Obstacles and Challenges Against Infertility Treatment in Terms of Total Quality Management: A Review Study

Backgournd: The infertility treatment process and to provide health services to couples are encountered with several challenges. The aim of this study was to evaluate the status and explore the obstacles. Methods: In a systematic survey of the databases Pubmed, Elsevier, Ovid, Clinicalkey, SID, Iranmedex and etc from 2005 to the present, therelevant articles were extracted and analyzed. Results: The findings show that the public and private sector participation and investment for treating infertility in advanced and developing countries is very low and inadequate. The first challenge for the stipulation of the barriers to access to care and services for infertility is lack of accurate data on the prevalence of infertility. So that current estimates are merely based on the applicants visits to medical centers. Moreover, lack of insurance coverage for the diagnosis and treatment of infertility is one of the major obstacles. Education, economy, cultural norms, religious beliefs, geography and the availability of expert urologists are also important factors. Conclusion: According to results of this study, providing accurate database of patients, reducing the cost of diagnosis and treatment approaches through public-private partnerships, and benefit from insurance coverage, suitable enough space, facilities and equipment can lead to better quality of care and increased satisfaction of infertile couples.

کلیدواژه ها:

Infertility ، Total Quality Management ، Health Care ، Satisfaction ، Obstacles