Care Policy Research Articles

유아기의 자아존중감과 사회적 유능감이 학습준비도를 매개로 초등학교 시기 학업능력에 미치는 영향

Objective: To analyze the relationship between self-esteem, social competence, and academic ability in early childhood and to verify the mediating effect of learning readiness on the effect of self-esteem and social competence in early childhood on academic ability in elementary school. Methods: The structural equation model was applied and analyzed based on the data of 830 students in the 7th (2014) and 8th years (2015) of the 1st grade of elementary school. The data came from the Child Care Policy Research Institute. First, skewness and kurtosis were identified through descriptive statistical analysis. Second, through correlational analysis, the correlation coefficients between children’s self-esteem, social competence, school readiness, and academic ability in elementary school were calculated. Third, after checking the reliability of each scale, Cronbach’s alpha coefficients were calculated. Fourth, confirmatory factor analysis was performed to verify the validity of each factor and the suitability of the research model, and bootstrapping was used to verify the mediation effect. Results: First, self-esteem, social competence, school readiness, and academic ability were found to have a positive correlation among the variables. Self-esteem had a positive effect on social competence, learning readiness, and academic ability; social competence had a positive correlation with school readiness; and academic ability and school readiness had positive correlation with academic ability. Second, the results of the structural model analysis showed that self-esteem and social competence not only directly affected academic ability but also had a major mediating effect in the path from self-esteem and social competence to academic ability through school readiness. Conclusions: This study has implications for elementary school preparation through cooperation and the path of elementary schools through cooperation and families.

Barriers to identifying and addressing health-related social needs in cancer care: Patient and patient navigator perspectives

BackgroundThe study aimed to gain insight into the experiences of patients with cancer and survivors regarding the integration of social needs assessment into their care, while also gathering perspectives from patient navigators on the barriers to obtaining and utilizing social needs information during cancer care, which taken together may influence cancer care policies. By comparing the perspectives of patients and navigators, the study sought to inform best practices for integrating, identifying, and addressing social needs to improve patient experiences and outcomes. MethodsWe conducted qualitative interviews and self-report surveys involving patients with cancer, providers, and patient navigators or care coordinators, seeking their insights and firsthand experiences related to health-related social needs in cancer care. Interviews were transcribed, separated into memos of main themes based on deductive coding, and further analyzed for new emergent themes using inductive coding. ResultsThe present analysis focuses solely on the perspectives of 20 patient navigators and 21 patients. Qualitative analyses revealed two overarching themes: Theme 1: Personal and health system-related factors may create barriers for patients to disclose health-related social needs information during cancer care; and Theme 2: When social needs are identified, it is best practice to acknowledge and address social needs through referrals, resources, timely follow-up, and continued care coordination. Key barriers include individual beliefs and attitudes, concerns regarding privacy and sensitivity of questions, uncertainties about the outcomes of disclosing information, and patient-provider relationships and trust. ConclusionDrawing upon the perspectives of patients and patient navigators provided valuable insight into the challenges associated with acquiring information on social needs. Their viewpoints presented feasible solutions to overcome barriers through early acknowledgment of patient needs, timely resource provision, and maintaining consistent follow-up actions. Additionally, it enhanced understanding of the pivotal role patient navigators play in oncology, serving as crucial links between screening for health-related social needs and addressing individual patient requirements. Policy SummaryThe policies and policy improvements our paper seeks to impact include: inequalities in cancer care and health-related social needs of cancer.

SDG 4, Academic Integrity and Artificial Intelligence: Clash or Win-Win Cooperation?

