are provided concerning prevention, testing, personal protective equipment, informed consent, and quality management. The former indicates the situations in which most individuals should receive the intervention/procedure, whereas the latter relates to those that may be suitable for individual clinics and patients. Conclusions:This document provides the ASPIRE viewpoint on better managing infertile patients seeking ART during the COVID-19 pandemic. This expert opinion guide aims to help both competent authorities and healthcare providers to deliver quality and safe ART.

scholarly journals COVID-19 Pandemic Impacts Decision-Making and Psychosocial Behavior in Women Seeking Fertility Treatment in APAC—an ASPIRE Patient Experience Report

2021 ◽  
Vol 03 (03) ◽  
pp. 58-77
Author(s):  
Budi Wiweko ◽  
Tuong M. Ho ◽  
Atsushi Tanaka ◽  
Vanessa Raggio ◽  
Jung-Ryeol Lee ◽  
...  
Keyword(s):  
Patient Experience ◽  
Experience Report ◽  
Asia Pacific ◽  
Fertility Treatment ◽  
Tier 2 ◽  
Patient Centered ◽  
Tier 1 ◽  
Group A ◽  
Psychosocial Behavior ◽  
Patient Concerns

Background: ASPIRE (Asia-Pacific Initiative on Reproduction) aims to develop a “patient-centered” guide to provide fertility treatment based on patient preferences, needs, and concerns during and beyond the SARS-Cov-2 pandemic. Methods: Women, aged 20–45 years old, trying to conceive for more than 6 months and contemplating for pregnancy including IVF treatment. A country wise analysis of patient behavior, attitudes and concerns, reasons for disruption of treatment and availability of assistance from fertility clinics during SARS-Cov-2 pandemic was performed. Six problem statements addressing patient concerns were identified and corresponding solutions to improve patient experience were formulated. A two-tier recommendation was developed. Tier 1 comprises recommendations in which the rate of “absolutely agree” responses were [Formula: see text]60%, whereas tier 2 refers to recommendations in which the rate of “absolutely agree” plus “agree” together was >60%. Results: Women in countries that have better infection control and are living a new normal were less worried about the pandemic influencing their lifestyle and finances. The proportion of women choosing not to continue IVF/IUI treatment during COVID-19 was similar across countries. Sixty-five percent of women in Group A intend to continue treatment during COVID-19 pandemic. Nine out of 10 patients are expected to resume or start treatment once fertility clinics are accessible. A patient-centered guide focusing on management of patient safety concerns, reduction in difficulty of access to hospitals, prioritization of patients, provision of emotional support, and improvement in patient education and acceptance of remote health services was developed. Conclusion: This ASPIRE patient experience report highlights a patient-centered guide on provision of safe fertility treatment across the Asia-Pacific region, which can be adapted to suit country-specific requirements depending on the stage of the pandemic, local restrictions, and availability of resources.

scholarly journals Quality of Life in Infertile People Forced to Suspend Assisted Reproductive Technology Treatment during the COVID-19 Global Health Emergency

2021 ◽  
Vol 6 (1) ◽  
pp. 1-8
Author(s):  
Michela Di Trani ◽  
Keyword(s):  
Quality Of Life ◽  
Global Health ◽  
Assisted Reproductive Technology ◽  
Well Being ◽  
Reproductive Technology ◽  
Assisted Reproductive Technology Treatment

To evaluate the psycho-physical well-being of people coping with infertility who were forced to suspend ART treatment due to restrictions related to the COVID-19 global health emergency.

scholarly journals Improving Reporting of Clinical Studies Using the POSEIDON Criteria: POSORT Guidelines

2021 ◽  
Vol 12 ◽  
Author(s):  
Sandro C. Esteves ◽  
Alessandro Conforti ◽  
Sesh K. Sunkara ◽  
Luigi Carbone ◽  
Silvia Picarelli ◽  
...  
Keyword(s):  
Assisted Reproductive Technology ◽  
Clinical Studies ◽  
Critical Analysis ◽  
Reproductive Technology ◽  
Therapeutic Strategies ◽  
Clinical Use ◽  
Quality Of Reporting ◽  
Study Designs

