{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,15]],"date-time":"2025-12-15T09:39:04Z","timestamp":1765791544511,"version":"3.48.0"},"reference-count":29,"publisher":"CSIRO Publishing","issue":"3","license":[{"start":{"date-parts":[[2025,9,10]],"date-time":"2025-09-10T00:00:00Z","timestamp":1757462400000},"content-version":"vor","delay-in-days":140,"URL":"https:\/\/doi.org\/10.1071\/journalslicense"}],"funder":[{"name":"Ferring Pharmaceuticals Reproductive Medicine Research Grant","award":["0006015946"],"award-info":[{"award-number":["0006015946"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,6,5]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Fertility treatments offer the only pathway to parenthood for many people, including those with infertility, single people and those in same-sex relationships. We aimed to explore how current Medicare policy affects Australians\u2019 fertility treatment decision-making.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Twenty-five people (22 females, 2 males, 1 agender\/gender non-conforming) aged 26\u201354 who had used medically assisted reproduction treatments participated in semi-structured interviews. Data were analysed using reflexive thematic analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>We developed three themes. Theme 1: For those eligible, Medicare enhances accessibility \u2013 describes how Medicare influences affordability and, in turn, increases accessibility. Theme 2: Medicare alters treatment plans \u2013 demonstrates how Medicare influences who undertakes treatment, what treatment, when and how often. Theme 3: Medicare enables more treatment for some people \u2013 discusses how Medicare enables people to undertake more treatment than they could otherwise afford.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>For eligible people, the current Medicare policy enhanced treatment accessibility and allowed them to undertake more treatment than they could have without financial assistance. However, Medicare policy also contributed to people altering their treatment plans, including who received treatment, the type, timing, frequency and amount of treatment. Given Medicare\u2019s influence on fertility treatment decisions, our findings support calls for changes to Medicare eligibility to enable equitable access to fertility treatment and a pathway to parenthood for all Australians.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1071\/ah24300","type":"journal-article","created":{"date-parts":[[2025,4,22]],"date-time":"2025-04-22T21:19:57Z","timestamp":1745356797000},"source":"Crossref","is-referenced-by-count":0,"title":["The role of Medicare policy in fertility treatment decisions: perceptions of Australians considering, undertaking or who have undertaken medically assisted reproduction treatment"],"prefix":"10.1071","volume":"49","author":[{"given":"Lauren","family":"Jaensch","sequence":"first","affiliation":[{"name":"ASchool of Psychology, The University of Adelaide, Adelaide, SA, Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jessica A.","family":"Grieger","sequence":"additional","affiliation":[{"name":"BAdelaide Medical School, The University of Adelaide, Adelaide, SA, Australia."},{"name":"CRobinson Research Institute, The University of Adelaide, Adelaide, SA, Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Melissa","family":"Oxlad","sequence":"additional","affiliation":[{"name":"ASchool of Psychology, The University of Adelaide, Adelaide, SA, Australia."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"67","published-online":{"date-parts":[[2025,4,23]]},"reference":[{"issue":"3","key":"2025121504353538300_R1","doi-asserted-by":"publisher","first-page":"393","DOI":"10.1016\/j.fertnstert.2017.06.005","article-title":"The international glossary on infertility and fertility care, 2017.","volume":"108","author":"Zegers-Hochschild","year":"2017","journal-title":"Fertil Steril"},{"issue":"3","key":"2025121504353538300_R2","doi-asserted-by":"publisher","first-page":"849","DOI":"10.1007\/s43032-021-00829-3","article-title":"The future of IVF: The new normal in human reproduction.","volume":"29","author":"Kushnir","year":"2022","journal-title":"Reprod Sci"},{"issue":"1","key":"2025121504353538300_R3","doi-asserted-by":"publisher","DOI":"10.1007\/s11113-023-09765-3","article-title":"Projecting the contribution of assisted reproductive technology to completed cohort Fertility.","volume":"42","author":"Lazzari","year":"2023","journal-title":"Popul Res Policy Rev"},{"key":"2025121504353538300_R4"},{"issue":"1","key":"2025121504353538300_R5","doi-asserted-by":"publisher","first-page":"47","DOI":"10.1016\/j.fertnstert.2022.04.012","article-title":"Assisted reproductive technology: considerations for the nonheterosexual population and single parents.","volume":"118","author":"Raja","year":"2022","journal-title":"Fertil Steril"},{"issue":"1","key":"2025121504353538300_R6","doi-asserted-by":"publisher","first-page":"191","DOI":"10.1016\/j.fertnstert.2013.09.005","article-title":"The impact of consumer affordability on access to assisted reproductive technologies and embryo transfer practices: an international analysis.","volume":"101","author":"Chambers","year":"2014","journal-title":"Fertil Steril"},{"key":"2025121504353538300_R7","doi-asserted-by":"publisher","DOI":"10.3389\/fgwh.2023.971553","article-title":"Does in vitro fertilization (IVF) treatment provide good value for money? A cost-benefit analysis.","volume":"4","author":"Keller","year":"2023","journal-title":"Front Glob Women\u2019s Health"},{"issue":"5","key":"2025121504353538300_R8","doi-asserted-by":"publisher","first-page":"575","DOI":"10.1016\/j.rbmo.2016.07.012","article-title":"Socio-economic disparities in access to assisted reproductive technologies in Australia.","volume":"33","author":"Harris","year":"2016","journal-title":"Reprod Biomed Online"},{"issue":"4","key":"2025121504353538300_R9","doi-asserted-by":"publisher","first-page":"176","DOI":"10.5694\/mja16.00653","article-title":"Variation in outpatient consultant physician fees in Australia by specialty and state and territory.","volume":"206","author":"Freed","year":"2017","journal-title":"Med J Aust"},{"key":"2025121504353538300_R10"},{"key":"2025121504353538300_R11"},{"issue":"7","key":"2025121504353538300_R12","doi-asserted-by":"publisher","first-page":"1854","DOI":"10.1093\/humrep\/deab098","article-title":"How common is add-on use and how do patients decide whether to use them? A national survey of IVF patients.","volume":"36","author":"Lensen","year":"2021","journal-title":"Hum Reprod"},{"issue":"3","key":"2025121504353538300_R13","doi-asserted-by":"publisher","first-page":"430","DOI":"10.1111\/ajo.13321","article-title":"IVF add-ons in Australia and New Zealand: A systematic assessment of IVF clinic websites.","volume":"61","author":"Lensen","year":"2021","journal-title":"Aust N Z J Obstet Gynaecol"},{"issue":"6","key":"2025121504353538300_R14","doi-asserted-by":"publisher","first-page":"994","DOI":"10.1016\/j.fertnstert.2019.10.031","article-title":"Add ons in the laboratory: hopeful, but not always helpful.","volume":"112","author":"Armstrong","year":"2019","journal-title":"Fertil Steril"},{"issue":"6","key":"2025121504353538300_R15","doi-asserted-by":"publisher","first-page":"978","DOI":"10.1016\/j.fertnstert.2019.09.019","article-title":"Clinical adjuncts in in vitro fertilization: a growing list.","volume":"112","author":"Kamath","year":"2019","journal-title":"Fertil Steril"},{"key":"2025121504353538300_R16"},{"key":"2025121504353538300_R17"},{"issue":"6","key":"2025121504353538300_R18","doi-asserted-by":"publisher","first-page":"652","DOI":"10.1093\/humupd\/dms031","article-title":"Why do patients discontinue fertility treatment? 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