A mixed-methods study on enhancing the service system of human assisted reproductive technologies: A case study in Hangzhou, China

Abstract

Background: Infertility is a widespread medical condition Assisted Reproductive Technology (ART) stands as an effective treatment for infertility; however, the existing reproductive healthcare system lacks comprehensive development.. Methods: Employing both stratified and random sampling methods, one hospital from each provincial and municipal level in Hangzhou was selected, yielding a sample comprising 139 patients and 8 medical personnel. The analysis utilized a mixed-methods research approach. Results: 43.88% of the respondents considered a price range of 20,000 to 40,000 RMB as acceptable. Regarding the desired time to conceive, 73.38% of respondents aimed to conceive within six months. Patients under 30 and those between 30 to 35 years showed greater preference for assisted reproductive hospitals with higher success rates. Patients intending for a single pregnancy were likelier than those considering multiple pregnancies to view comprehensive or fixed-sum insurance coverage as more influential in increasing their willingness to conceive. Conclusion: Standardization of a well-coordinated and organized assisted reproductive medical consortium should be promoted. Enhancement of the diagnosis and treatment level in assisted reproductive services is essential. Humanistic care should be reinforced. A scientifically guided approach to determining assisted reproductive service pricing should progressively inform the reasonable expansion of medical insurance coverage. Enhanced supervision over abortion institutions is crucial. A societal atmosphere conducive to marriage and childbearing at an appropriate age should be fostered.