The POSEIDON (Patient-Oriented Strategies Encompassing IndividualizeD Oocyte Number) criteria were developed to help clinicians identify and classify low-prognosis patients undergoing assisted reproductive technology (ART) and provide guidance for possible therapeutic strategies to overcome infertility. Since its introduction, the number of published studies using the POSEIDON criteria has increased steadily. However, a critical analysis of existing evidence indicates inconsistent and incomplete reporting of critical outcomes. Therefore, we developed guidelines to help researchers improve the quality of reporting in studies applying the POSEIDON criteria. We also discuss the advantages of using the POSEIDON criteria in ART clinical studies and elaborate on possible study designs and critical endpoints. Our ultimate goal is to advance the knowledge concerning the clinical use of the POSEIDON criteria to patients, clinicians, and the infertility community.

scholarly journals What are the needs of infertile Moroccan couples in Assisted Reproductive Technology?: Exploratory qualitative study in the first fertility public center in Morocco

2020 ◽  
Vol 19 (4) ◽  
pp. 697-704
Author(s):  
Asmaa Zaidouni ◽  
Fatima Ouasmani ◽  
Amal Benbella ◽  
Fouad Ktiri ◽  
Zakaria Abidli ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Assisted Reproductive Technology ◽  
Health Professionals ◽  
Negative Impact ◽  
Medical Science ◽  
Reproductive Technology ◽  
Spiritual Support ◽  
Structured Interviews ◽  
Infertile Couples

Context: Infertility is one of the most painful experiences that can have a negative impact in many areas of an individual’s life. Providing quality care to infertile couples requires health professionals to explore their experiences and needs to plan effective supportive interventions. Objectives: To explore the experiences and needs of Moroccan infertile couples in Assisted Reproductive Technology. Material and Methods: This is a qualitative exploratory study. It involves 40 infertile couples (men and women) and 5 health professionals as key informants. Infertile couples were selected among those attending the first public center for Assisted Reproductive Technology in Morocco located in Rabat during the period 2017-2018. In-depth unstructured interviews, field notes were used with couples and semi-structured interviews with health professionals. The analysis of the interview data was based on a conventional content analysis method. Results: Five types of needs were identified among infertile Moroccan couples, namely: i. Infertility and social support; ii. Infertility and financial support; iii. Infertility and spiritual support; iv. Infertility and informational support; v. Infertility and emotional support. Conclusion: Infertile moroccan couples experienced many emotional, psychosocial and economic difficulties that can negatively affect their quality of life. Thus, to meet the needs and expectations of these couples alongside their medical treatment, it’s necessary to develop couple-centered approaches, which can improve their quality of life, treatment outcomes and mitigate negative psychosocial consequences. Bangladesh Journal of Medical Science Vol.19(4) 2020 p.697-704

scholarly journals Success of assisted reproductive technology treatment and couple relationship: A pilot study on the role of romantic attachment

2020 ◽  
Vol 7 (1) ◽  
pp. 205510292093307
Author(s):  
Alessia Renzi ◽  
Michela Di Trani ◽  
Luigi Solano ◽  
Elisa Minutolo ◽  
Renata Tambelli
Keyword(s):  
Quality Of Life ◽  
Assisted Reproductive Technology ◽  
Preliminary Finding ◽  
Romantic Attachment ◽  
Reproductive Technology ◽  
Therapeutic Interventions ◽  
Couple Relationship ◽  
Infertile Women ◽  
Close Relationship

