Artículo de revista
Calidad de vida de parejas infértiles en el sector público de Chile
Fecha
2017Registro en:
Rev Med Chile 2017; 145: 1378-1386
0717-6163
Autor
Furman, Irene
Charlin, Ventura
Institución
Resumen
Background: It is widely known that infertility and its treatment have a
negative impact on patients´ well-being, yet not much is known about patients´
satisfaction with the quality of reproductive care. Purpose: To assess the quality
of life (QoL) of patients receiving medical care under the Chilean public health
system. Materials and Methods: The FertiQoL international questionnaire
was applied to 260 patients (both sexes) referred from rural and urban areas
to undergo in vitro fertilization at a major university public hospital. FertiQol
evaluates QoL as a product of psychosocial well-being and treatment experience.
Demographic and reproductive data were collected. Results: QoL due to treatment
factors was significantly lower than psychosocial well-being. Couples from
lower-density areas showed markedly worse medical satisfaction than patients
treated in Chile´s capital. No effects on QoL were observed as a function of age,
education, or type of infertility. QoL was mostly affected by duration of infertility
(inverse association) and geographical zone. Marital satisfaction was the component
that most contributed to personal well-being. Conclusions: QoL decreased
more due to extrinsic factors, particularly lack of access to reproductive care, poor
organization of medical services, and deficient clinical interaction, than due to
psychosocial distress. These findings call for a revision of the delivery of public
fertility care to satisfy patients´ needs and improve their QoL.