This article investigates the relationship between Sustainable Development Goal 4 (SDG 4), academic integrity as its part, and artificial intelligence (AI) through a bibliometric analysis, assessing whether this intersection represents a clash or win-win cooperation. SDG 4 aims to ensure equitable access to quality education, while AI technologies have the potential to enhance educational practices but demote academic integrity. By analyzing a comprehensive body of the literature, this study identifies key trends and thematic areas where AI is applied in educational settings, particularly concerning maintaining academic integrity. The findings reveal a growing body of research highlighting AI’s role in personalizing learning experiences, improving educational accessibility, and supporting educators’ teaching methodologies. However, challenges such as ethical considerations, data privacy, and the digital divide are also addressed, indicating potential conflicts that need to be navigated. Ultimately, this analysis suggests that while there are significant opportunities for synergy between AI and SDG 4, the management of careful implementation and policy frameworks is essential to ensure that AI serves as a tool for promoting inclusive and sustainable education rather than exacerbating existing inequalities. AI transforms science management by enhancing data analysis, streamlining research processes, and improving decision-making, ultimately leading to more efficient and effective scientific research and innovation. The findings reveal that while AI can facilitate personalized learning and enhance educational accessibility, it also poses challenges related to academic misconduct, such as plagiarism and the misuse of AI-generated content. This duality highlights the need for educational institutions to develop robust frameworks that leverage AI’s capabilities while safeguarding academic integrity. The article concludes that a collaborative approach, integrating AI into educational practices with a strong emphasis on ethical considerations and integrity, can lead to a synergistic relationship that supports the goals of SDG 4. Recommendations for future research and practical implications for managers, educators, scientists, and policymakers are also discussed, emphasizing the importance of fostering an educational environment that embraces innovation while upholding ethical standards.

Whom Do I Trust to Represent Me? Long-Term Care Resident and Family Perspectives on Legitimate Representation.

Public engagement in long-term care policy making in Canada has primarily focused on "intermediary agents" who speak on behalf of long-term care (LTC) residents and their family caregivers. Yet the legitimacy of these intermediaries, as perceived by those they represent, has gone largely unexplored. This study examines LTC resident and family perspectives on who can legitimately represent them in LTC policy making. We used an interpretive description design, drawing on semi-structured interviews with LTC residents and family caregivers in Ontario, Canada. Data were analyzed using inductive thematic analysis. Eighteen interviews were conducted with 19 participants. Three key characteristics of legitimate representatives were identified: (1) willingness to act in the best interests of residents and families, (2) having the necessary skills and capacity to participate in LTC policy making and (3) engaging directly with residents and families. Governments and civil society organizations seeking to establish and maintain legitimacy in the eyes of LTC residents and family members can pursue this goal by supporting intermediaries who mirror the identities or experiences of those they represent, who are dedicated to serving their interests and who routinely and directly engage with them to understand the realities of LTC.

Context factors for implementation of clinical recommendations for chronic musculoskeletal pain

Background: Implementing evidence-informed clinical practice recommendations is important for managing chronic musculoskeletal pain (CMSP) to address the multidimensional impact of the condition. Successful implementation of recommendations requires understanding the multiple context factors that influence CMSP management in different settings.Aim: This study aims to explore contextual factors that could influence the implementation of evidence-informed clinical practice recommendations for the primary health care of adults with CMSP.Setting: The study focused on the primary health care (PHC) sector in Cape Town, South Africa.Methods: A qualitative descriptive study was conducted. A multidisciplinary panel of 13 local health care professionals participated in focused group discussions. The participants considered multimodal clinical recommendations derived from published clinical practice guidelines. In four focus group discussions (three or four members per group), the panel generated and documented context factors that would influence implementing the recommendations in practice. Inductive content analysis was performed to identify categories and themes.Results: The five contextual themes generated indicated health care system organisation, human resource requirements, provider practice patterns, patient empowerment and integration into policy as imperative for the successful implementation of recommendations.Conclusion: There are diverse context factors that could influence the implementation of clinical recommendations for managing CMSP in PHC settings. Identifying these factors as barriers or facilitators is beneficial for developing effective knowledge translation strategies.Contribution: The study findings indicate that an integrated systems approach supported by health care policy and multisectoral collaboration is needed to successfully implement clinical recommendations to address the impact of CMSP.

Supporting Academic Parents: The Effects of Dependent Care Policies on Research Productivity Trends

Supporting Academic Parents: The Effects of Dependent Care Policies on Research Productivity Trends

National Politics' Role in Developing Primary Health Care Policy for Maternal Health in Papua New Guinea: A Qualitative Document Analysis.

Politics is one of the critical factors that influence health policy agendas. However, scholarly efforts, especially in low- and middle-income countries, rarely focus on how politics influence health policy agenda-setting. We conducted a qualitative document review to examine the factors that led to developing the free primary health care policy for maternal health in Papua New Guinea. We also discuss mechanisms through which national politics, as an overriding factor, influenced the development of the policy. The review draws on Kingdon's multiple-stream model for agenda-setting and incorporates theoretical insights from Fox and Reich's framework for analyzing the politics of health reform for universal health coverage in low- and middle-income countries.

