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Human Reproduction, Vol. 18, No. 12, 2638-2646, December 2003
© 2003 European Society of Human Reproduction and Embryology

High ratings of satisfaction with fertility treatment are common: findings from the Copenhagen Multi-centre Psychosocial Infertility (COMPI) Research Programme

L. Schmidt1,8, B.E. Holstein1, J. Boivin2, T. Tjørnhøj-Thomsen3, J. Blaabjerg4, F. Hald5, P.E. Rasmussen6 and A. Nyboe Andersen7

1 Institute of Public Health, University of Copenhagen, Panum Institute, Blegdamsvej 3, DK-2200 Copenhagen N, Denmark, 2 School of Psychology, Cardiff University, Cardiff CF10 3YG, UK, 3 Institute of Anthropology, University of Copenhagen, DK-1400 Copenhagen K, 4 The Fertility Clinic, Herlev University Hospital, DK-2730 Herlev, 5 The Fertility Clinic, Brædstrup Hospital, DK-8740 Brædstrup, 6 The Fertility Clinic, Odense University Hospital, DK-5000 Odense and 7 The Fertility Clinic, The Juliane Marie Centre, Rigshospitalet, DK-2100 Copenhagen Ø, Denmark

8 To whom correspondence should be addressed. e-mail: L.Schmidt{at}pubhealth.ku.dk

BACKGROUND: The aims were: (i) to identify gender differences in evaluation of medical and patient-centred (psychosocial) care in fertility clinics and (ii) to identify predictors of satisfaction. METHODS: An epidemiological prospective study based on questionnaire responses among all new couples attending five fertility clinics. The response rate at the 12 month follow-up was 87.7% and included a total of 1934 patients. RESULTS: During the follow-up period about two-thirds had achieved a pregnancy and about a third became parents. The participants were satisfied with both the medical and patient-centred (psychosocial) services. There were no sex differences in the evaluation of treatment except that women were more satisfied than men with how the staff had performed their medical examinations. Satisfaction with medical and patient-centred services was positively associated with a treatment-related pregnancy/delivery and the report of marital benefits resulting from the infertility experience. Lower social class was a significant predictor for satisfaction. CONCLUSIONS: Both men and women in fertility treatment had high ratings on medical and patient-centred care. It seemed that satisfaction with the psychosocial services was higher than in earlier studies from other countries.

Key words: assisted reproduction/clinical epidemiology/evaluation/patient satisfaction/psychology


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