Expectations towards medical personnel – a study with infertility clinic patients
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Submission date: 2014-07-17
Acceptance date: 2014-07-23
Online publication date: 2014-09-08
Publication date: 2014-09-22
Health Psychology Report 2014;2(3):218–226
Contacts with medical personnel are important for patients’ experiences. The role of physicians’ psychosocial competence was noted in Polish studies, but systematic analyses of infertile patients’ expectations have not been conducted. This study was designed to learn about patients’ views on relationships with medical personnel. It was assumed that: 1) staff involvement in infertility treatment would be reflected in expectations towards persons in different roles, 2) expectations might be related to patients’ gender, duration of infertility, and type of treatment, 3) expectations of couples would be related.

Participants and procedure
Fifty-one married couples filled in a purposely designed questionnaire. Items related to information, attitudes and support were divided into three sections – expectations towards physicians, other medical personnel, psychologists – and were scored on a scale of 1 to 5 points.

No gender effect of duration of treatment, type of infertility or treatment method on expectations was found. Partners expected the same level of information from physicians and the same level of emotional support from psychologists. Other expectations were consistently higher in women. There was a clear division of expectations towards different groups of personnel – the expectation to make the best medical choices was assigned to physicians, while the expectation to provide a supportive relationship and coping skills was assigned to psychologists, but all were expected to respect patients’ privacy, choices and decisions.

