국가단위 난임시술 통계관리 모델 개발 연구

Abstract

As a social problem of continuous low fertility and increasing age of childbirth, the demand for and importance of infertility treatment in Korea is becoming more important. Recently, national infertility treatment medical institutions have been regularly evaluated for several years. To this end, high-quality data related to infertility treatment are being collected every year. Therefore, if the data is appropriately processed, it will be possible to figure out the current status of infertility treatment in Korea, compare it with the international trends, and satisfy the public demand for information related to infertility treatment. In order to fulfill these demands, this study attempted to design a process model for calculating infertility treatment statistics that could be published regularly. In addition, we tried to maintain reliability and consistency in the statistics production process. Through this, a data provision model that meets the purpose of public interest was developed. We analyzed the current domestic infertility-related statistics producing status and representative overseas cases, and analyzed the main outcome indicators commonly utilized. As a result, it is necessary to focus on the live birth rate in evaluating the outcome of infertility treatment. In addition, it was analyzed that singleton births should also be of interest. Moreover, it is necessary to figure out the cumulative success rate for each ovum pick-up. In order to generate these statistics, it is necessary to establish a data collection system linked by annual follow up, and to develop an interlocking system between infertility treatment data and childbirth-related data. Through the results of this study, a statistical calculation model and specific indicators were presented. After collecting data and generating statistics, it will be necessary to properly verify them using sufficient time interval and additional data. Methods for disclosing statistical results, frequency, and utilization plans were also suggested. In order to achieve the suggested target in this study, it is necessary to set up specific national plans for the short, medium and long term duration and make steady progress. Through this process, it will be possible to meet the various statistical needs of government and community health care policy officials, infertile couples, infertility clinicians, and researchers related to infertility, and to develop international competitiveness in the field.