2019
DOI: 10.12927/hcpol.2019.25855
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The Impact of the Ontario Fertility Program on Duplicate Fertility Consultations

Abstract: Objectives: The Ontario Fertility Program (OFP) funds 5,000 annual in vitro fertilization (IVF) cycles. We hypothesized that after introduction of the OFP, there would be an increase in duplicate infertility consultations by patients attempting to increase chances at obtaining publicly funded IVF through enlisting at multiple fertility clinics. Methods: This retrospective observational study included women eligible for healthcare services in Ontario from 2014 to 2016 and compared infertility consultations pre-… Show more

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Cited by 2 publications
(4 citation statements)
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“…In our cohort, individuals who underwent IVF were socially advantaged and resided in high-income neighbourhoods, and were thus able to afford the cost of IVF therapy. 16 , 17 In vitro fertilization necessitates closer medical follow-up and, in some cases, more intense screening for readiness for pregnancy, including both physical and mental health fitness. 14 Therefore, after adjustment for maternal age and social determinants of health, there may exist an underlying predisposition toward adverse postpartum mental health — mostly mood and anxiety disorders, identified in the outpatient setting — among recipients of IVF.…”
Section: Discussionmentioning
confidence: 99%
See 1 more Smart Citation
“…In our cohort, individuals who underwent IVF were socially advantaged and resided in high-income neighbourhoods, and were thus able to afford the cost of IVF therapy. 16 , 17 In vitro fertilization necessitates closer medical follow-up and, in some cases, more intense screening for readiness for pregnancy, including both physical and mental health fitness. 14 Therefore, after adjustment for maternal age and social determinants of health, there may exist an underlying predisposition toward adverse postpartum mental health — mostly mood and anxiety disorders, identified in the outpatient setting — among recipients of IVF.…”
Section: Discussionmentioning
confidence: 99%
“…During this period, consulting with a physician about infertility issues and monitoring of noninvasive infertility treatment were covered under the province’s universal health insurance plan; however, use of in vitro fertilization (IVF) was largely self-paid. 16 , 17 …”
Section: Methodsmentioning
confidence: 99%
“…Yet it is unknown who the program is targeting because there is no publicly available sociodemographic and distribution of funding data. In creating OFP, The Ministry of Health and Long-Term care did not provide any guidelines or principles of prioritization for fertility clinics to distribute resources [ 61 ]. This has resulted in non-standardized waitlists with varying mechanisms of prioritization and a two-tiered system where those who could afford to pay can be put on the waitlist and still opt for privately funded IVF [ 61 , 62 ].…”
Section: Who Are Art Users In Canada?mentioning
confidence: 99%
“…In creating OFP, The Ministry of Health and Long-Term care did not provide any guidelines or principles of prioritization for fertility clinics to distribute resources [ 61 ]. This has resulted in non-standardized waitlists with varying mechanisms of prioritization and a two-tiered system where those who could afford to pay can be put on the waitlist and still opt for privately funded IVF [ 61 , 62 ]. The majority of fertility clinics in Ontario are privatized with no overarching provincial legislation or standardization to govern the practice or fees associated [ 5 ].…”
Section: Who Are Art Users In Canada?mentioning
confidence: 99%