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. 2021 Apr;38(4):889-894.
doi: 10.1007/s10815-020-02027-7. Epub 2021 Jan 14.

Regional disparities in access to assisted reproductive technology: assessment of patient satisfaction when employing modern technology to close the gap

Sasha Mikhael  1 , Anna Gaidis  2 , Larisa Gavrilova-Jordan  2
Affiliations

Regional disparities in access to assisted reproductive technology: assessment of patient satisfaction when employing modern technology to close the gap

Sasha Mikhael et al. J Assist Reprod Genet. 2021 Apr.

Abstract

Purpose: Geographic disparities for assisted reproductive technology (ART) continue to exist. Travel cost and time off work may create additional barriers for patients living remotely. Implementing telehealth can alleviate these barriers by reducing office visits. The aim of this study was to evaluate patient satisfaction with telehealth during ART.

Methods: This was a cross-sectional survey and retrospective cohort study. Patients living remotely who underwent ART utilizing telehealth between 2015 and 2018 at a single institution were selected for the telehealth group. The non-telehealth control group included randomly selected patients who underwent IVF at the same institution between 2015 and 2018. Demographic variables and treatment outcomes were obtained for both groups. A patient satisfaction questionnaire was distributed to telehealth patients. Statistical analysis using χ2 test was performed to compare ART outcomes between both groups.

Results: Ninety-seven control and 97 telehealth patients were included. For telehealth patients, the mean number of office visits and distance traveled was 2.9 (± 0.8 SD) and 143.1 miles (± 49.2 SD) respectively. 58.8% of patients completed the survey. 44/57 participants had an oocyte retrieval and 42/44 underwent embryo transfer. For those who completed the survey, the clinical pregnancy rate was 31/44 and the live birth rate was 25/44. There was no difference in treatment outcomes between telehealth compared to controls. 73% of patients were highly satisfied with telehealth.

Conclusions: Telehealth can improve access to ART in underserved areas and results in high patient satisfaction. Reproductive health providers could consider telehealth as a safe and efficacious tool to ameliorate geographic disparities.

Keywords: Access to care; Assisted reproduction; Geographic disparities; Telehealth.

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Conflict of interest statement

The authors declare that they have no conflict of interest.

Figures

Fig. 1
Fig. 1
Patient satisfaction of survey participants regarding use of telehealth for ART services
See this image and copyright information in PMC

References

    1. Chandra A, Copen CE, Stephen EH. Infertility and impaired fecundity in the United States, 1982-2010: data from the National Survey of Family Growth. Natl Health Stat Rep. 2013;67:1–18. - PubMed
    1. ACOG Committee Opinion No. 586 Health disparities in rural women. Obstet Gynecol. 2014;123(2 Pt 1):384–388. - PubMed
    1. Ethics Committee of the American Society for Reproductive Medicine Disparities in access to effective treatment for infertility in the United States: an Ethics Committee opinion. Fertil Steril. 2015;104(5):1104–1110. doi: 10.1016/j.fertnstert.2015.07.1139. - DOI - PubMed
    1. Harris JA, Menke MN, Haefner JK, Moniz MH, Perumalswami CR. Geographic access to assisted reproductive technology health care in the United States: a population-based cross-sectional study. Fertil Steril. 2017;107(4):1023–1027. doi: 10.1016/j.fertnstert.2017.02.101. - DOI - PubMed
    1. Disparities in access to effective treatment in infertility in the United States: an ethics committee opinion. Fertil Steril. 2015;104:1104–10. - PubMed