title: Economics of assisted reproduction: access to fertility treatments and valuing live births in economic terms.
abstract: The intricate relationship between economic conditions and natural fertility is known to influence both the timing and number of children conceived. For infertile couples, the relationship between economics and fertility is more explicit because of the necessity for many couples to pay for treatment to achieve childbirth. Consequently, affordability often dictates whether or not someone is able to undergo treatment, as well as the types of treatments available. Economics can also be used to describe treatment outcomes achieved through the use of fertility treatments. While gynaecologists and couples speak of outcomes in terms of live births, economists are often inclined to view live births and their influence on society in economic terms. In this review we consider two distinct elements of economics and assisted reproduction. Firstly, how economics (i.e. affordability) can influence demand for, and access to, fertility treatments, and secondly, how methods for valuing live births achieved using assisted reproductive technologies in economic terms can highlight the importance of these children in the context of ageing populations. This review will attempt to illustrate that the economic benefits attributed to children conceived through fertility treatments are much greater than health costs required for conception and should be considered in future reimbursement decisions in this therapy area.
authors.affiliation: Department of Pharmacy, Unit of PharmacoEpidemiology & PharmacoEconomics, University of Groningen, Groningen, The Netherlands. mark@gmasoln.com
authors.forename: Mark P
authors.initials: MP
authors.lastname: Connolly
authors.forename: William
authors.initials: W
authors.lastname: Ledger
authors.forename: Maarten J
authors.initials: MJ
authors.lastname: Postma
mesh_terms: D017281:Cost of Illness; D005191:Family Characteristics; D005260:Female; D006297:Health Services Accessibility / Q000191:economics*; D006801:Humans; D007246:Infertility / Q000191:economics*; D008297:Male; D011247:Pregnancy; D011256:Pregnancy Outcome / Q000191:economics*; D027724:Reproductive Techniques, Assisted / Q000191:economics*; D012959:Socioeconomic Factors