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• W2160868225 abstract "ObjectiveTo determine patient understanding of and satisfaction with infertility treatment, and reasons for anxiety and discontinuation of treatment after the first infertility visit.DesignProspective survey study.Materials and MethodsEnglish speaking, non-pregnant, 18-50 year old women completed pre and post-visit surveys at their first infertility clinic visit (T1) and follow up surveys at 1 (T2) and 3 (T3) months. Surveys queried patients on their understanding of fecundity, personal treatment plan, likelihood of successful pregnancy, satisfaction with treatment and associated anxiety, and reasons for discontinuation of treatment.ResultsSurveys were completed by 234, 127, and 79 eligible patients at T1, T2, and T3 respectively. Participants were 34.2±4.6 (mean±SD) years old, 83.8% married, 79.7% White, 6.8% Black, 9.5% Asian, and >90% had ≥4 years college education. Neither participants’ understanding of fecundity nor personal beliefs of their chances of conception significantly changed over time. 95.0% and 80.4% of participants were satisfied with treatment at T2 and T3. Reasons for dissatisfaction with treatment included poor understanding of the treatment process, dissatisfaction with provider communication, and/or complexity and length of the treatment process. 45 participants discontinued treatment over the 3-month period. Only 45.4% of participants were in touch with a financial counselor at T2. 98.2% of those participants not in touch with a financial counselor discontinued treatment (p=.008). Other reasons for discontinuation of treatment included pregnancy (48.9% of those who discontinued), life events, personal health, and desire to conceive naturally. Anxiety was reported by >90% of respondents at T2 and T3, with treatment-related factors (e.g. side effects, length of treatment) being the most cited reason.ConclusionWhile most patients were satisfied with their fertility experience, reasons for dissatisfaction and discontinuation centered around challenges in patient-staff communication and patient education. These findings highlight an opportunity to increase patient satisfaction by improving individualized patient counseling and provider-patient communication. In addition, these changes may also lead to decreased psychological burden and anxiety during infertility treatment. ObjectiveTo determine patient understanding of and satisfaction with infertility treatment, and reasons for anxiety and discontinuation of treatment after the first infertility visit. To determine patient understanding of and satisfaction with infertility treatment, and reasons for anxiety and discontinuation of treatment after the first infertility visit. DesignProspective survey study. Prospective survey study. Materials and MethodsEnglish speaking, non-pregnant, 18-50 year old women completed pre and post-visit surveys at their first infertility clinic visit (T1) and follow up surveys at 1 (T2) and 3 (T3) months. Surveys queried patients on their understanding of fecundity, personal treatment plan, likelihood of successful pregnancy, satisfaction with treatment and associated anxiety, and reasons for discontinuation of treatment. English speaking, non-pregnant, 18-50 year old women completed pre and post-visit surveys at their first infertility clinic visit (T1) and follow up surveys at 1 (T2) and 3 (T3) months. Surveys queried patients on their understanding of fecundity, personal treatment plan, likelihood of successful pregnancy, satisfaction with treatment and associated anxiety, and reasons for discontinuation of treatment. ResultsSurveys were completed by 234, 127, and 79 eligible patients at T1, T2, and T3 respectively. Participants were 34.2±4.6 (mean±SD) years old, 83.8% married, 79.7% White, 6.8% Black, 9.5% Asian, and >90% had ≥4 years college education. Neither participants’ understanding of fecundity nor personal beliefs of their chances of conception significantly changed over time. 95.0% and 80.4% of participants were satisfied with treatment at T2 and T3. Reasons for dissatisfaction with treatment included poor understanding of the treatment process, dissatisfaction with provider communication, and/or complexity and length of the treatment process. 45 participants discontinued treatment over the 3-month period. Only 45.4% of participants were in touch with a financial counselor at T2. 98.2% of those participants not in touch with a financial counselor discontinued treatment (p=.008). Other reasons for discontinuation of treatment included pregnancy (48.9% of those who discontinued), life events, personal health, and desire to conceive naturally. Anxiety was reported by >90% of respondents at T2 and T3, with treatment-related factors (e.g. side effects, length of treatment) being the most cited reason. Surveys were completed by 234, 127, and 79 eligible patients at T1, T2, and T3 respectively. Participants were 34.2±4.6 (mean±SD) years old, 83.8% married, 79.7% White, 6.8% Black, 9.5% Asian, and >90% had ≥4 years college education. Neither participants’ understanding of fecundity nor personal beliefs of their chances of conception significantly changed over time. 95.0% and 80.4% of participants were satisfied with treatment at T2 and T3. Reasons for dissatisfaction with treatment included poor understanding of the treatment process, dissatisfaction with provider communication, and/or complexity and length of the treatment process. 45 participants discontinued treatment over the 3-month period. Only 45.4% of participants were in touch with a financial counselor at T2. 98.2% of those participants not in touch with a financial counselor discontinued treatment (p=.008). Other reasons for discontinuation of treatment included pregnancy (48.9% of those who discontinued), life events, personal health, and desire to conceive naturally. Anxiety was reported by >90% of respondents at T2 and T3, with treatment-related factors (e.g. side effects, length of treatment) being the most cited reason. ConclusionWhile most patients were satisfied with their fertility experience, reasons for dissatisfaction and discontinuation centered around challenges in patient-staff communication and patient education. These findings highlight an opportunity to increase patient satisfaction by improving individualized patient counseling and provider-patient communication. In addition, these changes may also lead to decreased psychological burden and anxiety during infertility treatment. While most patients were satisfied with their fertility experience, reasons for dissatisfaction and discontinuation centered around challenges in patient-staff communication and patient education. These findings highlight an opportunity to increase patient satisfaction by improving individualized patient counseling and provider-patient communication. In addition, these changes may also lead to decreased psychological burden and anxiety during infertility treatment." @default.
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• W2160868225 date "2014-09-01" @default.
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• W2160868225 title "Toward an ideal patient experience: longitudinal assessment of patient knowledge, experience, and reasons for discontinuation of infertility treatment" @default.
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