Bevaikystė ir požiūris į rūpinimąsi vyresnio amžiaus tėvais Lietuvoje

In rapidly ageing societies, caring and responsibilities for parents in old age is a widely discussed topic. This is particularly relevant in societies with low fertility and high rates of childlessness. Lithuania is one of the countries where demographic ageing rates have risen sharply in a short period of time. This process has been driven not only by low fertility but also by emigration of middle-aged and young people and increasing life expectancy. There is no lack of research on demographic changes in ageing societies in the country, but very little is known about the attitudes of childless men and women towards caring for their parents in old age. The aim of the study is to determine the attitudes of childless and child-bearing individuals towards parental responsibilities in Lithuania. Our analysis is based on the 2018-2019 ‘Families and Inequality Survey’ dataset collected in Lithuania. The data covers 3,005 individuals aged 34-48 at the time of the survey. The representative sample was obtained by using a stratified sampling method. Face-to-face interviews were carried out with respondents in their homes by using a standardized questionnaire. The data were analysed using descriptive statistics and chi-square methods. We found that the proportion of men (12.0%) who do not want to have children is statistically significantly higher (p=0.003) than the proportion of women (7.6%). We found that childless people were less likely than those with children to agree with the statement that children should look after their parents. In addition, women were more likely than men to agree with these statements. Our findings are important from a practical point of view – when considering social care and pronatalist policy measures. Research project is financially supported by the Research Council of Lithuania (LMTLT), agreement No. P-MIP-22-24.

Изучение психосоциальных факторов, влияющих на приверженность пациентов к лечению хронических заболеваний.

This research article scrutinises the psychosocial underpinnings that influence adherence to treatment among patients with chronic diseases, assuming that adherence is a multifaceted phenomenon shaped by a complex set of psychosocial factors. Purpose: the aim of the study is to uncover the complex relationship between these factors and adherence to treatment, using linear sampling to capture the dynamics and temporal evolution of adherence behaviour in the context of chronic illness. Materials and methods. Using a rigorous methodological framework, participants with many chronic conditions were included in the study, with inclusion and exclusion criteria carefully developed to ensure a representative and diverse group. The study utilised a range of validated psychometric tools to quantify psychosocial variables such as social support, stress levels and health beliefs, as well as a multifaceted approach to assess adherence combining self-report, pharmacy records and biometric measures. Advanced statistical analyses, including mixed-effects models and structural equation modelling, were used to identify relationships between psychosocial factors and adherence to treatment, taking into account the complexity and longitudinal nature of the data. Results. The findings highlight the critical role of social support in increasing treatment adherence as well as the detrimental effects of elevated stress levels, emphasising the critical interplay between individual psychological resilience and external support systems. The study also clarifies the influence of health beliefs and illness perceptions on adherence behaviour, advocating a better understanding of the cognitive and affective dimensions that determine patients’ engagement in treatment. Findings. The article concludes by arguing that a paradigm shift towards integrating psychosocial support mechanisms into holistic models of care is needed to increase adherence in chronic disease management. It calls for the implementation of health care policies and practices that not only address the biomedical aspects of chronic disease, but also the psychosocial complexities inherent in long-term disease management. Findings from the study encourage further research into specialised psychosocial interventions aimed at improving adherence and consequently quality of life for people coping with the challenges of chronic illness.

Abstract B168: A qualitative examination of how state policy and sociopolitical environmental influence experiences of cancer care for minoritized sexual and gender populations who have experienced breast cancer

