Selma Mourad|Rosella Hermens|T. Cox-Witbraad|Richard Grol|W.L.D.M. Nelen|J.A.M. Kremer
Information provision in fertility care: a call for improvement
Radboud University Nijmegen|Radboud University Medical Center|Radboud University Nijmegen|Radboud University Medical Center|St. Antonius Ziekenhuis|Radboud University Nijmegen|Radboud University Medical Center|Radboud University Nijmegen|Radboud University Medical Center|Radboud University Nijmegen|Radboud University Medical Center
adequate information provision crucial dimension highquality fertility care clinical practice guidelines containing consensusbased recommendations may standardize practice settings study designed three purposes assess actual adherence recommendations information provision ii measure patient satisfaction current practice iii analyse variation adherence relates characteristics patients clinicsall recommendations concerning patient information extracted 10 national fertility guidelines edited patient questionnaire additional questions concerning patient satisfaction potential determinants information provision patient level included total 2698 couples 16 clinics invited participate professionals questionnaire sent gynaecologists gather potential determinants clinic level multilevel regression analysis performed identify determinants information provisiona total 1499 couples 56 participated percentage couples reported received complete information varied recommendations 10 96 mean 57 overall 94 couples satisfied fertility services use checklists information provision presence obstetricsgynaecology residents specialized nursing personnel higher patient anxiety scores significantly associated p 005 higher levels information receiveddespite possibility recall bias questionnaire studies observed high patient satisfaction fertility services conclude information provision infertile couples currently poor need improvement could easily procured example use information checklists