Access to Fertility Care in Geographically Underserved Populations, a Second Look

被引:10
|
作者
Brodeur, Tia Y. [1 ]
Grow, Daniel [2 ]
Esfandiari, Navid [1 ]
机构
[1] Univ Vermont, Div Reprod Endocrinol & Infertil, Dept Obstet & Gynecol & Reprod Sci, 111 Colchester Ave, Burlington, VT 05401 USA
[2] Univ Connecticut, Dept Obstet & Gynecol, Ctr Adv Reprod Serv, Farmington, CT USA
关键词
Infertility; Health equity; Health disparities; Rural fertility treatment; ASSISTED REPRODUCTIVE TECHNOLOGY; UNITED-STATES; INFERTILITY; DISPARITIES; EXPERIENCE; IMPACT;
D O I
10.1007/s43032-022-00991-2
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
Infertility has a prevalence of up to 16% worldwide and is on the rise in developed nations, largely due to pursuing childbearing at advanced reproductive ages. Advances in assisted reproductive technology have benefitted socioeconomically advantaged patients disproportionately. High costs of fertility care are largely responsible for this disparity; however, patients in rural areas also face barriers in accessing both gynecology and reproductive endocrinology subspecialty care. Here, focusing on the USA, we discuss fertility care in geographically underserved areas and low-resource settings, and the impact on reproductive outcomes. Increased innovation to improve patient access to fertility care such as assisted reproductive technology is critical for ensuring equity. Remote monitoring is frequently performed by fertility centers, but partnership with local gynecologists has also been demonstrated to be an effective assisted reproductive technology monitoring method. Telehealth is now in mainstream use and the continued application to reduce geographic barriers to infertility patients is imperative. Partnership between local gynecologists and reproductive endocrinology and infertility specialists may improve patient access to fertility care and provide the unique benefits of continuity and ongoing local social support.
引用
收藏
页码:1983 / 1987
页数:5
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