Speaker: HSIEN-AN PAN MD.PHD.

 

The term "test-tube baby" has always implied a sense of advanced technology and mysterious implications. It remains veiled, not only to infertile patients themselves but even to doctors, aside from those directly involved in reproductive techniques. It seems to be a medical enigma, known only for its hidden potential and business opportunities.

 

During my six months of experience in the United States, I discovered that although American patients pay more, they also gain knowledge and respect. In contrast, in Taiwan, due to the current realities of the doctor-patient environment, outpatient physicians often have to see dozens or even hundreds of patients in a single session. Naturally, there is no extra time to explain and communicate about the condition to patients, and patients are impatient and feel that the information provided is insufficient. As a result, the doctor-patient relationship remains in a state of fluctuation. Doctors, burdened by performance pressure, are too occupied to fulfill their duty to provide information, while patients, having paid the fees, do not receive the "knowledge" they should have. On the other hand, infertile patients abroad receive detailed consultations from physicians and even have conversations to establish a personal connection. They are then guided by a team of consulting personnel who kindly inform them about the treatment procedures and associated costs, ensuring that patients have full knowledge and rights. This is particularly crucial for infertility patients who currently fall into the category of self-payment, and each in vitro fertilization attempt incurs substantial expenses and psychological and physical pressures. It's no wonder that most people feel a sense of despair upon hearing the term "test-tube baby."

 

In response to this phenomenon, Dr. Pan believes in the importance of patient-centered healthcare. Without prescribing medication or performing treatments, he focuses on face-to-face communication with infertile couples, explaining clearly and thoroughly why they are experiencing infertility. Privacy is prioritized, ensuring that multiple people are not present during an individual's consultation. At the same time, a reference booklet is provided, combining infertility consultation, advice, and psychological counseling. This approach prevents patients from being half-informed about potential treatments or examinations they may undergo in the future, and it protects their rights to knowledge. Through this face-to-face communication, patients gain confidence in the process of in vitro fertilization and are more likely to cooperate with subsequent medical treatments. This way, patients can spend less money than they would abroad while receiving the same quality of service.