The diversity of regulation and public financing of IVF in Europe and its impact on utilization

Brigham, Karen Berg; Cadier, Benjamin; Chevreul, Karine

doi:10.1093/humrep/des418

Cited by 92 publications

(65 citation statements)

References 14 publications

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“…8 Another factor is that procedures are increasingly performed in private health systems, where the focus on commercial returns has resulted in less academic oversight of who receives treatment and when. 9 Amid this the indications for IVF have been expanded to include mild male subfertility, the effect of ageing on ovarian function, and unexplained subfertility where no absolute barrier to conception can be proved (table 1⇓). And it is in these groups, that use of IVF is expanding the most.…”

Section: Rising Rates Of Ivfmentioning

confidence: 99%

Are we overusing IVF?

Kamphuis

Bhattacharya

Veen

et al. 2014

BMJ

126

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Section: Rising Rates Of Ivfmentioning

confidence: 99%

Are we overusing IVF?

Kamphuis

Bhattacharya

Veen

et al. 2014

BMJ

126

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“…As mentioned earlier, this calculus looks different in other countries where infertility is covered in whole or in part under health plans. 66 In the United States, there are much greater unmet needs for infertility generally.…”

Section: The Disadvantages Of Others With Infertilitymentioning

confidence: 99%

Financing uterus transplants: The United States context

Blake¹

2018

Bioethics

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The first baby has successfully been born by uterus transplantation (UTx) in the United States and the procedure is swiftly becoming a viable clinical option for patients with uterine factor infertility (UFI). This raises a practical ethical question: should health insurers finance UTx and what issues should they consider in coming to this decision? The article lays forth some of the factors that shape the decision over whether to finance UTx in the United States, including what procedures must be covered, whether UTx is more like organ transplantation or infertility treatment (which are treated differently in the United States), and the benefits and alternatives of the procedure. Then, the article explores arguments around why UTx should be financed, or at least considered along with other important medical needs. The paper argues that UTx ought to be considered along with other competing claims for healthcare services. In countries that generously cover other infertility services, it may logically follow that medical services that enable gestation should be insured when the healthcare system covers services to conceive. In the United States, however, many groups have long suffered inadequate access to medical care, in the context of infertility and more broadly. U.S. healthcare may need to be made more widely equitable, before covering UTx is seen as financially or politically possible.

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“…In addition, around 9% of women worldwide experience infertility (Berg Brigham, Cadier, & Chevreul, 2013), and with increasing use and efficacy of fertility treatment such as IVF, a pregnancy that is so difficult to come by is one where the mother may feel extra motivation to guard against risks to the baby. A recent study found women undergoing fertility treatment had significantly higher anxiety levels than women trying to conceive naturally (Vahratian, Smith, Dorman, & Flynn, 2011), and once pregnant, women who have had fertility treatment also have a heightened perception of risk, increased anxiety, and lower perceived self-efficacy in their ability to manage their pregnancy (Bayrampour, Heaman, Duncan, & Tough, 2012a).…”

Section: Introductionmentioning

confidence: 99%

Risk Perception in Pregnancy

Robinson

Pennell

McLean

et al. 2015

European Psychologist

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Despite huge advances in obstetric management and technology in recent decades, there has not been an accompanying decrease in patients’ perception of risk during pregnancy. The aim of this paper is to examine the context of risk perception in pregnancy and what practitioners can do to manage it. The modern pregnancy may induce a heightened perception of risk due to increased prenatal testing and surveillance, medico-legal complexity, fertility treatment, and the increasing use of the internet and social media as a source of information. The consequences of an inflated perception of risk during pregnancy include stress, anxiety, and depression, and these issues may have long-lasting implications for patients, their babies, and their families. There are numerous resilience and vulnerability factors that can help care providers identify those who may be predisposed to increased risk perception in pregnancy, and there is a role for both obstetric care providers and psychologists engaged in obstetric settings to manage and reduce risk perception in patients where possible. Ultimately, the medical management of risk during pregnancy can be complex but a thorough understanding of the social and emotional context can assist providers to support their patients through both high- and low-risk pregnancy and birth.

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The diversity of regulation and public financing of IVF in Europe and its impact on utilization

Abstract: There was no funding source for this study. The authors have no conflicts of interest to declare.

Cited by 92 publications

References 14 publications

Are we overusing IVF?

Are we overusing IVF?

Financing uterus transplants: The United States context

Risk Perception in Pregnancy

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