Prioritization of Patients for Publicly Funded IVF in Ontario: A Survey of Fertility Centres

Gotz, Tamas; Jones, Claire

doi:10.1016/j.jogc.2016.11.011

Cited by 7 publications

(7 citation statements)

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“…Data analysis began with manual review of the transcription for open coding, followed by axial coding and then selective coding to determine themes; no software was used. 6 After data analysis, A.A. and N.C. met to compare coding. Discrepancies were discussed and resolved with 2 other team members (K.B.…”

Section: Discussionmentioning

confidence: 99%

“…The discussions were audio-recorded and transcribed verbatim. We developed a topic guide based on available literature 4,6,10 and expert discussion (Appendix 2, available at www. cmajopen.ca/content/7/2/E385/suppl/DC1).…”

Section: Data Collectionmentioning

confidence: 99%

“…Information available on the Ontario Ministry of Health and Long-Term Care website was used as an introduction to ensure that participants understood the OFP structure. 4 We used issues identified from previous studies of patient perspectives on publicly funded IVF 6,10 to generate a list of issues that were then reviewed by authors and experts (colleagues at the Mount Sinai Fertility Clinic) to develop the topic questions. The for-mat of the guide was based on published qualitative methodology.…”

Section: Data Collectionmentioning

confidence: 99%

“…5 A 2016 survey of fertility clinics in Ontario showed that 38% of clinics distributed funded IVF on a first-come, first-served basis, 10% used a lottery system, and 52% used multiple factors (e.g., patient age, duration of infertility). 6 No clinics consulted patients when developing their allocation methods. 6 Gotz and colleagues 7 surveyed 271 patients about their opinions regarding the OFP and its implementation.…”

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confidence: 99%

“…6 No clinics consulted patients when developing their allocation methods. 6 Gotz and colleagues 7 surveyed 271 patients about their opinions regarding the OFP and its implementation. Most respondents (84.5%) thought that all clinics should use the same allocation method.…”

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Patients’ perspectives on allocation of publicly funded in vitro fertilization in Ontario: a qualitative study

Assal

Chauhan

Shin

et al. 2019

cmajo

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The aim of this study was to determine consumers' perspectives on fair allocation of publicly funded in vitro fertilization (IVF) in the recently implemented Ontario Fertility Program (OFP). The research questions were as follows: 1) What factors do those who require IVF think are important to consider when distributing funded IVF? and 2) What are the barriers to accessing publicly funded IVF? Methods: We approached this qualitative study with a social constructivist interpretative framework with grounded theory methodology. Data were obtained via focus group. We recruited participants eligible for the OFP from a tertiary care fertility clinic. Two researchers conducted all interviews, independently reviewed the transcriptions and analyzed the data for open coding, followed by axial coding and then selective coding to determine themes. Results: A total of 13 participants (10 women and 3 men with an average age of 36.4 [range 28-40.7] yr) partook in 4 focus groups. The average duration of infertility was 1.9 (range 0.4-3) years. Three important domains were identified. First, the procedure of distributing funds should be done in a transparent and consistent manner. Second, everyone should have a fair and equal chance to accessing the funds. Participants suggested a combination of first-come, first-served and a scoring system as a method to distribute funds. Lack of communication, associated costs and stress of experiencing infertility were cited as barriers to accessing publicly funded IVF. Interpretation: Ensuring equal and fair access to funds should be prioritized, and information about the process and distribution method to obtain OFP funding should be clearly provided to patients. Transparency, standardization and better communication should be implemented to uphold procedural justice for patients and reduce emotional stress. The findings may be considered by policy-makers to improve the current OFP and when developing similar programs.

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Section: Discussionmentioning

confidence: 99%

Section: Data Collectionmentioning

confidence: 99%

Section: Data Collectionmentioning

confidence: 99%

mentioning

confidence: 99%

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confidence: 99%

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