{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,24]],"date-time":"2026-07-24T12:00:25Z","timestamp":1784894425235,"version":"3.55.0"},"reference-count":37,"publisher":"BMJ","issue":"2","license":[{"start":{"date-parts":[[2026,5,25]],"date-time":"2026-05-25T00:00:00Z","timestamp":1779667200000},"content-version":"unspecified","delay-in-days":54,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100020196","name":"Shandong Postdoctoral Science Foundation","doi-asserted-by":"crossref","award":["SDCX-RS-202500013"],"award-info":[{"award-number":["SDCX-RS-202500013"]}],"id":[{"id":"10.13039\/501100020196","id-type":"DOI","asserted-by":"crossref"}]},{"name":"Postdoctoral Fellowship Program of CPSF","award":["GZC20231437"],"award-info":[{"award-number":["GZC20231437"]}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["bmjph"],"accepted":{"date-parts":[[2026,4,29]]},"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>In vitro fertilisation (IVF) is a key treatment for infertility, but uptake and continuation may be limited by treatment burden, side effects and out-of-pocket costs. Evidence on IVF treatment preferences among women in China remains limited. This study examined the preferences of Chinese women experiencing infertility for different IVF treatment attributes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A discrete choice experiment was conducted using face-to-face surveys to elicit preferences among women experiencing infertility receiving IVF treatment. Five attributes were examined: number of visits per cycle, side effects, treatment costs per cycle, information disclosure about IVF and pregnancy rate per cycle. Preference weights were estimated using the mixed logit model. Willingness to pay and relative importance of the attributes were estimated. Scenario and heterogeneity analyses were performed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>591 participants were included in the final analysis. All five attributes significantly influenced preferences. Pregnancy rate per cycle was the most important attribute, followed by side effects, treatment costs, information disclosure and number of visits. Increasing the pregnancy rate from 15% to 60% per cycle produced the largest utility gain. Participants were willing to pay \u00a556 099.89 for this improvement, \u00a522 718.73 to reduce side effects from serious to mild, \u00a58720.87 for always receiving information versus none and \u00a56429.00 to reduce visits from 30 to 10 per cycle. Preference heterogeneity was associated with education and household income.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Chinese women undergoing infertility treatment place the greatest value on higher IVF pregnancy rates, fewer side effects and lower treatment costs. Patient-centred counselling, burden-reduction strategies and policies that reduce financial barriers, including potential insurance coverage, may improve IVF acceptability, continuation and utilisation. Tailored approaches are needed to address preference heterogeneity across patient subgroups.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjph-2024-002188","type":"journal-article","created":{"date-parts":[[2026,5,25]],"date-time":"2026-05-25T14:30:15Z","timestamp":1779719415000},"page":"e002188","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":0,"title":["Preferences of women experiencing infertility for in vitro fertilisation treatment in China: a discrete choice experiment"],"prefix":"10.1136","volume":"4","author":[{"given":"Liyong","family":"Lu","sequence":"first","affiliation":[{"name":"Department of Social Medicine and Health Management, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, China"},{"name":"Center for Health Preference Research, Shandong University, Jinan, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuyu","family":"Lv","sequence":"additional","affiliation":[{"name":"Yantai Municipal Health Commission, Yantai, Shandong, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hongwei","family":"Nie","sequence":"additional","affiliation":[{"name":"State Key Laboratory of Reproductive Medicine and Offspring Health, Center for Reproductive Medicine, Institute of Women, Children and Reproductive Health, Shandong University, Jinan, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shan","family":"Jiang","sequence":"additional","affiliation":[{"name":"Macquarie University Centre for the Health Economy, Macquarie Business School & Australian Institute of Health Innovation, Macquarie University, Sydney, New South Wales, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shi","family":"Zhao","sequence":"additional","affiliation":[{"name":"Department