Navigation Links
Higher levels of public reimbursement positively influence national birth rates and reduce unmet needs in subfertile populations
Date:7/2/2012

Istanbul, 2 July 2012: The state funding of fertility treatment through public reimbursement policies has a direct influence on national birth rates. Lower levels of reimbursement are correlated with higher unmet needs for treatment, while more generous reimbursement policies increase access to treatment and may even make a measurable contribution to national birth rates.

The findings come from a study reported here today at the annual meeting of ESHRE (European Society of Human Reproduction and Embryology). The results, says health economist Dr Mark Connolly from the University of Groningen in the Netherlands, reflect the wide variety of reimbursement policies throughout Europe and come at a time when many national and local authorities have made plans to cut back their IVF funding as a cost-cutting initiative.(1)

Dr Connolly and colleagues quantified the reimbursement policies of 23 European countries, using an index score ranging from 0 to 18; the higher index scores indicated fuller state funding/reimbursement for treatment. The countries with the most generous funding policies were Belgium, France and Slovenia (with scores between 14 and 18); those with the least generous were the UK, Russia and Ireland (all with scores under 3).

These index scores were then correlated with treatment practice and outcomes in each of the 23 countries. Results first showed a significant relationship between the level of reimbursement and the annual contribution of assisted reproduction (ART) births to national birth numbers. " This finding," said Dr Connolly, "has important policy implications for national authorities concerned about ageing populations and interested in policies for influencing national birth rates. Although the influence on birth rates is small, the relationship is positive and provides an opportunity to compare with other policies implemented by local and national governments to influence birth rates."(2)

Results also showed that in countries with higher levels of reimbursement a higher volume of ART cycles is performed. For example, ESHRE monitoring data for 2008 showed that more ART cycles per million population were performed in Belgium and Denmark (2479 and 2450 ART cycles per million population in 2008) than in Germany, Italy and UK (801, 807 and 825 cycles). "If one considers medical need is similar across countries," said Dr Connolly, "then the data here suggest a great unmet need in those countries with limited reimbursement."

However, the study did not show any significant relationship between reimbursement policies and access to care for women of different age groups. This would suggest, said Dr Connolly, that there is no oversupply of treatment in countries with generous state funding. "This is a welcome finding," he added, "because it suggests treatment is based on medical need and not simply on the availability and accessibility of reimbursed treatment."

While the study did not find correlations between reimbursement and patient age (or deliveries per cycle, or multiple embryo transfers), there was a trend towards more singleton deliveries in countries with higher levels of reimbursement, suggesting that results in poorly reimbursed countries are more dependent on a single cycle of treatment than on single embryo transfers in cumulative cycles.

The authors of the study hope that health ministries at this difficult economic time consider the broader implications of access to fertility care and the cost consequences of not funding. As shown by this study, limited funding for ART will result in fewer children being born each year and inequitable access to treatment.


'/>"/>

Contact: Christine Bauquis
christine@eshre.eu
32-499-258-046
European Society of Human Reproduction and Embryology
Source:Eurekalert

Related medicine news :

1. Asthma Rates Higher Near Busy New York Highway
2. Smallest, Largest Fetuses at Higher Risk of Stillbirth
3. Rate of severe reactions higher than thought in young children with food allergies
4. Higher medical home performance rating of community health centers linked with higher operating cost
5. Higher quality of life seen among regular moderate drinkers than among abstainers
6. Canadian teen moms run higher risk of abuse, depression than older mothers
7. Does More Dental Plaque Mean Higher Chances of Dying From Cancer?
8. Hepatitis B Infection Rates in U.S. Higher Than Thought
9. Japanese-American Men With Low Vitamin-D Diet Face Higher Stroke Risk
10. Do Bald Men Face Higher Risk of Prostate Cancer?
11. Sleep Apnea Linked to Higher Cancer Death Risk
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:6/25/2016)... (PRWEB) , ... June 25, 2016 , ... Austin residents ... the American College of Mohs Surgery and to Dr. Russell Peckham for medical and ... highly effective treatment for skin cancer. The selective fellowship in Mohs Micrographic Surgery completed ...
(Date:6/25/2016)... (PRWEB) , ... June 25, 2016 , ... "With 30 ... their specific project," said Christina Austin - CEO of Pixel Film Studios. , ... and all within Final Cut Pro X . Simply select a ProHand generator ...
(Date:6/25/2016)... ... June 25, 2016 , ... As a lifelong Southern ... Laude and his M.D from the David Geffen School of Medicine at UCLA. He ... Los Angeles to complete his fellowship in hematology/oncology at the UCLA-Olive View-Cedars Sinai program ...
(Date:6/25/2016)... ... ... On Friday, June 10, Van Mitchell, Secretary of the Maryland Department of Health and ... their exemplary accomplishments in worksite health promotion. , The Wellness at Work Awards took ... the BWI Marriott in Linthicum Heights. iHire was one of 42 businesses to receive ...
(Date:6/24/2016)... ... ... A recent article published June 14 on E Online details ... to state that individuals are now more comfortable seeking to undergo not only the ... and cheek reduction. The Los Angeles area medical group, Beverly Hills Physicians (BHP) notes ...
Breaking Medicine News(10 mins):
(Date:6/24/2016)... Calif. , June 24, 2016  Global ... a biopharmaceutical company developing novel therapeutics for the ... needs, today announced the closing of its previously ... common stock, at the public offering price of ... the offering were offered by GBT. GBT estimates ...
(Date:6/24/2016)... , June 24, 2016 The Academy ... of recommendations that would allow biopharmaceutical companies ... with entities that make formulary and coverage decisions, a ... "value" of new medicines. The recommendations address ... not appear on the drug label, a prohibition that ...
(Date:6/24/2016)... 2016 According to a new ... Pen Needles, Safety Pen Needles), Needle Length (4mm, 5mm, ... Mode of Purchase (Retail, Non-Retail) - Trends & Global ... the market for the forecast period of 2016 to ... Billion by 2021 from USD 1.65 Billion in 2016, ...
Breaking Medicine Technology: