Angela L Palmer-Wackerly1, Heather L Voorhees2, Sarah D'Souza3, Edward Weeks4. 1. Department of Communication Studies, The University of Nebraska-Lincoln, USA. Electronic address: apalmer-wackerly2@unl.edu. 2. Department of Communication Studies, The University of Nebraska-Lincoln, USA. 3. Department of Biobehavioral Health, Pennsylvania State University, USA. 4. School of Communication, The Ohio State University, USA.
Abstract
OBJECTIVE: To identify how and why infertility patients' communication with health care providers relates to their continuity of care within infertility treatment. METHOD: A grounded theory analysis was conducted for 25 in-depth interviews across three coding phases, where we remained open to all themes present in the data, narrowed to most prominent themes, and found the connections between the themes. RESULTS: Based on our identified themes, we created a conceptual model that explains why infertility patients (dis)continued care with one or more clinician. Through this model, we describe two infertility identity transitions for patients: Transition 1: "Infertility as Temporary" to "Infertility as Enduring"; and Transition 2: "Infertility as Enduring" to "Infertility as Integrated." CONCLUSION: The study explains how and why patients' view of their infertility affects their communication, and thus their continuity of care, with clinicians. PRACTICE IMPLICATIONS: To provide patient-centered care within infertility treatment, providers can recognize how patients' view of their infertility, and thus their needs, goals, and expectations, shift throughout their infertility experience.
OBJECTIVE: To identify how and why infertilitypatients' communication with health care providers relates to their continuity of care within infertility treatment. METHOD: A grounded theory analysis was conducted for 25 in-depth interviews across three coding phases, where we remained open to all themes present in the data, narrowed to most prominent themes, and found the connections between the themes. RESULTS: Based on our identified themes, we created a conceptual model that explains why infertilitypatients (dis)continued care with one or more clinician. Through this model, we describe two infertility identity transitions for patients: Transition 1: "Infertility as Temporary" to "Infertility as Enduring"; and Transition 2: "Infertility as Enduring" to "Infertility as Integrated." CONCLUSION: The study explains how and why patients' view of their infertility affects their communication, and thus their continuity of care, with clinicians. PRACTICE IMPLICATIONS: To provide patient-centered care within infertility treatment, providers can recognize how patients' view of their infertility, and thus their needs, goals, and expectations, shift throughout their infertility experience.