Interprofessional team approach to infertility treatment in Japan

Purpose: At present, a team approach involving gynecologists, nurses, embryologists, and the other professionals is considered necessary to provide successful infertility treatment. First, we documented which professionals were in charge during various phases of infertility treatment. Second, clinical staff and patients were surveyed regarding their expectations regarding which of these professionals should contribute during examination, during treatment and after treatment for infertility. Methods: We surveyed the actual situation perceived by staff as well as the desired situation for staff and patients in relation to 21 procedures related to infertility treatment. We distributed 781 questionnaires to staff and patients at 86 facilities. Of 380 returned by mail, we analyzed 128 responses from staff who worked with four types of professionals or specialists, i.e., medical doctors, nurses, embryologists, and medical clerks, and 46 from patients who consulted these professionals during their treatment. Results: Most staff recognized 5 of 15 procedures before and after treatment as being conducted by medical doctors alone. However, explanation and consultation regarding the methods and schedule were mainly performed with an interprofessional team approach. Expectations regarding professionals in charge differed between staff and patients. A team approach including infertility counselors and medical clerks was utilized and considered desirable during counseling. Conclusions: An effective team approach should be established for each step of infertility treatment.