Cross border reproductive care in six European countries

Shenfield, Françoise; Mouzon, J. de; Pennings, Guido; Ferraretti, Anna Pia; Andersen, A. Nyboe; Wert, G. de; Goossens, V.

doi:10.1093/humrep/deq057

Cited by 301 publications

(217 citation statements)

References 13 publications

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“…Similar results were reported by Shenfield et al [12], who noted that the internet was the main source of information for Swedish, German, and British patients. Other sources included friends, relatives, and patient organizations; however, these were less important [12,22]. At the same time, a large number of study participants felt that they lacked information (41.0 %).…”

Section: Discussionsupporting

confidence: 89%

“…Medical insurance does not cover infertility treatment domestically, and treatment abroad may result in enormous costs. Other studies have also reported that the cost of treatment abroad was a negative factor for CBRC [12,21]. Another negative factor indicated by some participants was the language barrier affecting the collecting of information and hindering communication with medical staff (51.0 %).…”

Section: Discussionmentioning

confidence: 94%

“…However, this situation may differ from that in Western countries. Shenfield et al [12] reported that over 90 % of participants received satisfactory information in their own language. Other factors may stimulate or inhibit CBRC; these may differ by country.…”

Section: Discussionmentioning

confidence: 99%

“…However, little is known about this phenomenon. The Task Force on Cross-Border Reproductive Care set up by the European Society for Human Reproduction and Embryology (ESHRE) has conducted an extremely valuable study to gather reliable data on the number of patients who cross European borders to access assisted reproductive technologies and the reasons prompting them to travel for this type of care [12,13].…”

Section: Introductionmentioning

confidence: 99%

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Attitudes towards cross-border reproductive care among infertile Japanese patients

Hibino

Shimazono

Kambayashi

et al. 2013

Environ Health Prev Med

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Objectives The attitudes towards cross-border reproductive care (CBRC) held by infertile Japanese patients have not been explored. The objective of the present study was to examine interest levels, preferred destinations, motivations, and sources of information related to CBRC. Our findings provide a general outline of CBRC and the future of reproduction and assisted reproductive technology (ART) in Japan. Methods The study used a cross-sectional design. Data were collected from 2,007 infertile Japanese patients from 65 accredited ART clinics in Japan (response rate, 27.4 %) via anonymous questionnaires. Results Most of the infertile Japanese patients who responded denied using CBRC. However, by group, 171 (8.5 %) patients in non-donor in vitro fertilization, 150 (7.5 %) in egg donation, 145 (7.2 %) in pre-implantation genetic diagnosis, and 129 (6.4 %) in surrogacy said that, depending on the situation, they might travel abroad in the future. Older respondents were more likely to express an intention to travel overseas for egg donation in the future. The most popular destination for CBRC was the United States. Popular reasons for interest in CBRC among those considering or planning using this approach to third-party reproduction were that egg donation or surrogacy was unavailable or that obtaining ethical approval takes too long in Japan, whereas these processes are legal and affordable overseas. However, high cost was the most common reason for hesitancy regarding CBRC. Among the participants who were considering or planning to travel abroad for this purpose, TV, medical agencies, print media, and message boards on websites were popular sources of information, whereas doctors, friends, and patient self-help groups were not. Conclusions Although CBRC among infertile Japanese patients is not at present common, the demand for and use of this approach may increase in the future in the context of the increasingly aging population. Lack of regulation and unavailability of third-party reproduction is a major cause of CBRC among Japanese patients. Health care provider faces an urgent need for giving useful information for patients regarding CBRC.

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Section: Discussionsupporting

confidence: 89%

Section: Discussionmentioning

confidence: 94%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Attitudes towards cross-border reproductive care among infertile Japanese patients

Hibino

Shimazono

Kambayashi

et al. 2013

Environ Health Prev Med

View full text Add to dashboard Cite

show abstract

“…As we touched upon in our discussion on surrogate motherhood, the variation in regulations in Europe has given rise to the phenomenon of cross-border reproductive care (Shenfield et al 2010;Nygren et al 2010). Cross-border reproductive care refers to couples or individuals seeking assisted reproduction treatments in a country other than their country of permanent residence.…”

Section: Cross-border Reproductive Care In Europementioning

confidence: 99%