Defining infertility: a qualitative interview study of patients and physicians.
Purpose: To investigate if infertility patients and physicians apply a traditional biomedical model of disease in their conceptualisation of infertility, examine any contradictions and conflicts in conceptualisations, and examine areas of concordance and discordance between physicians and patients....
| Publicado en: | Journal of Reproductive & Infant Psychology Vol. 43; no. 1; pp. 19 - 34 |
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| Autores principales: | , , , |
| Formato: | glossary research tables/charts Journal Article |
| Publicado: |
Taylor & Francis Ltd
Jan2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=181784287&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 181784287 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 02646838 RIP jtl: Journal of Reproductive & Infant Psychology issn: 02646838 maglogo: Y pubinfo: dt: Jan2025 vid: 43 iid: 1 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 181784287 164168334 181784287 181784287 10.1080/02646838.2023.2221277 181784287 ppf: 19 ppct: 15 formats: tig: atl: Defining infertility: a qualitative interview study of patients and physicians. aug: au: Summers, KM Scherer, A Chasco, EE Ryan, GL affil: Division of Reproductive Endocrinology and Infertility, Department of Obstetrics and Gynecology, University of Iowa Hospital and Clinics, Iowa City, IA, USA sug: subj: Infertility Concept Formation Health Personnel Psychosocial Factors Attitude of Health Personnel Models, Theoretical Human Funding Source Qualitative Studies Semi-Structured Interview Questionnaires Physician-Patient Relations Patient Centered Care Stigma Spirituality Stereotyping Descriptive Statistics Comparative Studies ab: Purpose: To investigate if infertility patients and physicians apply a traditional biomedical model of disease in their conceptualisation of infertility, examine any contradictions and conflicts in conceptualisations, and examine areas of concordance and discordance between physicians and patients. Methods: Semi-structured interviews were conducted with 20 infertility patients and 18 infertility physicians between September 2010 and April 2012. Interviews were analysed qualitatively to determine physician and patient conceptualisations of infertility, reactions to the definition of infertility as a disease, and potential benefits and concerns related to application of a disease label to the condition. Results: Most physicians (n = 14/18) and a minority of patients (n = 6/20) were supportive of defining infertility as a disease. Many of the patients who agreed with classifying infertility as a disease expressed that they had not personally defined it as such previously. Physicians (n = 14) and patients (n = 13) described potential benefits of a disease label, including increases in research funding, insurance coverage, and social acceptability. Some patients (n = 10) described potential stigma as a negative consequence. When describing appraisals of infertility, both physicians (n = 7) and patients (n = 8) invoked religious/spiritual concepts. The potential for religious/spiritual appraisal to contribute to stigmatising or de-stigmatising infertility was discussed. Conclusion: Our findings contradict the assumption that infertility physicians and patients are fully supportive of defining infertility as a disease. While potential benefits of the disease label were recognised by both groups, caution against potential for stigmatisation and unsolicited invocation of religion/spirituality suggest a more holistic model may be appropriate. pubtype: Academic Journal doctype: glossary research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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