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

Fertility and Sterility
Robert D NachtigallRebecca Jackson

Abstract

To provide insight into the experience of low-income immigrant Latino couples seeking infertility treatment. Qualitative interview study. Infertility clinic at a university-affiliated urban public teaching hospital. Infertile low-income immigrant Latino couples (105 women and 40 men). In-depth, tape-recorded interviews. After transcription and translation, the interviews were coded and analyzed for thematic content. 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. At a large, urban, university-affiliated infertility clinic, challenges related to communication, comprehension, continuity, bureaucracy, accessibility, ...Continue Reading

Citations

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