The findings indicate the division of expectations towards different groups of personnel, with the tendency of women to articulate their expectations more clearly and strongly, but towards the same aspects of staff functioning as men do.
Ayranci, U., Hassa, H., Metintas, S., Unluoglu, I., & Unsal, A. (2005). Attitudes to and management of fertility among primary health care physicians in Turkey: an epidemiological study. BMC Public Health, 5, 33-38.
Bernhard, J., Butow, P., Aldridge, J., Juraskova, I., Ribi, K., & Brown, R. (2012). Communication about standard treatment options and clinical trials: can we teach doctors new skills to improve patient outcomes? Psycho-Oncology, 21, 1265-1274. DOI: 10.1002/pon.2044.
Bidzan, M. (2010). Niepłodność w ujęciu bio-psychospołecznym [Infertility in bio-psycho-social approach]. Kraków: Oficyna Wydawnicza „Impuls”.
Bielawska-Batorowicz, E. (2004). Sposób prezentowania menopauzy a ocena związanych z nią zmian [The perception of menopause in relation to context of presentation]. Przegląd Menopauzalny, 3, 24-30.
Boivin, J., Appelton, T. C., Beatens, P., Baron, J., Bitner, J., Corrigan, E., Daniels, K. R., Darwish, J., Guerra-Diaz, D., Hammar, M., McWhinnie, A., Strauss, B., Thorn, P., Wischmann, T., & Kentenich, H. (2001). Guidelines for counselling in infertility: outline version. Human Reproduction, 16, 1301-1304.
Bryl, N., Horst-Sikorska, W., Ignaszak-Szczepaniak, M., Marcinkowska, M., Michalak, M., & Sewerynek, E. (2012). Influence of social competence of physicians on patent compliance with osteoporosis medications – a study on Polish postmenopausal women. Ginekologia Polska, 83, 511-516.
Butalid, L., Verhaak, P. F. M., Boeije, H. R., & Bensing, J. M. (2012). Patients’ views on changes in doctor-patients communication between 1982 and 2001: a mixed-methods study. BMC Family Practice, 13, 80. DOI: 10.1186/1471-2296-13-80.
Cunningham, N., & Cunningham, T. (2013). Women’s experience of infertility – towards a relational model of care. Journal of Clinical Nursing, 22, 3428-3437.
Dancet, E. A., Nelen, W. L., Sermeus, W., De Leeuw, L., Kremer, J. A., & D’Hooghe, T. M. (2010). The patients’ perspective on fertility care: a systematic review. Human Reproduction Update, 16, 467-487. DOI: 10.1093/humpd/dmq004.
Dembińska, A. (2014). Psychological costs of life crisis in Polish women treated for infertility. Journal of Reproductive and Infant Psychology, 32, 96-107.
Forthofer, M. S., & Schneider, M. G. (2005). Associations of psychosocial factors with the stress of infertility treatment. Health & Social Work, 30, 183-191.
Gameiro, S., Canavarro, M. C., & Boivin, J. (2013). Patients centered care in infertility health care: Direct and indirect associations with wellbeing during treatment. Patient Education and Counseling, 93, 646-654.
Garcia, D., Bautista, O., Venero, L., Coll, O., Vassena, R., & Vernaeve, V. (2013). Training in empathic skills improves patient-physician relationship during the first consultation in a fertility clinic. Fertility & Sterility, 99, 1413-1418.e1. DOI: 10.106/j.fertnstert.2012.12.012.
Greil, A. L., Slauson-Blevins, K., & McQuillan, J. (2010). The experience of infertility: a review of recent literature. Sociology of Health & Illness, 32, 140-162. DOI: 10.1111/j.1467-9566.2009.01213.x.
Grigoriou, O., Roupa, Z., Salakos, N., & Sotiropoulou, P. (2004). Family planning and psychosocial support for infertile couples. European Journal of Contraception & Reproductive Health Care, 9, 47-51.
Groh, C. J., & Wagner, C. (2005). The art of communicating ART results: an analysis of infertile couples’ experience. Journal of Reproductive and Infant Psychology, 23, 333-346.
Hemminki, E., Malin, M., Perälä, M. L., Räikkönen, O., & Sihvo, S. (2002). What do women want? Women’s experiences of infertility treatment. Social Science & Medicine, 53, 123-133.
Himmel, W., Ittner, E., Kochen, M. M., & Schroeter, M. (1999). The many facets of involuntary childlessness in general practice. Scandinavian Journal of Primary Health Care, 17, 25-29.
Hinton, L., Kurinczuk, J. J., & Ziebland, S. (2012). Reassured or fobbed off? Perspectives on infertility consultations in primary care: a qualitative study. British Journal of General Practice, 62, e438-445. DOI: 10.3399/bjgp12X649133.
Jankowska, A. K., Pałagan, I., Dylewska, K., Grześk, E., Wysocki, M., & Sadowska-Krawczenko, I. (2011). Komunikacja lekarz-pacjent a jakość opieki medycznej [Doctor-patient communication and the quality of medical care]. Polskie Stowarzyszenie Zarządzania Wiedzą, Seria: Studia i Materiały, 54, 199-207.
Katz, P., Showstack, J., Smith, J., Nachtigall, R. D., Millstein, S. G., Wing, H., Eisenberg, M. L., Pasch, L. A., Croughan, M. S., & Adler, N. (2011). Costs of infertility treatment: results from an 18-month prospective cohort study. Fertility & Sterility, 95, 915-921. DOI: 10.1016/j.fertnstert.201.11.026.
Leite, R. C., Makuch, M. Y., Petta, C. A., & Morais, S. S. (2005). Women’s satisfaction with physicians’ communication skills during infertility consultation. Patient Education and Counseling, 59, 38-45.
Łepecka-Klusek, C. (2008). Postawy życiowe partnerów w sytuacji niezamierzonej bezdzietności [Partners’ Life Attitudes in the Situation of Childlessness]. Lublin: Wydawnictwo Czelej.
Makara-Studzińska, M., & Iwanowicz-Palus, G. (eds.). (2009). Psychologia w położnictwie i ginekologii [Psychology in obstetrics and gynaecology]. Warszawa: Wydawnictwo Lekarskie PZWL.
Morrison, C., Bhattacharya, S., Hamilton, M., Templeton, A., & Smith, B. (2007). Initial management of infertility: an audit of pre-referral investigations and exploration of couples’ views at the interface of primary and secondary care. Human Fertility, 10, 25-31. DOI: 10.1080/14647270600939937.
Pawelec, B., & Pabian, W. (2012). Niepłodność. Pomoc medyczna i psychologiczna [Infertility. Medical and psychological suport]. Sopot: Smak Słowa.
Radkowska-Walkowicz, M. (2013). Doświadczenie in vitro. Niepłodność i nowe technologie reprodukcyjne w perspektywie antropologicznej [Experience of in vitro. Infertility and new reproductive technologies in anthropological perspective]. Warszawa: Wydawnictwo Uniwersytetu Warszawskiego.
Read, S. C., Carrier, M-E., Whiteley, R., Bond, S., & Zelkowitz, P. (2014). Psychosocial services for couples in infertility treatment: What do couples really want? Patient Education and Counseling, 94, 390-395.
Redshaw, M., Hockley, C., & Davidson, L. L. (2007). A qualitative study of the experience of treatment for infertility among women who successfully became pregnant. Human Reproduction, 22, 295-304.
Safarino, E. P. (2008). Health psychology. Biopsychosocial interactions (6th ed.). Hoboken: John Wiley & Sons, Inc.
Takabayashi, C., & Shimada, K. (2010). Support for infertility treatment in Japan: differences in perceptions between female clients and staff. Nursing and Health Sciences, 12, 80-86. DOI: 10.1111/j.1442-2018.2009.00493.x.
Talen, M. R., Muller-Held, C. F., Eshleman, K. G., & Stephens, L. (2011). Patients’ communications with doctors: a randomized control study of a brief patient communication intervention. Families, Systems & Health, 29, 171-183. DOI: 10.1037/a0024399.
van den Akker, O. B. A. (2012). Reproductive health psychology. Chichester: Wiley-Blackwell.