The Disparities in ART (DART) Hypothesis of Racial and Ethnic Disparities in Access and Outcomes of In Vitro Fertilization (IVF) Treatment in the United States: A Blueprint for Narrowing the Disparity Gap
摘要
We discuss the current working model of the Disparities in ART (DART) hypothesis first proposed in 2013 as a conceptual framework by which to identify and research underlining causes that contribute to racial and ethnic disparities in access and treatment outcomes in assisted reproductive technology (ART) in the United States. This hypothesis may serve as an operational platform and blueprint for understanding the scope and depth of current and anticipated challenges in narrowing the disparity gap. It may also encourage future research efforts to provide informed suggestions leading to a narrowing of racial/ethnic disparities in ART. Such suggestions for consideration include enhanced practice awareness, improved patient education, organized advocacy, and potential changes in public health policy.