Evidence map›Paper›PMID 40399859›Full record

ArticleBMC public health2025

The difference in patient-centered medical experiences between public fertility care and private fertility care in China: a multicenter cross-sectional study.

Jiangying Liang, Qiuling Jie, Wen Xu, Juan Li, Mianai Fu, Ping Liu, Yan Chen, Xiaoman Wang, Xianmei Li, Zhaoping Li and 6 more

Abstract readComparative StudyMulticenter Study
In one paragraph

Article in BMC public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors.

Jiangying Liang *Key Laboratory of Reproductive Health Diseases Research and Translation of Ministry of Education, Key Laboratory of Human Reproductive Medicine and Genetic Research of Hainan Province, Hainan Provincial Clinical Research Center for Thalassemia, Department of Reproductive Medicine, The First Affiliated Hospital of Hainan Medical University, College of Biomedical Information and Engineering, Hainan Medical University, Haikou, Hainan, 571101, China.
Qiuling Jie *Key Laboratory of Reproductive Health Diseases Research and Translation of Ministry of Education, Key Laboratory of Human Reproductive Medicine and Genetic Research of Hainan Province, Hainan Provincial Clinical Research Center for Thalassemia, Department of Reproductive Medicine, The First Affiliated Hospital of Hainan Medical University, College of Biomedical Information and Engineering, Hainan Medical University, Haikou, Hainan, 571101, China. 990502727@qq.com.
Wen XuDepartment of Reproductive Medicine, Hainan Modern Women and Children's Hospital, Haikou, Hainan, 570203, China.
Juan LiDepartment of Reproductive Medicine, The Second Affiliated Hospital of Hainan Medical University, Haikou, Hainan, 570216, China.
Mianai FuDepartment of Reproductive Medicine, Haikou Maternal and Child Health Hospital, Haikou, Hainan, 571100, China.
Ping LiuDepartment of Reproductive Medicine, Hainan Western Central Hospital, Danzhou, Hainan, 571700, China.
Yan ChenDepartment of Reproductive Medicine, Wenchang People's Hospital, Wenchang, Hainan, 571300, China.
Xiaoman WangDepartment of Reproductive Medicine, Qionghai Traditional Chinese Medicine Hospital, Qionghai, Hainan, 571400, China.
Xianmei LiDepartment of Reproductive Medicine, Queen Mary Hospital, Haikou, Hainan, 570100, China.
Zhaoping LiDepartment of Reproductive Medicine, Hainan Provincial Hospital of Traditional Chinese Medicine, Haikou, Hainan, 570203, China.
Juan LiDepartment of Reproductive Medicine, Sanya Central Hospital, Sanya, Hainan, 572029, China.
Mingkun WangKey Laboratory of Reproductive Health Diseases Research and Translation of Ministry of Education, Key Laboratory of Human Reproductive Medicine and Genetic Research of Hainan Province, Hainan Provincial Clinical Research Center for Thalassemia, Department of Reproductive Medicine, The First Affiliated Hospital of Hainan Medical University, College of Biomedical Information and Engineering, Hainan Medical University, Haikou, Hainan, 571101, China.
Jinyu KangKey Laboratory of Reproductive Health Diseases Research and Translation of Ministry of Education, Key Laboratory of Human Reproductive Medicine and Genetic Research of Hainan Province, Hainan Provincial Clinical Research Center for Thalassemia, Department of Reproductive Medicine, The First Affiliated Hospital of Hainan Medical University, College of Biomedical Information and Engineering, Hainan Medical University, Haikou, Hainan, 571101, China.
Fei SunKey Laboratory of Reproductive Health Diseases Research and Translation of Ministry of Education, Key Laboratory of Human Reproductive Medicine and Genetic Research of Hainan Province, Hainan Provincial Clinical Research Center for Thalassemia, Department of Reproductive Medicine, The First Affiliated Hospital of Hainan Medical University, College of Biomedical Information and Engineering, Hainan Medical University, Haikou, Hainan, 571101, China.
Qi LiDepartment of Reproductive Medicine, Hainan Modern Women and Children's Hospital, Haikou, Hainan, 570203, China. 1315286326@qq.com.
Yanlin MaKey Laboratory of Reproductive Health Diseases Research and Translation of Ministry of Education, Key Laboratory of Human Reproductive Medicine and Genetic Research of Hainan Province, Hainan Provincial Clinical Research Center for Thalassemia, Department of Reproductive Medicine, The First Affiliated Hospital of Hainan Medical University, College of Biomedical Information and Engineering, Hainan Medical University, Haikou, Hainan, 571101, China. mayanlinma@hotmail.com.

Funding

China Postdoctoral Science Foundation 2022M710992, 2022T150180
6 · The paper itself

Abstract

backgroundHigh-quality fertility care should be effective and safe but also patient-centered. We analyzed the difference in the patient-centered medical experiences between public and private fertility care in China, aiming to provide data support and a decision-making basis for optimizing the allocation of reproductive health care resources, and improving patient experience and compliance.

methodsIn this study, a multicenter cross sectional study was distributed among 1900 infertile Chinese patients at 10 reproductive medicine centres from July 2021 to April 2022. Patients' experiences of infertility patients were analyzed. Univariate analysis and multivariate regression model analysis were used to analysis the factors influencing the differences in patients' medical experiences between public and private fertility care.

resultsThe questionnaire was completed by 1694 infertile couples (response rate of 89.16%) from 10 centres. Of the eight subscales, 'care organization' received the best ratings, and 'information' received the worst ratings. The total score of private fertility care was significantly higher than that of public fertility care. The subscale scores for 'accessibility', 'information' and 'continuity and transition' were significantly higher for private fertility care than for public fertility care. Further univariate and multivariate analyses found that the distance from the hospital, family income and pregnancy status were the main influencing factors of the patients' medical experiences with public fertility care, while the stage of fertility treatment, infertility duration and pregnancy status were the main influencing factors of the patients' medical experiences with private fertility care.

conclusionsThe subscale of patient-centered medical experiences for 'accessibility', 'information' and 'continuity and transition' were significantly higher for private fertility care than for public fertility care.

Indexed as

InfertilityPatient-Centered CarePatient SatisfactionPrivate SectorPublic SectorAdultChinaCross-Sectional StudiesFemaleHumansMaleMiddle AgedSurveys and QuestionnairesAssisted reproductive technologiesFertility careInfertilityPatient-centeredSurveys and questionnaires

Identifiers

PMID40399859
PMCPMC12093768

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