of Social Medicine and Health Management, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, China"},{"name":"Center for Health Preference Research, Shandong University, Jinan, China"},{"name":"NHC Key Lab of Health Economics and Policy Research, Shandong University, Jinan, Shandong, China"},{"name":"Center for Health Management and Policy Research, Shandong University (Shandong Provincial Key New Think Tank), Jinan, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ling","family":"Geng","sequence":"additional","affiliation":[{"name":"State Key Laboratory of Reproductive Medicine and Offspring Health, Center for Reproductive Medicine, Institute of Women, Children and Reproductive Health, Shandong University, Jinan, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1315-3474","authenticated-orcid":false,"given":"Haipeng","family":"Wang","sequence":"additional","affiliation":[{"name":"Department of Social Medicine and Health Management, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, China"},{"name":"Center for Health Preference Research, Shandong University, Jinan, China"},{"name":"NHC Key Lab of Health Economics and Policy Research, Shandong University, Jinan, Shandong, China"},{"name":"Center for Health Management and Policy Research, Shandong University (Shandong Provincial Key New Think Tank), Jinan, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8144-6220","authenticated-orcid":false,"given":"Shunping","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Social Medicine and Health Management, School of Public Health, Cheeloo College of Medicine, Shandong University, Jinan, China"},{"name":"Center for Health Preference Research, Shandong University, Jinan, China"},{"name":"NHC Key Lab of Health Economics and Policy Research, Shandong University, Jinan, Shandong, China"},{"name":"Center for Health Management and Policy Research, Shandong University (Shandong Provincial Key New Think Tank), Jinan, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2026,5,25]]},"reference":[{"key":"2026072404001425000_4.2.e002188.1","unstructured":"World Health O . Infertility Prevalence Estimates. World Health Organization, 1990."},{"key":"2026072404001425000_4.2.e002188.2","first-page":"411","article-title":"Infertility around the globe: new thinking on gender, reproductive technologies and global movements in the 21st century","volume":"21","author":"Inhorn","year":"2015","journal-title":"Hum Reprod"},{"key":"2026072404001425000_4.2.e002188.3","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pmed.1001356","article-title":"National, Regional, and Global Trends in Infertility Prevalence Since 1990: A Systematic Analysis of 277 Health Surveys","volume":"9","author":"Mascarenhas","year":"2012","journal-title":"PLoS Med"},{"key":"2026072404001425000_4.2.e002188.4","doi-asserted-by":"crossref","first-page":"1622","DOI":"10.1016\/S0140-6736(20)32475-2","article-title":"China\u2019s fertility treatment boom","volume":"396","author":"Tatum","year":"2020","journal-title":"Lancet"},{"key":"2026072404001425000_4.2.e002188.5","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(20)32708-2"},{"key":"2026072404001425000_4.2.e002188.6","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMcp065743"},{"key":"2026072404001425000_4.2.e002188.7","doi-asserted-by":"publisher","DOI":"10.1093\/humrep\/det290"},{"key":"2026072404001425000_4.2.e002188.8","doi-asserted-by":"publisher","DOI":"10.1093\/humupd\/dms031"},{"key":"2026072404001425000_4.2.e002188.9","doi-asserted-by":"publisher","DOI":"10.1517\/14712598.2012.641530"},{"key":"2026072404001425000_4.2.e002188.10","doi-asserted-by":"publisher","DOI":"10.1186\/s12905-019-0856-5"},{"key":"2026072404001425000_4.2.e002188.11","doi-asserted-by":"crossref","first-page":"e37","DOI":"10.1016\/j.fertnstert.2015.03.032","article-title":"Role of tubal surgery in the era of assisted reproductive technology: a committee opinion","volume":"103","author":"PCotASfR","year":"2015","journal-title":"Fertil Steril"},{"key":"2026072404001425000_4.2.e002188.12","doi-asserted-by":"crossref","first-page":"341","DOI":"10.1093\/humupd\/dmae001","article-title":"Driving factors in treatment decision-making of patients seeking medical assistance for infertility: a systematic review","volume":"30","author":"von Estorff","year":"2024","journal-title":"Hum Reprod Update"},{"key":"2026072404001425000_4.2.e002188.13","doi-asserted-by":"crossref","first-page":"459","DOI":"10.1007\/s40271-021-00563-7","article-title":"How Do People with Experience of Infertility Value Different Aspects of Assistive Reproductive Therapy? 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