Abstract Introduction: A growing body of literature is investigating how structural barriers, including policies, impact cancer outcomes among marginalized populations, including the 2SLGBTQ+ (two spirit, lesbian, gay, bisexual, transgender, queer, asexual, intersex, and gender non- conforming or gender non-binary)(sexual and gender minoritized (SGM)) communities. An underresearched area is how the state-level policy and sociopolitical environment shape the experiences and outcomes of SGM people who have experienced breast cancer. Using data from the Elsie Study, this research examines how SGM people who have experienced breast cancer are impacted by their state’s policies and sociopolitical context. To the authors' knowledge, this study is the first of its kind to examine these experiences of breast cancer care for SGM people. Methods: The Elsie Study is the largest qualitative survey of SGM people who have experienced cancer conducted within the U.S. To date the Elsie Study at the University of Minnesota has conducted 60-90 minute semi-structured interviews with thirteen sexally and gender minoritized people who have experienced breast cancer. Our participants were recruited from advertising campaigns on social dating applications, including HER, and community organizations. Interviews were conducted nationwide over Zoom and phone beginning in June 2023 and continuing through June 2024. Summary of data: Our participants who have experienced breast cancer have diverse sexual orientations, gender identities, and racial and ethnic backgrounds. Among the thirteen sexually and gender minoritized participants who experienced breast cancer, their sexual orientations encompass those who identify as lesbian, gay, bisexual, queer, or some of these interchangeably. Participants’ gender identities include identifying as cisgender woman, genderqueer, non-binary, transgender man, and transgender woman. Participants’ racial and ethnic backgrounds are white, Black or African American, Latino/a/x, and Asian. Participants at the intersections of marginalized identities noted substantial difficulties in receiving culturally competent care during breast cancer treatment. A majority of SM and GM women and non-binary participants mentioned the importance of living in a “queer and trans friendly state,” liberal cities, or states with marriage equality for aspects such as accessing culturally competent cancer care and participating in cancer research. Conclusions: Narratives such as those expressed by our SGM participants who experienced cancer are important for understanding how state policy and sociopolitical contexts shape access to healthcare and even cancer research. Our study has wide implications for how affirming state policy and sociopolitical climates may afford more equity in cancer care for SGM people. Citation Format: Courtney Sarkin, Alexandra M. Ecklund, Ben Weideman, Rhea Alley, B.R. Simon Rosser, G. Nic Rider. A qualitative examination of how state policy and sociopolitical environmental influence experiences of cancer care for minoritized sexual and gender populations who have experienced breast cancer [abstract]. In: Proceedings of the 17th AACR Conference on the Science of Cancer Health Disparities in Racial/Ethnic Minorities and the Medically Underserved; 2024 Sep 21-24; Los Angeles, CA. Philadelphia (PA): AACR; Cancer Epidemiol Biomarkers Prev 2024;33(9 Suppl):Abstract nr B168.

Tomato dry farming as an agroecological model for California’s drought resilient future: Farmers’ perspectives and experiences

Small, diversified farms on California’s Central Coast have been dry farming for decades, allowing farmers to use water stored in soils from winter rains to grow tomatoes and other vegetables with little-to-no irrigation in summers without rainfall. As recent water shortages in California have forced a reckoning with the precariousness of the state’s water supply, policy groups and the general public have become increasingly interested in dry farming as a promising means of achieving water conservation goals. Academic research on this practice, however, has been scarce. Amid growing urgency to develop low-water agricultural systems in the state, we interviewed 10 Central Coast dry farmers, representing over half of the commercial dry farm operations in the region where this practice was developed, to collaboratively answer 2 central research questions: (1) What business and land stewardship practices characterize successful tomato dry farming on California’s Central Coast? (2) What is the potential for dry farming to expand beyond its current adoption while maintaining its identity as a diversified practice that benefits small-scale operations? We summarize farmers’ wisdom into 9 themes about current dry farm practice, its potential for expansion and future opportunities. We also synthesize farmer-stated environmental constraints on dry farm feasibility into a map of suitable areas in California. As we consider how dry farming might expand to new areas and operations, we highlight dry farming’s history as an agroecological alternative to industrial farming in the region and the need for careful policy planning to maintain that identity. In examining this California Central Coast dry farming system, we ask if and how it can enhance the viability of nonindustrial farming operations as the food system adapts to less water availability. Because policies that encourage dry farm expansion could change economic landscapes in which dry farming operates, we caution that well-intentioned policies could edge small growers out of dry farm markets if not carefully designed. At the same time, we emphasize the opportunity for dry farm tomato systems to model an agroecological transition toward water savings in California.

Bureaucratic Law Transformation and Trade Union Fragmentation in Thailand and Japan in the Context of Free Trade

To achieve economic development, a country must cooperate with other nations. This often involves a partnership where one country provides workers, while foreign investors contribute significant capital. To sustain such trade relationships, bureaucratic reform is sometimes necessary. These reforms aim to enhance administrative efficiency and economic competitiveness but can also lead to the fragmentation of trade unions, which impacts workers' protection and rights. This research explores the transformation of bureaucratic law and trade union fragmentation in Thailand and Japan within the context of free trade. A qualitative comparative study method was employed to analyze the effects of these reforms in both countries. In Thailand, reforms aimed at simplifying the licensing process and reducing regulations have been successful in attracting foreign investment and accelerating economic growth. However, they have also increased job uncertainty and weakened social protection. In Japan, while traditional labor unions persist, the increasing fragmentation has resulted in uneven worker protection. This analysis reveals that the social and economic effects of these changes are complex and require careful policy consideration to balance economic growth with worker protection. The study recommends comprehensive labor law reforms, increased social dialogue, and stronger support for new trade unions to ensure fair and sustainable worker protections in both countries.