Infertility is a deeply distressing experience, which can threaten important personal and martial goals, frequently affecting the psychophysical health. A supportive relationship and a secure romantic attachment appear to reduce infertility stress, as well as play a relevant role in the success of assisted reproductive technology treatments. The principal aim of the study is to investigate the predictive effect of romantic attachment, couple characteristics, quality of life and age on assisted reproductive technology outcome. A total of 88 infertile women, enrolled in an assisted reproductive technology Centre of Rome, completed the Experience in Close Relationship-Revised, the Couple Relationship Inventory, the Fertility Quality of Life and a socio-demographic questionnaire. The participants completed the questionnaires at the beginning of the medical treatment. Data analyses showed significant associations among Experience in Close Relationship-Revised dimensions, Couple Relationship Inventory and Fertility Quality of Life Scales. Assisted reproductive technology outcome was negatively correlated to Experience in Close Relationship-Revised Avoidance and positively related to Couple Relationship Inventory Dependence. A multi-variable logistic regression revealed that Experience in Close Relationship-Revised Avoidance decreased the probability of pregnancy. The present findings partially confirmed the study hypotheses since several associations among couple characteristics, attachment anxiety and avoidance dimensions, infertility-related quality of life in infertile women were found. Furthermore, according to a definition of Avoidance, assisted reproductive technology positive outcome appears to be associated to lower levels of fear of dependence and interpersonal intimacy, and to a low need both for self-reliance and for reluctance to self-disclose within the romantic relationship. Further investigations are needed both to confirm this preliminary finding and for promoting focused therapeutic interventions for couples facing assisted reproductive technology.

A Proposed Architecture to Sustain Public-Private Partnership

2020 ◽  
pp. 185-199
Author(s):  
Mohan Tanniru ◽  
Mark Martz
Keyword(s):  
Service Delivery ◽  
Health Care Providers ◽  
Healthcare Providers ◽  
Transition Services ◽  
Care Providers ◽  
Post Discharge ◽  
Care Services ◽  
Discharge Care ◽  
Quality Of Patient Care

Information technology has enabled tertiary health care providers to improve patient access to preventive and post-discharge care transition services. When such services are supported by facilities that are under the control of the hospital, hospitals can still influence the delivery and overall quality of patient care services. However, for a variety of reasons, many hospitals rely on external care providers who operate relatively independently from the hospital to deliver these services. As such, service delivery intended to create efficiency and value to patients can become complex, challenging to deliver, and resource intensive—especially if the service delivery spans a prolonged time horizon. This chapter discusses one case of an intermediary who helps hospitals address the smoking cessation needs of patients. Using service dominant logic research, the service exchanges among three different ecosystems (healthcare providers, intermediary, and patients) are modeled and intelligence needed to align their goals using blockchain architecture is highlighted.

scholarly journals Endometriosis-related infertility: assisted reproductive technology has no adverse impact on pain or quality-of-life scores

2016 ◽  
Vol 105 (4) ◽  
pp. 978-987.e4 ◽  
Author(s):  
Pietro Santulli ◽  
Mathilde Bourdon ◽  
Marion Presse ◽  
Vanessa Gayet ◽  
Louis Marcellin ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Assisted Reproductive Technology ◽  
Reproductive Technology ◽  
Adverse Impact

scholarly journals Improving the quality of healthcare data through information design

2017 ◽  
Vol 23 (1) ◽  
pp. 104-122 ◽  
Author(s):  
Guillermina Noël ◽  
Janet Joy ◽  
Carmen Dyck
Keyword(s):  
Patient Care ◽  
Healthcare Providers ◽  
Improve Patient Care ◽  
Quality Of Healthcare ◽  
Healthcare Data ◽  
Advantages And Disadvantages ◽  
Quality Of Patient Care ◽  
Improve Patient ◽  
Insight Into

Improving the quality of patient care, generally referred to as Quality Improvement (QI), is a constant mission of healthcare. Although QI initiatives take many forms, these typically involve collecting data to measure whether changes to procedures have been made as planned, and whether those changes have achieved the expected outcomes. In principle, such data are used to measure the success of a QI initiative and make further changes if needed. In practice, however, many QI data reports provide only limited insight into changes that could improve patient care. Redesigning standard approaches to QI data can help close the gap between current norms and the potential of QI data to improve patient care. This paper describes our study of QI data needs among healthcare providers and managers at Vancouver Coastal Health, a regional health system in Canada. We present an overview of challenges faced by healthcare providers around QI data collection and visualization, and illustrate the advantages and disadvantages of different visualizations. At present, user– centred and evidence–based design is practically unknown in healthcare QI, and thus offers an important new contribution.

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