Browsing by Author "Blyth, E."

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    Cross-border assisted reproduction: a qualitative account of UK travellers' experiences
    (Taylor and Francis, 2016-05-04) Hudson, Nicky; Culley, Lorraine; Blyth, E.; Norton, Wendy; Pacey, A.; Rapport, F.
    Surveys on patients’ experiences of cross-border fertility treatment have reported a range of positive and challenging features. However, the number of such studies is limited and there is no detailed qualitative account of the experiences of UK patients who travel overseas for fertility treatment. The present study used a cross-sectional, qualitative design and in-depth interviews. Fifty-one participants (41 women and 10 men, representing 41 treatment ‘cases’) participated in semi-structured interviews. The experiences reported were broadly positive with a large proportion of participants (39 cases, 95%) citing a favourable overall experience with only 2 cases (5%) reporting a more negative experience. Thematic analysis revealed six major categories and 20 sub-categories, which described the positive and challenging aspects of cross border fertility travel. The positive aspects were represented by the categories: ‘access’, ‘control’, ‘care and respect’. The more challenging aspects were categorised as ‘logistics and coordination of care’, ‘uncertainty’ and ‘cultural dissonance’. The study confirms findings from others that despite some challenges, there is a relatively high level of patient satisfaction with cross-border treatment with participants able to extend the boundaries of their fertility-seeking trajectories and in some cases, regain a sense of control over their treatment.
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    Cross-border reproductive care: A review of the literature.
    (Elsevier, 2011) Hudson, Nicky; Culley, Lorraine; Blyth, E.; Norton, Wendy; Rapport, F.; Pacey, A.
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    Crossing borders for fertility treatment: motivations, destinations and outcomes of UK fertility travellers.
    (Oxford University Press, 2011) Culley, Lorraine; Hudson, Nicky; Rapport, F.; Blyth, E.; Norton, Wendy; Pacey, A.
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    Travelling abroad for fertility treatment: an exploratory study of UK residents seeking cross-border care
    (Human Reproduction, 2010) Culley, Lorraine; Hudson, Nicky; Blyth, E.; Norton, Wendy; Pacey, A.; Rapport, F.
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    'What are you going to do, confiscate their passports?' Professional perspectives on cross-border reproductive travel
    (Taylor and Francis, 2013) Culley, Lorraine; Hudson, Nicky; Blyth, E.; Norton, Wendy; Pacey, A.; Rapport, F.
    Objective: This article reports findings from a UK-based study which explored the phenomenon of overseas travel for fertility treatment. The first phase of this project aimed to explore how infertility clinicians and others professionally involved in fertility treatment understand the nature and consequences of cross-border reproductive travel. Background: There are indications that, for a variety of reasons, people from the UK are increasingly travelling across national borders to access assisted reproductive technologies. While research with patients is growing, little is known about how ‘fertility tourism’ is perceived by health professionals and others with a close association with infertility patients. Methods: Using an interpretivist approach, this exploratory research included focussed discussions with 20 people professionally knowledgeable about patients who had either been abroad or were considering having treatment outside the UK. Semi-structured interviews were recorded, transcribed verbatim and subjected to a thematic analysis. Results: Three conceptual categories are developed from the data: ‘the autonomous patient’; ‘cross-border travel as risk’, and ‘professional responsibilities in harm minimisation’. Professionals construct nuanced, complex and sometimes contradictory narratives of the ‘fertility traveller’, as vulnerable and knowledgeable; as engaged in risky behaviour and in its active minimisation. Conclusions: There is little support for the suggestion that states should seek to prevent cross-border treatment. Rather, an argument is made for less direct strategies to safeguard patient interests. Further research is required to assess the impact of professional views and actions on patient choices and patient experiences of treatment, before, during and after travelling abroad.