Sense of medical care policy alienation: conceptualization, scale development, and validation

Sense of medical care policy alienation: conceptualization, scale development, and validation

“The mother seems to traumatize her child”: Examining empathy, denial, and responsibility in day-to-day encounters of families and staff in immigration detention in Canada

This paper examines encounters of mothers and their children with detention facility staff during our fieldwork in immigration detention centres in Canada. We sought to understand how detainees and institutional staff understand each other and their roles within the broader system. Using a critical ethnographic frame that views the inner psychic worlds of subjects as contingent upon larger systems of power and oppression we organize our data around narrative and content themes. Our findings suggest that guards and staff see their roles as protectors of children, even as they communicate implicitly that these families are risks. Further, we propose that staff tend to project the aggressor onto the Other, in this case, migrant mothers, as a way to cope with the moral distress of witnessing the suffering of detained children, and with the burden of potential complicity. By describing how empathy, denial and responsibility are negotiated in these custodial spaces, we analyze the ways these micropolitical encounters can illuminate larger trends in the representation and reception of migrants with important implications for mental health care and border control practices and policy more broadly.

A Descriptive Study to Assess the Level of Knowledge Regarding National Geriatric Health Care Policies Among Elderly People in a Selected Area of Haridwar

This descriptive study aimed to assess the level of knowledge regarding national geriatric health care policies among elderly people in a selected rural area of Haridwar. Geriatric health care is an important aspect of ensuring the well-being and quality of life for the elderly, a population that is often dependent on external support due to the aging process. The study was conducted among 80 participants aged 60 years and above using a non-probability purposive sampling technique. Data was collected through a self-structured questionnaire designed to evaluate knowledge of national policies such as the Indira Gandhi National Old Age Pension Scheme, Atal Pension Yojana, Ayushman Bharat Yojana, and others. The results indicated that the majority (65%) of the elderly had average knowledge, while 35% had poor knowledge of these policies, and no participant demonstrated a high level of knowledge. Further analysis revealed no significant association between the level of knowledge and demographic factors such as age, gender, education, and income. This lack of awareness suggests a pressing need for greater dissemination of information regarding geriatric health care policies in rural communities, where elderly people may be particularly vulnerable to poor health outcomes due to limited access to healthcare and support services. The study concludes that improving awareness and access to these policies can empower the elderly to better utilize available resources, ultimately improving their health and well-being. The findings highlight the need for targeted health education programs and policy-level interventions to bridge the knowledge gap in rural areas. Future research should explore larger populations and examine strategies to effectively increase policy awareness among the elderly.

Algorithms in the marketplace: An empirical analysis of automated pricing in e-commerce

We analyze algorithmic pricing on the largest online marketplace in the Netherlands and Belgium. Based on two months of pricing data for around 2800 products, we find no significant correlation between the use of algorithms and an increase in prices of the Buy Box (the most prominently displayed offer for a product). We document that the presence of an algorithmic seller in monopoly markets goes hand-in-hand with lower prices. This effect is likely due to algorithms correcting excessively high human-set prices. We describe several characteristic algorithmic pricing patterns. While some of these pricing patterns are consistent with algorithmic collusion, such practice appears to be a fringe phenomenon. Overall, our findings call for careful policy with respect to pricing algorithms that remains alert to the possibility of algorithmic collusion but recognizes that pricing algorithms may benefit consumers.

