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Family Practice Advance Access published online on June 17, 2009
Family Practice, doi:10.1093/fampra/cmp039
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© The Author 2009. Published by Oxford University Press. All rights reserved. For permissions, please e-mail: journals.permissions@oxfordjournals.org.

Patient experience of infertility management in primary care: an in-depth interview study

Scott Wilkesa, Nicola Halla, Ann Croslanda, Alison Murdochb and Greg Rubina

a Centre for Primary and Community Care, University of Sunderland, Sunderland
b Fertility Centre, International Centre for LIFE, Newcastle upon Tyne, UK

Correspondence to Scott Wilkes, Institute of Health and Society, Newcastle University, 21 Claremont Place, Newcastle upon Tyne, Newcastle NE2 4AA, UK; E-mail: scott.wilkes{at}newcastle.ac.uk

Received 2 October 2008; Revised 8 May 2009; Accepted 18 May 2009.


  Abstract

Background. GPs do not have a full range of diagnostic resources to help manage infertile couples. Little is known about the patient experience of infertility management in primary care.

Objective. To explore the patient experience of infertility management from a primary care perspective.

Methods. This was a nested qualitative study with infertile couples in North-East England. In-depth interviews of infertile couples identified in the course of an observational study describing the incidence, prevalence, referral patterns and pregnancy outcomes for infertile couples. A grounded approach was used, with the interviews and analysis proceeding together using the method of constant comparison. Emergent themes and their links gave an overall explanation to the interview data.

Results. We interviewed 22 patients in 13 interviews. Factors that influenced a couple's experience of infertility management were personal and professional relationships, patient autonomy in decision making and access to services.

Conclusions. This study provides insights into the experiences of infertile couples seeking assisted reproduction from their GP. A good experience was linked to a strong personal relationship, a patient-centred professional relationship fostering informed decision making by the couple, GPs using diagnostic resources, interpreting restrictive clinical and social criteria and referring appropriately.

Keywords. Family medicine, fertility, qualitative research.

Wilkes S, Hall N, Crosland A, Murdoch A and Rubin G. Patient experience of infertility management in primary care: an in-depth interview study. Family Practice 2009; Pages 1–8 of 8.


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