Hostname: page-component-78c5997874-ndw9j Total loading time: 0 Render date: 2024-11-07T15:25:03.612Z Has data issue: false hasContentIssue false

Effects and Costs of In-Vitro Fertilization: Again, Let's Be Honest

Published online by Cambridge University Press:  10 March 2009

Ger Haan
Affiliation:
University of Limburg

Abstract

The decision whether to enhance diffusion and to reimburse for the fertility treatment in-vitro fertilization (IVF) was postponed in the Netherlands until the results of a cost-effectiveness analysis were known. IVF appeared to be as cost-effective as its most important alternative, tubal surgery. But policy decisions still were not straightforward, obscuring important social and ethical issues.

Type
General Essays
Copyright
Copyright © Cambridge University Press 1991

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1.Boer-Meisel, M., et al. The impact of in-vitro fertilization on tubal surgery for complete fimbrial obstruction. Annals of the New York Academy of Sciences, 1985, 442, 533–35.CrossRefGoogle ScholarPubMed
2.Elsinga, E.Political decision-making in health care: The Dutch case. Health Policy, 1989, 11, 243–55.Google Scholar
3.Haan, G.Effects and costs of in-vitro fertilization; A prospective multicenter study. Thesis (in Dutch). Maastricht, the Netherlands: University of Limburg, 1989.Google Scholar
4.Haan, G., & Rutten, F.No cure, no pay: An acceptable way of financing fertility treatments? Health Policy, 1989, 13, 239–49.CrossRefGoogle ScholarPubMed
5.Jansen, C., et al. In-vitro fertilisation and embryo transfer with transport of oocytes. Lancet, 1986, 676.Google Scholar
6.Medical Research International. In vitro fertilization/embryo transfer in the United States: 1987 results from the National IVF/ET Registry. Fertility and Sterility, 1989, 51, 1318.CrossRefGoogle Scholar
7.de Mouzon, J. French experience and results of a national collaborative prospective data recording system on IVF-ET. Presentation fifth world congress in In Vitro Fertilization and Embryo Transfer, Norfolk, VA, 04 1987. Program supplement, 93.Google Scholar
8.Roh, S., et al. In vitro fertilization and embryo transfer: Treatment-dependent versus -independent pregnancies. Fertility and Sterility, 1987, 48, 130–36.CrossRefGoogle ScholarPubMed
9.Soules, M.The in vitro fertilization pregnancy rate: Let's be honest with one another. Fertility and Sterility, 1985, 43, 511–13.Google Scholar
10.de Wit, A., & Banta, D.Diffusion of in-vitro fertilization in the Netherlands and England: An exploratory study. International Journal of Technology Assessment in Health Care, 1991, 7, 574–84.CrossRefGoogle ScholarPubMed