Profile of Primary Care Managers in A Municipality in Northern Brazil and their Leadership Styles

Objective: Know the profile and leadership style of managers of Basic Health Units (BHU). Theoretical Framework: The 2017 National Primary Care Policy (NPCP) suggested the inclusion of managers in BHU to perform technical-managerial functions, based on the manager's assessment and according to the needs of the territory and coverage of Basic Care (BC). Method: Descriptive, cross-sectional and quantitative research, carried out in the municipality of Barcarena, in the state of Pará. The sample was 22 AB managers, carried out from October 2022 to May 2023. The data obtained from a questionnaire with sociodemographic and of experiences in Primary Health Care (PHC) and another on leadership style, the Multifactorial Leadership Questionnaire (MLQ). Results and Discussion: Most BC managers are female (86.4%), aged 20 to 39 (54.5%), married (59.1%), with higher education (90.9%) in Nursing (59 .1%) and 50.0% have a postgraduate degree at Lato sensu level and have a temporary employment relationship (59.1%). They had previous experience in management (59.1%) and had experience in PHC (72.7%). Regarding leadership styles, transformational leadership was more self-perceived (m=3.33) and was statistically significant (p=0.020), as an attribute, motivational inspiration (m=3.67). Research Implications: This study is one of the few works involving research focused on the leadership profile of BC managers. Originality/Value: This study contributes to the literature by understanding the aspects associated with the leadership style of BC managers, and the relationship between leadership and the guidance suggested by the 2017 NPCP.

Using healthcare data to improve diabetes health care policy and practice

Using healthcare data to improve diabetes health care policy and practice

유보통합을 위한 유치원⋅어린이집 교사 자격 통합 방안 연구: 싱가포르 사례를 중심으로

Objectives This study aims to explore strategies for the integration of kindergarten and childcare teacher qualifications proposed by the Yoon Suk-yeol government by examining the current qualification criteria for kindergarten and childcare teachers in South Korea and reviewing the standards for early childhood educator certification in Singapore. Methods Data for this study were obtained from the official websites of South Korea's Ministry of Education, Ministry of Health and Welfare, and Singapore's Early Childhood and Development Agency (ECDA), and the content was reviewed and feedback was provided by a researcher specializing in early childhood education and care policies and a professor of early childhood education. Results As results of the study, first, there were differences between Kindergarten teacher level 2 and Childcare teacher level 2 in Korea in terms of credits earned and practice period in acquiring certification. Second, Singapore has various types of qualifications, and accordingly, there were differences in the ages of infants and toddlers who could be in charge and the institutions where they could work. Conclusions This research, centered on the Singaporean case, offers a fresh perspective on the amalgamation of qualifications related to kindergarten and childcare center teachers in South Korea. Its significance lies in its pragmatic and well-reasoned contribution to the formulation of integration strategies.

EuMAR stakeholder engagement: an analysis of medically assisted reproduction (MAR) data collection practices in EU countries†.

What are the current national medically assisted reproduction (MAR) data collection systems across EU Member States, and how can these countries contribute to a unique, cycle-by-cycle registry for the European Monitoring of Medically Assisted Reproduction (EuMAR) project? The study identified significant variation in MAR data collection practices across Member States, with differences in data types, collection methods, and reporting requirements; the EuMAR project emerges as an opportunity to enhance data standardization and improve MAR data collection in the EU. There is a need for new approaches in MAR data collection that include long-term and cross border follow-up. The EuMAR project intends to establish a unified, cycle-by-cycle registry of data on MAR treatments in EU countries, from which accurate cumulative outcomes can be calculated. This cross-sectional study involved a survey and interviews with stakeholders from 26 EU Member States conducted in 2023 over a period of seven months. Representatives from national competent authorities and professional associations involved in MAR data collection in EU countries were invited to complete the survey and interviewed to assess current data flows, information requirements, and their interest in the EuMAR project. Half of the participating countries reported having a national MAR registry with cycle-by-cycle data (n = 13), while 31% reported having a national registry with aggregated data (n = 8) and 19% reported having no national registry (n = 5). Of the countries with a national cycle-by-cycle registry, eight countries collect identifiable data, five countries collect pseudonymized data, and one country collects fully anonymized data. Informed consent is required in 10 countries. The main advantages that participants expected from a European registry like EuMAR were the possibility of obtaining national statistics in the absence of a national registry and improving the calculation of cumulative outcomes. The results of the study are based on self-reported data, which may be subject to bias, however, the validity of the collected information was verified with different means, including follow-up calls for clarifications and sharing final transcript reports. The feasibility of the proposed data flow models will be tested in a pilot study. Despite the heterogeneity of data collection practices across EU countries, the results show that stakeholders have high expectations of the benefits that the EuMAR registry can bring, namely the improvement of data consistency, cross-border comparability, and cumulative live birth rates, leading to better information for patients, health care providers and policy makers. The EuMAR project was co-founded by ESHRE and the European Commission (101079865-EuMAR-EU4H-2021-PJ2). No competing interests were declared. N/A.