ArticleThe British journal of general practice : the journal of the Royal College of General Practitioners2009
Patient and professional views of open access hysterosalpingography for the initial management of infertility in primary care.
Article in The British journal of general practice : the journal of the Royal College of General Practitioners, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 2 of them syntheses that pooled it.
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4 citing papers in PubMed, 2 syntheses or guidelines pooled it, 9 citations in OpenAlex.
- Direct access cancer testing in primary care: a systematic review of use and clinical outcomes.The British journal of general practice : the journal of the Royal College of General Practitioners · 2018Pooled it
- Patients' perspectives on the medical primary-secondary care interface: systematic review and synthesis of qualitative research.BMJ open · 2015Pooled it
- Direct access to diagnostic services.The British journal of general practice : the journal of the Royal College of General Practitioners · 2009Article
- Patient and professional views of open access hysterosalpingography for the initial management of infertility in primary care.The British journal of general practice : the journal of the Royal College of General Practitioners · 2009Article
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundHysterosalpingography (HSG) is recommended as a first-line investigation for tubal assessment of infertile women. This investigation is not routinely available to GPs.
aimTo explore the perceptions and attitudes of patients and health professionals to open access HSG for the initial management of infertile couples in general practice. DESIGN OF STUDY: A nested qualitative study using in-depth interviews with GPs, fertility specialists, and infertile couples.
settingNorthumberland, Newcastle upon Tyne, North Tyneside, South Tyneside, and Gateshead.
methodParticipants were 39 interviewees: 12 GPs, five fertility specialists, and 13 infertile couples (nine interviewed with their partner).
resultsFour themes emerged: personal factors; will it benefit patients, GPs, and fertility specialists?; professional factors; does it fit the role of a GP?; local context; do the skills exist in general practice?; and wider context; will it benefit the NHS? GPs who had used open access HSG, felt it was appropriate for general practice and would continue to use the service. All GPs, fertility specialists, and infertile couples who had experienced open access HSG wished the service to remain in place. The main barriers to its uptake were: infrequency with which infertility presents; lack of clarity on perceived responsibilities; difficulty keeping up to date, including assimilating guidelines; low clinical priority; and lack of support in authoritative guidance.
conclusionProviding GPs with open access to HSG would allow a full initial assessment of the infertile couple and refer women with blocked tubes directly to tertiary care. While there is general support for the provision of such a facility, the majority of GPs perceive its use as being by a limited number of GPs who have a special interest in infertility. The study findings can inform future development of infertility services at the interface between primary and secondary/tertiary care.
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