Public Perception on Infertility and IVF - A Hong Kong Study - PowerPoint PPT Presentation

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Public Perception on Infertility and IVF - A Hong Kong Study
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Public Perception on Infertility and IVF - A Hong Kong Study

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  1. Public Perception on Infertility and IVF - A Hong Kong Study Dr. Milton Leong MDCM DSc(McGill) Director, IVF Center Hong Kong Sanatorium & Hospital Global Chinese Conference 15 Dec 2002

  2. Infertility • 1/6 couples trying for pregnancy • Medical,social and psychological problems studied • Very few perception studies

  3. Perception study in Infertility • Bertarelli Foundation Survey 2000 • 1st published population perception survey • Polled 6 European Countries, USA and Australia 1998/1999 • Telephone survey: random selection households • 7036 polled, no mention of % completion

  4. Perception Survey in Infertility • 6 questions • Asked You/your friend to avoid rejection • 52 % claimed personally know somebody who had infertility

  5. Perception Study in Infertility • Is Infertility a disease? Mean 38% • Australia, UK, USA 20% • Germany, Italy 55% • Heard of IVF? • 77% (Germany) to 99% (Sweden)

  6. Perception study in infertility • Should IVF be reimbursed? • Told respondent cost 3x IVF equals hip replacement • 60-80% said to reimburse

  7. Perception Study in Infertility • Although 97% of respondents heard of IVF and approved of IVF, only 16% answered correctly that IVF success is similar to that of natural pregnancy. • Most people guessed the success rate, and no correlation can be established

  8. YWCA Perception Study 2002 • Aims: • Infertility problem vs no problem • psycho-social states • medical aspects - treatment profiles

  9. Bertarelli 52% know infertility 16% know success rate 89% know IVF 38% said infertility = disease Hong Kong 50% know infertility 20%know success rate 46% know IVF 50% said infertility=disease Bertarelli vs. Hong Kong Survey

  10. YWCA Perception Study 2002 • Methodology: • Telephone survey • Randomly called numbers • No demographic questions to maximise response • Respondents answer 7,15, or16 questions

  11. YWCA Perception Study 2002 • Randomly dialed Numbers • Carried out July to October • Successfully Connected:147897 • Valid Data: 7028 • Success Rate: 5%

  12. YWCA Perception Study 2002

  13. INFERTILE PATIENTS

  14. INFERTILE Treatment Vs Time as suffering time increased, more infertility subjects received treatment, however, when they suffered more than 5 years, the subjects received treatment decreased N = 1173 Chi-square test P<0.05

  15. Accepted ART? N = 265

  16. Why Reject IVF

  17. Chi-Square Compare Subjects with and Without Infertility (p < 0.05) More subjects reported no Infertility problem knew IVFC The expected Success Rate of IVFC was different between subjects with and without Infertility

  18. Chi-Square Compare Subjects with and Without Infertility (p < 0.05) More Infertile Subjects reported that they believed infertility is a disease.

  19. Chi-Square Compare Subjects with and Without Infertility (p = NS)

  20. Investigations on Treated Subjects

  21. Investigations done Treated subjects

  22. Basic Investigations Made

  23. Treatment Method offered

  24. Summary of Results • 16% of polled has infertility problem • 45% view infertility as disease. For infertile couples 52% consider it a disease • 35% only has heard of IVF centers • 50% know the reason for their infertility • 30% know IVF success rate (20-40%)

  25. Summary of Results • 1173/7208 polled claimed to be infertile • only 265 (34%) have received or under treatment • 50.6% had ovulation induction • 34% had intra-uterine insemination • 24% had IVF/related treatment

  26. Summary of Results • Diagnosis procedures reported • Ovulation/hormone, laparoscopy 35% • SA, HSG only 45% • Ultrasound only test >50% (58%) • 42% answered that none of the above tests were done

  27. Summary of Results • Although 50% of respondents who are under treatment accepts IVF • Only 30% actually received IVF treatment • This is 6.5% of respondents who has infertility • Of those rejecting IVF, 45.7% worry IVF begets abnormal babies. 22.5% think too expensive

  28. CONCLUSIONS • There is misconception about IVF mainly in the availability, success rate, and the technology itself • There is a problem of education, so that appropriate tests were not done • Funding is not enough, especially third party payment

  29. CONCLUSIONS • Patients are not seeking treat-ment. Social factors and other psychological reasons may be present. • May also be that right treatment is not readily offered, so treat-ment abandoned after a while

  30. Hip Replacement OT charge:$40000 Hospital Bed: $20000 Surgical Fee:$30000 Drugs etc: $5000 Total: $95000 IVF OT charge: $12000 Hospital bed:$3000 Surgical Fee:$15000 Lab Fee:$ 15000 Drugs etc:$15000 Total: $$60000 Cost Hip Replacement Vs IVF