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The (potential) impact of ART reimbursement changes on total fertility
UK: Partial reimbursement Denmark: Full reimbursement
0.14 Maximum births with ART 0.14
Births with ART uptake
0.12 similar to Denmark 0.12
Observed births
0.1 Births without ART 0.1
0.08 0.06 0.04 0.02
0
15-19 20-24 25-29 30-34 35-39 40-44 45-49
Age Band
0.08 0.06 0.04 0.02
0
15-19 20-24 25-29 30-34 35-39 40-44 45-49
Age Band
TFR, 2002
Without ART
Max with ART
• ART may have some demographic relevancy in Europe and may have stabilized fertility rates
• The impact is most pronounced in younger cohorts
• ART reimbursement policy could be part of a reproductive health policy promoting early childbearing
UK
DK
1.64
1.72
1.62
1.65
UK with DK ART
1.68
-na-
1.84
1.89
Demographic relevancy of increased use of assisted reproduction in European countries
Jirina Kocourkova, et al. Reproductive Health2014;11:37
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PRECONGRESS COURSE 04 I VIENNA, AUSTRIA – 23 JUNE 2019 87
ASFR, UK
ASFR, Denmark
