Examining Veterans' Experiences With In Vitro Fertilization Provided Under P.L. 114-223.
Examining Veterans' Experiences With In Vitro Fertilization Provided Under P.L. 114-223.
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检查退伍军人根据 P.L. 提供的体外受精的经验
DOI：
10.1097/mlr.0000000000001831
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发表时间：
2023
期刊：
影响因子：
3
通讯作者：
Mengeling,Michelle
中科院分区：
文献类型：
--
作者：
Mattocks,KristinM;Marteeny,Valerie;Walker,Lorrie;Kroll-Desrosiers,Aimee;Mengeling,Michelle
背景：直到最近，退伍军人事务部（VA）的医疗福利计划明确排除了对有生育问题的退伍军人的体外受精（IVF）服务。然而，PL 114-223（2016）允许VHA向某些符合条件的退伍军人提供辅助生殖技术，包括IVF。鲜为人知的是，关于退伍军人的经验，通过VA社区护理合同与IVF providers.Objective访问IVF：检查退伍军人的经验与IVF服务的主持下提供PL 114-223.Research设计：电话或视频采访进行了与男性和女性退伍军人和异性配偶的退伍军人谁已被批准为IVF。访谈记录，转录，并使用内容分析技术进行分析。主要的主题和代表性的报价来自分析。结果：96退伍军人和14个配偶参加了我们的采访。这些访谈中出现了六个主要主题，包括（1）需要改善有关IVF福利的沟通，（2）需要扩大IVF福利，（3）缺乏全面的护理协调计划，（4）在该国某些地区难以获得IVF提供者，（5）脊髓损伤退伍军人需要特殊服务，和（6）试管婴儿政策可能是歧视性的，以单一和LGBTQ Veterans.Conclusions：许多退伍军人与服务连接的条件有关的生殖健康已经利用了试管婴儿的好处，虽然这些好处的限制阻止了其他退伍军人利用试管婴儿的好处。需要进一步关注改善IVF服务与持续VA护理的沟通和协调，并确保特殊人群，包括生活在农村地区的人群和脊髓损伤的退伍军人，根据需要获得IVF服务。
Background:Until recently, the Department of Veterans Affairs (VA) medical benefits package has expressly excluded in vitro fertilization (IVF) services for Veterans experiencing fertility problems. However, PL 114–223 (2016) allows VHA to provide Assisted Reproductive Technology, including IVF, to certain eligible Veterans. Little is known regarding Veterans’ experiences accessing IVF through VA Community Care contracts with IVF providers.Objective:To examine Veterans’ experiences with IVF services provided under the auspices of PL 114–223.Research Design:Telephone or video interviews were conducted with male and female Veterans and opposite-sex spouses of Veterans who had been approved for IVF. Interviews were recorded, transcribed, and analyzed using content analysis techniques. Major themes and representative quotes were derived from the analyses.Results:Ninety-six Veterans and 14 spouses participated in our interviews. Six major themes arose from these interviews, including (1) the need for improved communication regarding IVF benefits,(2) the need for expanded IVF benefits,(3) the lack of a comprehensive care coordination program,(4) poor access to IVF providers in some areas of the country,(5) special services needed for Veterans with spinal cord injuries, and (6) the IVF policy may be discriminatory in nature to single and LGBTQ Veterans.Conclusions:Many Veterans with service-connected conditions related to reproductive health have taken advantage of the IVF benefit, though limitations on these benefits have prevented other Veterans from taking advantage of the IVF benefit. Further attention needs to be paid to improving communication and coordination of IVF services with ongoing VA care and ensuring special populations, including those living in rural areas and Veterans with spinal cord injuries, have access to IVF services as needed.