Feasibility analysis of incorporating infertility into medical insurance in China

Abstract

In recent years, the incidence of infertility has been increasing gradually, while the natural rate of population growth is declining or even at zero growth. China is observed to enter a depth of aging society, leading to more severe infertility. Infertility patients face many predicaments, and many unreasonable behaviors existed in seeking medical diagnosis and treatment, of which the main influencing factor is economic condition. In China, Beijing has taken the lead in providing medical insurance for 16 assisted reproductive technology items. Assuming that all infertile couples with the option of assisted reproduction are treated, there would be a huge market gap. The reimbursement rate can be adjusted based on some factors within the affordable range of the medical insurance fund. Progress on infertility coverage in other countries was also reviewed. This paper cited the data of medical insurance funds in China in the recent 4 years as a reference. Based on the data, it is not currently able to cover all the costs of infertility diagnosis and treatment during the research period, but it is feasible to access selective reimbursement and subsidies for those in particular need as well as to develop some commercial insurances. There is a big gap in the application of assisted reproductive technology between China and developed countries. More comprehensive and constructive policies should be formulated countrywide to standardize the market. Assisted reproduction-related technologies and acceleration of the domestic medical apparatus and instrument replacement should be improved to reduce the cost.

Assisted reproductive technology and physical activity among Chinese pregnant women at high risk for gestational diabetes mellitus in early pregnancy: A cross‐sectional study

“…This correlation is supported by previous research (Cramp & Bray, 2009) and Bandura's theory, which posits that individuals with high self‐efficacy in physical activity are more willing to exert effort to overcome difficulties (Bandura, 1977). Furthermore, since ART is generally not covered by insurance and women undergoing ART typically incur higher financial expenses (Wang, Zhu, et al, 2022), they may opt for reduced physical activity as a precautionary measure to mitigate the risk of miscarriage.…”

“…Furthermore, since ART is generally not covered by insurance and women undergoing ART typically incur higher financial expenses (Wang, Zhu, et al, 2022), they may opt for reduced physical activity as a precautionary measure to mitigate the risk of miscarriage.…”

The Impact of Follicular Fluid Oxidative Stress Levels on the Outcomes of Assisted Reproductive Therapy

“…In recent years, infertility rates have surged, attributed to a combination of factors, including delayed childbearing, shifts in lifestyle, and escalating environmental contamination [1]. Research indicates that infertility is poised to affect roughly 15% of the global population [2], underscoring it as a substantial worldwide health concern.…”