The challenge of providing infertility services to a low-income immigrant Latino population  

Oleh:

Nachtigall, Robert D. ; Castrillo, Martha ; Shah, Nina ; Turner, Dylan ; Harrington, Jennifer ; Jackson, Rebecca

Jenis: Article from Journal - ilmiah internasional
Dalam koleksi: Fertility and Sterility (keterangan: ada di ClinicalKey) vol. 92 no. 01 (Jul. 2009), page 116-123.
Topik: Infertility; health care disparities; Latinos; low-income

Ketersediaan

Perpustakaan FK Nomor Panggil: F02.K.2009.03 Non-tandon: 1 (dapat dipinjam: 0) Tandon: tidak ada

Lihat Detail Induk

Isi artikel

Objective : To provide insight into the experience of low-income immigrant Latino couples seeking infertility treatment. Design : Qualitative interview study. Setting : Infertility clinic at a university-affiliated urban public teaching hospital. Patient(s) : Infertile low-income immigrant Latino couples (105 women and 40 men). Intervention(s) : In-depth, tape-recorded interviews. Main Outcome Measure(s) : After transcription and translation, the interviews were coded and analyzed for thematic content. Result(s) : Four major challenges to providing infertility services to this population were identified: [1] communication: language and cultural barriers resulted in patients having difficulty both in understanding diagnoses and treatments and in communicating their questions, concerns, and experiences to physicians; [2] continuity: because medical students and residents rotated frequently, patients usually saw a different physician at each visit; [3] bureaucracy: patients reported having difficulty with appointment scheduling, follow-up visits, and timed laboratory procedures; and [4] accessibility: patients faced issues of limited availability and affordability of treatment. Conclusion(s) : At a large, urban, university-affiliated infertility clinic, challenges related to communication, comprehension, continuity, bureaucracy, accessibility, availability, and affordability impeded the delivery of optimal infertility care to many low-income immigrant Latino patients. A greater availability of translators and both patient and physician cultural orientations to address these health care barriers is recommended.

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