https://doi.org/10.18502/ijrm.v21i10.14538
statistics
- 74 Abstract Views
- 38 PDF Views
- 0 HTML Views
authors
-
Mohammad Ranjbar
Mohammad Ranjbar
Health Policy and Management Research Center, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
-
Ali Mohammad Abdoli
Ali Mohammad Abdoli
Yazd Reproductive Sciences Institute, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
-
Tahereh Shafaghat
Tahereh Shafaghat
Health Policy and Management Research Center, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
-
Hasan Jafari
Hasan Jafari
Health Policy and Management Research Center, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
-
Golnaz Izadpanah
Golnaz Izadpanah
Health Policy and Management Research Center, School of Public Health, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
-
Yibeltal Assefa
Yibeltal Assefa
School of Public Health, Faculty of Medicine, University of Queensland, Brisbane, Australia.
Published Date
- Nov 21, 2023
Factors affecting the choice of treatment center by infertile couples: A cross-sectional study in Yazd Reproductive Sciences Institute
Abstract
Background: Infertility is one of the critical health issues in Iran. There are more than 70 specialized infertility treatment centers in Iran, of which the Yazd Reproductive Sciences Institute, is one of the most important ones.
Objective: This study aimed to determine the factors influencing infertile couples’ choice of Yazd Reproductive Sciences Institute.
Materials and Methods: This cross-sectional study was conducted on 275 infertile couples aged 18 and older, referring to Yazd Reproductive Sciences Institute, Yazd, Iran from September 2021 to March 2022. Data were gathered using a 2-part questionnaire. Data analysis was done through SPSS software. We used descriptive statistics, Kruskal- Wallis, Mann-Whitney, and t test for data analysis.
Results: Most participants were individuals who came from other provinces of Iran (74.9%) and were referred to the Yazd Reproductive Sciences Institute. Among the 4 categories that influenced couples’ decision to choose this center, factors related to the personnel and treatment staff received the highest score (75.83), while personal factors received the lowest score (65.76). The average score for factors related to doctors was 72.90, and for factors related to the center, it was 73.65. The satisfaction with personnel and treatment staff varied based on participants’ education levels, with those who had lower levels of education reporting higher levels of satisfaction (p < 0.001).
Conclusion: The primary factors contributing to the success of the Yazd Reproductive Sciences Institute in attracting clients were the dedication and expertise of the staff, as well as the esteemed reputation of the doctors at the center.
Key words: Infertility, Fertility clinics, Yazd, Iran.
References
[2] Dourou P, Gourounti K, Lykeridou A, Gaitanou K, Petrogiannis N, Sarantaki A. Quality of life among couples with a fertility related diagnosis. Clin Pract 2023; 13: 251–263.
[3] Akalewold M, Yohannes GW, Abdo ZA, Hailu Y, Negesse A. Magnitude of infertility and associated factors among women attending selected public hospitals in Addis Ababa, Ethiopia: A cross-sectional study. BMC Women’s Health 2022; 22: 11.
[4] Shayan Z, Pourmovahed Z, Najafipour F, Abdoli AM, Mohebpour F, Najafipour S. Factor structure of the General Health Questionnaire-28 (GHQ-28) from infertile women attending the Yazd Research and Clinical Center for Infertility. Int J Reprod BioMed 2015; 13: 801–808.
[5] Hazlina NHN, Norhayati MN, Bahari IS, Nik Muhammad Arif NA. Worldwide prevalence, risk factors and psychological impact of infertility among women: A systematic review and meta-analysis. BMJ Open 2022; 12: e057132.
[6] Inhorn MC, Patrizio P. Infertility around the globe: New thinking on gender, reproductive technologies and global movements in the 21st century. Hum Reprod Update 2015; 21: 411–426.
[7] Namavar Jahromi B, Mansouri M, Forouhari S, Poordast T, Salehi A. Quality of life and its influencing factors of couples referred to an infertility center in Shiraz, Iran. Int J Fertil Steril 2018; 11: 293–297.
