Impact of insurance coverage on access to assisted reproductive technology: A nationwide survey in Japan (the IZANAMI project) DOI Creative Commons

A. Wada,

Mitsutoshi Yamada, Hiromitsu Shirasawa

et al.

Journal of Obstetrics and Gynaecology Research, Journal Year: 2025, Volume and Issue: 51(4)

Published: April 1, 2025

Abstract Aim Assisted reproductive technology (ART) is a well‐established infertility treatment. However, financial and geographical barriers can hinder patient access. The Japanese government implemented insurance coverage in April 2022 for specific ART treatments. This study assessed the effects of on utilization accessibility. Methods An online survey was administered to 427 facilities that participated pre‐policy assessment from December 1, 2023, January 30, 2024. Results A total 283 responded (response rate: 66.3%). number patients increased by 4.0% (217 699–226 401) following implementation coverage. insured aged 25–43 years 6.6%, with notable increase 22.9% (range: 44 144–54 253) 25‐ 34‐year age group. uninsured ≥44 decreased 16.3%; 172 experienced an patients, whereas 111 no or decline. Patient growth rates were significantly higher rural areas than metropolitan regions (mean difference: 0.07; 95% confidence interval: 0.0–0.1; p = 0.03). Although there significant negative association between proportion out‐of‐pocket treatment rate ( 0.02), such observed 0.68). Conclusions Insurance improved access services, especially those their 20s early 30s. group significantly. Accessibility also notably improved. These findings highlight importance economic support enhancing

Language: Английский

Impact of insurance coverage on access to assisted reproductive technology: A nationwide survey in Japan (the IZANAMI project) DOI Creative Commons

A. Wada,

Mitsutoshi Yamada, Hiromitsu Shirasawa

et al.

Journal of Obstetrics and Gynaecology Research, Journal Year: 2025, Volume and Issue: 51(4)

Published: April 1, 2025

Abstract Aim Assisted reproductive technology (ART) is a well‐established infertility treatment. However, financial and geographical barriers can hinder patient access. The Japanese government implemented insurance coverage in April 2022 for specific ART treatments. This study assessed the effects of on utilization accessibility. Methods An online survey was administered to 427 facilities that participated pre‐policy assessment from December 1, 2023, January 30, 2024. Results A total 283 responded (response rate: 66.3%). number patients increased by 4.0% (217 699–226 401) following implementation coverage. insured aged 25–43 years 6.6%, with notable increase 22.9% (range: 44 144–54 253) 25‐ 34‐year age group. uninsured ≥44 decreased 16.3%; 172 experienced an patients, whereas 111 no or decline. Patient growth rates were significantly higher rural areas than metropolitan regions (mean difference: 0.07; 95% confidence interval: 0.0–0.1; p = 0.03). Although there significant negative association between proportion out‐of‐pocket treatment rate ( 0.02), such observed 0.68). Conclusions Insurance improved access services, especially those their 20s early 30s. group significantly. Accessibility also notably improved. These findings highlight importance economic support enhancing

Language: Английский

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