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Factors associated with a positive experience at US fertility clinics: the male partner perspective

  • Assisted Reproduction Technologies
  • Published:
Journal of Assisted Reproduction and Genetics Aims and scope Submit manuscript

Abstract

Objective

To determine factors associated with a positive male patient experience (PMPE) at fertility clinics among male patients.

Design: Cross-sectional study

Setting: Not applicable

Patients: Male respondents to the FertilityIQ questionnaire (www.fertilityiq.com) reviewing the first or only US clinic visited between June 2015 and August 2020.

Interventions: None

Main outcome measures: PMPE was defined as a score of 9 or 10 out of 10 to the question, “Would you recommend this fertility clinic to a best friend?”. Examined predictors included demographics, payment details, infertility diagnoses, treatment, and outcomes, physician traits, and clinic operations and resources. Multiple imputation was used for missing variables and logistic regression was used to calculate adjusted odds ratios (aORs) for factors associated with PMPE.

Results

Of the 657 men included, 60.9% reported a PMPE. Men who felt their doctor was trustworthy (aOR 5.01, 95% CI 0.97–25.93), set realistic expectations (aOR 2.73, 95% CI 1.10–6.80), and was responsive to setbacks (aOR 2.43, 95% CI 1.14–5.18) were more likely to report PMPE. Those who achieved pregnancy after treatment were more likely to report PMPE; however, this was no longer significant on multivariate analysis (aOR 1.30, 95% CI 0.68–2.47). Clinic-related factors, including ease of scheduling appointments (aOR 4.03, 95% CI 1.63–9.97) and availability of same-day appointments (aOR 4.93, 95% CI 1.75–13.86), were associated with PMPE on both univariate and multivariate analysis. LGBTQ respondents were more likely to report PMPE, whereas men with a college degree or higher were less likely to report PMPE; however, sexual orientation (aOR 3.09, 95% CI 0.86–11.06) and higher educational level (aOR 0.54, 95% CI 0.30–1.10) were not associated with PMPE on multivariate analysis.

Conclusion

Physician characteristics and clinic characteristics indicative of well-run administration were the most highly predictive of PMPE. By identifying factors that are associated with a PMPE, clinics may be able to optimize the patient experience and improve the quality of infertility care that they provide for both men and women.

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References

  1. Mehta A, Nangia A, Dupree J, Smith J. Limitations and barriers in access to care for male factor infertility. Fertil Steril. 2016;105(5):1128–37.

    Article  PubMed  Google Scholar 

  2. Smith J, Walsh T, Shindel A, et al. Sexual, marital, and social impact of a man's perceived infertility diagnosis. J Sex Med. 2009;6(9):2505–15.

    Article  PubMed  PubMed Central  Google Scholar 

  3. Hammarberg K, Baker H, Fisher J. Men's experiences of infertility and infertility treatment 5 years after diagnosis of male factor infertility: a retrospective cohort study. Hum Reprod. 2010;25(11):2815–20.

    Article  CAS  PubMed  Google Scholar 

  4. Petok W. Infertility counseling (or the lack thereof) of the forgotten male partner. Fertil Steril. 2015;104(2):260–6.

    Article  PubMed  Google Scholar 

  5. Mehta A. Qualitative research in male infertility. Urol Clin North Am. 2020;47(2):205–10.

    Article  PubMed  Google Scholar 

  6. Doyle C, Lennox L, Bell D. A systematic review of evidence on the links between patient experience and clinical safety and effectiveness. BMJ Open. 2013;3:1.

    Article  Google Scholar 

  7. Dancet E, Nelen W, Sermeus W, Leeuw LD, Kremer J, D'Hooghe T. The patients' perspective on fertility care: a systematic review. Hum Reprod Update. 2010;16(5):467–87.

    Article  CAS  PubMed  Google Scholar 

  8. Lass A, Brinsden P. How do patients choose private in vitro fertilization treatment? A customer survey in a tertiary fertility center in the United Kingdom. Fertil Steril. 2001;75(5):893–7.

    Article  CAS  PubMed  Google Scholar 

  9. Malin M, Hemmink E, Räikkönen O, Sivho S, Perala M. What do women want? Women's experiences of infertility treatment. Soc Sci Med. 2001;53(1):123–33.

    Article  CAS  PubMed  Google Scholar 

  10. Shandley L, Hipp H, Anderson-Bialis J, Boulet S, McKenzie L, Kawass J. Patient-centered care: factors associated with reporting a positive experience at United States fertility clinics. Assisted Reprod. 2020;113(4):797–810.

    Google Scholar 

  11. Okunrintemi V, Valero-Elizondo J, Patrick B, et al. Gender differences in patient-reported outcomes among adults with atherosclerotic cardiovascular disease. J Am Heart Assoc. 2018;7(24)

  12. Otani K, Buchanan P, Desai S, Herrmann P. Different combining process between male and female patients to reach their overall satisfaction. J Patient Exp. 2016;3(4):145–50.

    Article  PubMed  PubMed Central  Google Scholar 

  13. Bener A, Ghuloum S. Gender difference on patients' satisfaction and expectation towards mental health care. Niger J Clin Pract. 2013;16(3):285–91.

    Article  PubMed  Google Scholar 

  14. Chen P, Tolpadi A, Elliott M, et al. Gender differences in patients' experience of care in the emergency department. J Gen Intern Med. 2022;37(3):676–9.

