一项关于生殖内分泌学和不孕症培训和护理服务的全球调查
Elif Goknur Topcu1, Sofia Tsiapakidou2, Akaninyene Eseme Ubom3
1Assisted Reproductive Technologies Unit, Department of Obstetrics and Gynecology, Acibadem Maslak Hospital, Istanbul, Turkey.
概括
有限认可的生殖内分泌和不孕不育 (REI) 子专业培训和不孕不育服务的资金存在,特别是在低收入和中等收入国家 (LMICs). 改善REI培训和资金对于全球不孕不育护理获得至关重要.
科学领域:
- 生殖医学 生殖医学
- 医学教育 医学教育
- 全球健康 全球健康
背景情况:
- 不孕症影响全球数以百万计的人,需要获得高质量的护理.
- 生殖内分泌和不孕不育 (REI) 培训对于提高不孕不育服务至关重要.
- 目前全球在REI培训和服务方面的差异需要调查.
研究的目的:
- 评估基本和子专业REI培训的可用性.
- 评估全球不孕症和体外受精 (IVF) 服务提供和资金.
- 确定REI培训和服务的差异,特别是在低收入和中等收入国家 (LMICs).
主要方法:
- 一项横截面研究调查了产科和妇科 (Obs&Gyn) 实习生和年轻专家.
- 收集关于REI培训曝光和不孕症服务可用性/资金的数据.
- 由世界妇产学学员协会 (WATOG) 从2023年12月到2024年4月进行的调查.
主要成果:
- 大多数受访者 (81.5%) 在Obs&Gyn住院接受了基本的REI培训.
- 认可的REI子专业课程很少 (48.1%),主要在高收入国家.
- 他们对培训质量的满意度低 (23.9%),对治疗不孕不育的信心低 (32.4%).
- 虽然不孕症和试管婴儿服务很普遍 (98.1%),但试管婴儿往往是自付费用的 (51.4%),特别是在LMICs.
结论:
- 在认可的REI子专业培训和不孕症服务资金方面存在重大差距,特别是在LMICs.
- 在居留和分专业化期间需要加强REI培训.
- 增加LMIC中不孕服务的资金是改善全球获得护理的必要条件.
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