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E.A.F. Dancet1,2,*†, I.W.H. Van Empel2,†, P. Rober3, W.L.D.M. Nelen2, J.A.M. Kremer2 and T.M. D'Hooghe11Leuven University Fertility Centre, Leuven University Hospital, Herestraat 49, Leuven, Belgium 2Department Obstetrics and Gynaecology, Radboud University Nijmegen Medical Centre, The Netherlands 3Centre for Family and Sexual Sciences, Leuven University, Leuven, Belgium *Correspondence address. E-mail: eline.dancet{at}uz.kuleuven.be?† Both first authors contributed equally. Received September 10, 2010. Revision received January 4, 2011. Accepted January 14, 2011. BACKGROUND High-quality care for patients faced with infertility should be patient-centred. Few studies have provided in-depth insights into the patient's perspective on care and, to the best of our knowledge, no study has provided a model of the complex concept ‘patient-centred infertility care’. Therefore, a qualitative study aimed at understanding ‘patient-centred infertility care’ from the patient's perspective was conducted. METHODS Fourteen focus group discussions were organized with patients (n = 103) from two European countries to find out about patients’ positive and negative experiences with infertility care. Content analysis of the transcripts and analysis of patients’ priority lists were conducted. RESULTS The patient-centredness of infertility care depends on 10 detailed dimensions, which can be divided into system and human factors, and there is a two-way interaction between both kinds of factors. System factors, in order of patient's priority, are: provision of information, competence of clinic and staff, coordination and integration, accessibility, continuity and transition and physical comfort. Human factors, in order of patient’s priority, are: attitude of and relationship with staff, communication, patient involvement and privacy and emotional support. CONCLUSIONS This study provides a detailed patient's description of the concept ‘patient-centred infertility care’ and an interaction model that aids understanding of the concept. Fertility clinics are encouraged to improve the patient-centredness of their care by taking into account the detailed description of the dimensions of patient-centred infertility care, and by paying attention to both system and human factors and their interaction when setting up ‘patient-centred improvement projects’. © The Author 2011. Published by Oxford University Press on behalf of the European Society of Human Reproduction and Embryology. All rights reserved. For Permissions, please email: journals.permissions@oup.com This ArticleHum. Reprod. (2011) 26 (4): 827-833. doi: 10.1093/humrep/der022 First published online: February 11, 2011Disclaimer: Please note that abstracts for content published before 1996 were created through digital scanning and may therefore not exactly replicate the text of the original print issues. All efforts have been made to ensure accuracy, but the Publisher will not be held responsible for any remaining inaccuracies. If you require any further clarification, please contact our Customer Services Department.
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