    Article  PubMed  Google Scholar 

  15. Maldonado G, Greenland S. Simulation study of confounder-selection strategies. Am J Epidemiol. 1993;138:923–36.

    Article  CAS  PubMed  Google Scholar 

  16. Weng H, Hsueh Y, Messam L, Hertz-Picciotto I. Methods of covariate selection: directed acyclic graphs and the change-in-estimate procedure. Am J Epidemiol. 2009;169:1182–90.

    Article  PubMed  Google Scholar 

  17. Mourad S, Nelen W, Akkermans R, et al. Determinants of patients' experiences and satisfaction with fertility care. Fertil Steril. 2010;94(4):1254–60.

    Article  PubMed  Google Scholar 

  18. Iv E, Nelen W, Tepe E, Ev L, Verhaak C, Kremer J. Weaknesses, strengths and needs in fertility care according to patients. Hum Reprod. 2010;25(1)

  19. Batbaatar E, Dorjdagva J, Luvsannyam A, Savino M, Amenta P. Determinants of patient satisfaction: a systematic review. Perspect Public Health. 2017;137(2):89–101.

    Article  PubMed  Google Scholar 

  20. Fenton J, Jerant A, Bertakis K, Franks P. The cost of satisfaction: a national study of patient satisfaction, health care utilization, expenditures, and mortality. Arch Intern Med. 2012;172(5):405–11.

    Article  PubMed  Google Scholar 

  21. Carini E, Villani L, Pezzullo A, et al. The impact of digital patient portals on health outcomes, system efficiency, and patient attitudes: updated systematic literature review. J Med Internet Res. 2021;23(9)

  22. Kinney A, Sankaranarayanan B. Effects of patient portal use on patient satisfaction: survey and partial least squares analysis. J Med Internet Res. 2021;23(8)

  23. Jones J. LGBT Identification in U.S. Ticks Up to 7.1%. Gallup. https://news.gallup.com/poll/389792/lgbt-identification-ticks-up.aspx

  24. Mulé N, Ross L, Deeprose B, et al. Promoting LGBT health and wellbeing through inclusive policy development. Int J Equity Health. 2009;8(18)

  25. Colpitts E, Gahagan J. The utility of resilience as a conceptual framework for understanding and measuring LGBTQ health. Int J Equity Health. 2016;15(60)

  26. Hudson K, Bruce-Miller V. Nonclinical best practices for creating LGBTQ-inclusive care environments: A sco** review of gray literature. J Gay Lesbian Soc Serv. 2022;35(2):218–40.

    Article  Google Scholar 

  27. Leyser-Whalen O, Bombach B, Mahmoud S, Greil A. From generalist to specialist: a qualitative study of the perceptions of infertility patients. Reprod Biomed Soc Online. 2021;14:204–15.

    Article  PubMed  PubMed Central  Google Scholar 

  28. Quintana J, González N, Bilbao A, et al. Predictors of patient satisfaction with hospital health care. BMC Health Serv Res. 2006;102(6)

  29. Sylvest R, Fürbringer J, Schmidt L. Infertile men’s needs and assessment of fertility care. Ups J Med Sci. 2016;121(4):276–82.

    Article  PubMed  PubMed Central  Google Scholar 

  30. Arya S, Dibb B. The experience of infertility treatment: the male perspective. Hum Fertil. 2016;19(4):242–8.

    Article  Google Scholar 

  31. Iv E, Dancet E, Koolman K, et al. Physicians underestimate the importance of patient-centredness to patients: a discrete choice experiment in fertility care. Hum Reprod. 2011;26(3):584–93.

    Article  Google Scholar 

  32. Zaake D, Kayiira A, Namagembe I. Perceptions, expectations and challenges among men during in vitro fertilization treatment in a low resource setting: a qualitative study. Fertil Res Pract. 2019;5(6)

  33. Fisher J, Hammarberg K. Psychological and social aspects of infertility in men: an overview of the evidence and implications for psychologically informed clinical care and future research. Asian J Androl. 2012;14(1):121–9.

    Article  CAS  PubMed  Google Scholar 

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Authors and Affiliations

  1. Department of Urology, Emory University School of Medicine, Clifton Rd NE STE B1400, Atlanta, GA, 1365, USA

    Siddharth Marthi, Nourhan Ismaeel & Akanksha Mehta

  2. Department of Obstetrics and Gynecology, Division of Reproductive Endocrinology and Infertility, Emory University School of Medicine, Atlanta, GA, USA

    Lisa M. Shandley, Jennifer F. Kawwass & Heather S. Hipp

  3. FertilityIQ, San Francisco, CA, USA

    Jake Anderson-Bialis & Deborah Anderson-Bialis

Authors
  1. Siddharth Marthi
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  2. Lisa M. Shandley
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  6. Jennifer F. Kawwass
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Corresponding author

Correspondence to Siddharth Marthi.

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Conflict of interest

J.A.B. and D.A.B. have financial relationships with FertilityIQ, which served as the source of data for this article. The remaining authors declare no competing interests.

Attestation statement

• The subjects in this trial have not concomitantly been involved in other randomized trials.

• Data regarding any of the subjects in the study has not been previously published unless specified.

• Data will be made available to the editors of the journal for review or a query upon request.

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Siddharth Marthi and Lisa M. Shandley shared the first authorship.

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Marthi, S., Shandley, L.M., Ismaeel, N. et al. Factors associated with a positive experience at US fertility clinics: the male partner perspective. J Assist Reprod Genet 40, 1317–1328 (2023). https://doi.org/10.1007/s10815-023-02848-2

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  • DOI: https://doi.org/10.1007/s10815-023-02848-2

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