[8] Saei Ghare Naz M, Ozgoli G, Sayehmiri K. Prevalence of infertility in Iran: A systematic review and meta-analysis. Urol J 2020; 17: 338–345.
[9] Silva Maranhao Kd, Sena Melo Mariz MEGd, de Araújo EAD, de Souza GR, Taveira KVM, Morais DB. Factors related to infertility in Brazil and their relationship with success rates after assisted reproduction treatment: An integrative review. JBRA Assist Reprod 2021; 25: 136–149.
[10] Salama M, Isachenko V, Isachenko E, Rahimi G, Mallmann P, Westphal LM, et al. Cross border reproductive care (CBRC): A growing global phenomenon with multidimensional implications (a systematic and critical review). J Assist Reprod Genet 2018; 35: 1277–1288.
[11] Messinis IE, Messini CI, Daponte A, Garas A, Mahmood T. The current situation of infertility services provision in Europe. Eur J Obstet Gynecol Reprod Biol 2016; 207: 200– 204.
[12] Ghorbani M, Hosseini FS, Yunesian M, Keramat A. Dropout of infertility treatments and related factors among infertile couples. Reprod Health 2020; 17: 192.
[13] Sijo G, Kamath R, Souza B, Kamath S, Kamath R. Factors influencing patients in hospital selection and satisfaction with inpatient services. Pakistan J Med Health Sci 2018; 11: 1653–1656.
[14] Klitzman R. Infertility providers’ and patients’ views and experiences concerning doctor shopping in the USA. Hum Fertil 2019; 22: 238–245.
[15] Dancet EAF, Nelen WLDM, Sermeus W, De Leeuw L, Kremer JAM, D’Hooghe TM. The patients’ perspective on fertility care: A systematic review. Hum Reprod Update 2010; 16: 467–487.
[16] Marcus HJ, Marcus DM, Marcus SF. How do infertile couples choose their IVF centers? An internet-based survey. Fertil Steril 2005; 83: 779–781.
[17] Morovati Sharifabadi A, Asadian Ardakani F. [A model for health tourism development using FUZZY topsis and interpretive structural modeling in Yazd Province]. J Health Admin 2014; 17: 73–88. (in Persian)
[18] Varmaqani M, Arab M, Zeraati H, Akbari Sari A. [Factors affecting on the choice of public and private hospitals in Tehran for treatment in 2008]. J Hospital 2012; 10: 45–52. (in Persian)
[19] Ranjbar M, Bahrami MA, Baghian N, Izadi R, Eftekhari A, Yousefzadeh S. [The reasons of teaching hospitals selection by patients in Yazd province for treatment in 2016]. J Health Syst 2017; 8: 81–90. (in Persian)
[20] Behboudi F. [Effective factors on selection of govermental or private hospital with surgical patients]. J Guilan Univ Med Sci 2000; 9: 34–40. (in Persian)
[21] Soltani S, Ghafari Sh, Salehi M, Mohammadi A, Mollazadeh Moghaddam K, Moradi F. [Factors affecting the selection of a hospital: A case study in milad hospital, Iran]. Health Inform Manage 2016; 12: 791–798. (in Persian)
[22] Amery H, Panahi M, Jafari A, Khalafi A, Alizadeh H, Abbaspour R. [The reasons of private hospital selection by patients in Yazd province for treatment]. Journal of Torbat Heydariyeh University of Medical Sciences 2013; 1: 37–43. (in Persian)
[23] Al-Balushi S, Khan FR. Factors influencing the preference of private hospitals to public hospitals in Oman. Int J Manage Innovat Entrepreneurial Res 2017; 3: 67–78.
[24] Bamfo BA, Dogbe C. Factors influencing the choice of private and public hospitals: Empirical evidence from Ghana. Int J Pharm Healthc Mark 2017; 11: 80–96.