Table 1.
Final set of the patients’ top-5 and top-3 recommendations (n = 23) for the 5 sections, ranked by importance to the quality of fertility care as formulated on the wiki website.
| Section, rank, and recommendation | Subsection (aspect of care)a |
||
| General care | |||
| 1 | I want insurance companies to reimburse six attempts at in vitro fertilizationb | General | |
| 2 | I want insurance companies to start counting in vitro fertilization attempts only after oocyte retrieval or even after embryo transfer has been performedb | General | |
| 3 | I want my doctor to practice empathy, instead of only working on the technical or financial part | Staff attitudes | |
| 4 | I want the hospital to have separate waiting rooms for pregnant women and couples being treated for infertility | Organization | |
| 5 | I want to be able to arrange appointments during the daytime as well as in the evenings | Organization | |
| General practice care | |||
| 1 | I want my gynecologist and GPc to have good communication, so my GP knows what is going on with us | Referral | |
| 2 | I want my GP to make a referral immediately after we have been trying to conceive for a year | Referral | |
| 3 | I want to have my first medical consultation with my gynecologist within 1 month after referral. | Organization | |
| 4 | I want my GP to be informed of possible causes of infertility, in both women and men | General | |
| 5 | I want my GP to pay attention to nonmedical issues, such as stress, anxiety, relational problems, and sexuality | Communication | |
| Gynecologic care | |||
| 1 | I want also to be able to receive treatments on weekends (Saturdays and Sundays) | Organization | |
| 2 | I want all members of the fertility treatment team to apply one policy regarding my infertility treatment | Organization | |
| 3 | I want my gynecologist to inform me of all possible fertility treatment options, even if these are outside the hospital | Information provision | |
| 4 | I want my gynecologist to inform me about the different phases of treatment and their expected time span | Information provision | |
| 5 | I want assisted hatching to be possible or available in the Netherlands | Therapy | |
| Urologic care | |||
| 1 | I want my urologist and gynecologist to have good communication | Organization | |
| 2 | I want to be informed of the investigations that are to be performed by the urologist | Examination | |
| 3 | I want to have a permanent urologist who is specialized in infertility | Organization | |
| 4 | I want to have a consultation with a urologist within 1 month after referral | Organization | |
| 5 | I want my urologist to involve my partner in the conversation | Communication | |
| Laboratory | |||
| 1 | I want to be informed as soon as possible when our embryos do not divide correctly | Organization | |
| 2 | I want Dutch laboratories to share protocols and learn from each other’s experiences | Organization | |
| 3 | I want to be informed of the causes of nonviability of our frozen embryos, if appropriate | Organization | |
a Subsections were derived from the website’s structure and defined by the user.
b Recommendation was excluded, since it fell out of the scope of the clinical practice guideline.
c General practitioner.