title: Patients' attitudes to medical and psychosocial aspects of care in fertility clinics: findings from the Copenhagen Multi-centre Psychosocial Infertility (COMPI) Research Programme.
abstract: BACKGROUND
  The aims were (i) to identify gender differences in motivations to seek assisted reproduction and gender differences in expectations about medical and psychosocial services and (ii) to examine factors that predict the perceived importance of, and intention to use, psychosocial services among infertile people.
  
  
  METHODS
  We conducted an epidemiological study based on questionnaires among all new couples attending five fertility clinics with a response rate of 80.0% and a total of 2250 patients.
  
  
  RESULTS
  The vast majority of both men and women considered a high level of medical information and patient-centred care as important. Fewer respondents (women 10.0-20.8%, men 4.1-8.9%) felt that professional psychosocial services were important and/or had the intention to use these services. The main predictor of perceived importance of patient-centred care and professional psychosocial services for both men and women was high infertility-related stress in the marital, personal and social domain.
  
  
  CONCLUSIONS
  A supportive attitude from medical staff and the provision of both medical and psychosocial information and support should be integral aspects of medical care in fertility clinics. Although only a minority of the participants perceived professional psychosocial services as important, they should be available for patients whose infertility causes them much strain, especially for patients whose marital relationship suffered much because of infertility.
authors.affiliation: Institute of Public Health, University of Copenhagen, Panum Institute, Blegdamsvej 3, DK-2200 Copenhagen N, Denmark. L.Schmidt@pubhealth.ku.dk
authors.forename: L
authors.initials: L
authors.lastname: Schmidt
authors.forename: B E
authors.initials: BE
authors.lastname: Holstein
authors.forename: J
authors.initials: J
authors.lastname: Boivin
authors.forename: H
authors.initials: H
authors.lastname: Sångren
authors.forename: T
authors.initials: T
authors.lastname: Tjørnhøj-Thomsen
authors.forename: J
authors.initials: J
authors.lastname: Blaabjerg
authors.forename: F
authors.initials: F
authors.lastname: Hald
authors.forename: A Nyboe
authors.initials: AN
authors.lastname: Andersen
authors.forename: P E
authors.initials: PE
authors.lastname: Rasmussen
mesh_terms: D001294:Attitude to Health; D005260:Female; D006801:Humans; D007246:Infertility / Q000523:psychology / Q000628:therapy*; D008297:Male; D010342:Patient Acceptance of Health Care; D010353:Patient Education as Topic; D018802:Patient-Centered Care; D010361:Patients / Q000523:psychology*; D011584:Psychology; D013315:Stress, Psychological / Q000209:etiology / Q000523:psychology / Q000628:therapy