Scientific Papers

A. Geissbühler, C. Boyer, J.W. van der Slikke, T.N. Arvanitis
2003 Technology and Health Care  
Even though approximately 6 million American women become pregnant each year, giving birth to more than 10,000 newborns each day, the latest national survey has revealed that 7% of married couples, in which the woman was of reproductive age (2.1 million couples), reported that they had not used contraception for 12 months and still the woman had not become pregnant [1,2]. At the turn of the century, there were 408 fertility centers operating in the United States alone [2]. These centers differ
more » ... n size, geographic distribution and success rates. Therefore choosing which one is most appropriate for a couple can be difficult. In addition, there is an uneven distribution of infertility centers over the individual states. Furthermore, this uneven allocation is not only at the state level, with three states not containing any IVF centers, but also on the metropolitan level, where some cities contain more centers that their geographical and population share. In light of these facts, and in the scope that the Internet has become the newest and fastest growing marketplace for medical, and/or medical-related, businesses, more and more patients are going to the Internet in search of treatment plans for infertility, and/or an infertility center [3,4]. Health related web sites are now amongst the most frequently accessed sites on the internet with current estimates indicating that there are now over 100,000 sites offering health related information [5]. Moreover, since IVF procedures are costly and most insurance and managed care programs do not completely, or sometimes even partially, cover all expenses, couples are more willing to travel for more efficient and cost-effective treatment [6]. Conclusions: A detailed analysis is underway, but a preliminary analysis shows that generally there is an adherence to FTC and SART rules and regulations. In contrast, ethical codes are enforced on a voluntary case-by-case scenario, with the majority showing some degree of adherence, and a minority showing strict adherence to one of the codes of ethics tested. The final conclusion will be presented. Finally an overall evaluation of infertility center websites will be given, in addition to recommendations to infertile couples seeking information on infertility centers via the Internet. Abstract Clinical trials are more numerous, larger, longer, more complex, more international, more rigorous, more regulated, more outsourced, more expensive, and consequently more difficult to manage. Attempts to use internet based applications to facilitate clinical trials have focused largely on data collection, submission and analysis. Today, however, the majority of clinical trials are still paper based. Clinical trials require more than managing data; they require the management of people, processes and knowledge. This presentation examines the requirements for internet based applications for managing international clinical trials, including: understanding the clinical environment, understanding the cultural differences of the countries involved in the trial, organizational issues, recruitment, training, collaboration, document development, document management, monitoring performance, and communication over the course of the trial. It stresses the importance of integrating applications into one easily accessible, open and unified platform.
doi:10.3233/thc-2003-11502 fatcat:ttkj5t2kl5bkbm656uuyxxkiha