基于年龄的生殖护理限制:区分任意和必要的
Steven R Piek1, Guido Pennings2, Veerle Provoost2
1Bioethics Institute Ghent, Department of Philosophy and Moral Sciences, Ghent University, Blandijnberg 2, 9000, Ghent, Belgium. steven.piek@ugent.be.
Theoretical medicine and bioethics
|October 11, 2023
概括
只有当与潜在的排除标准有很强的相关性时,才能在伦理上证明获得生殖健康保健的年龄限制是合理的. 这个框架评估政策,确保年龄不会在获得生育治疗的其他预测因素上任意优先考虑.
科学领域:
- 生物伦理学生物伦理学
- 生殖健康政策 生殖健康政策
- 医学伦理 医学伦理
背景情况:
- 生殖保健准入政策,特别是年龄要求,在各国之间有很大的差异.
- 在医疗保健政策中基于年龄的排斥的理由往往不清楚,这引发了人们对任意行为的担忧.
研究的目的:
- 建立使用年龄在生殖健康保健政策和立法中的伦理标准.
- 制定一个框架来评估基于年龄的排除在生育治疗中的道德可接受性.
主要方法:
- 制定了一个由三个元素组成的伦理框架:目标 (排除标准),切断 (限制) 和代理 (预测变量).
- 应用框架来评估使用年龄作为获得生育治疗的标准的伦理合法性.
主要成果:
- 只有当年龄与非直接可测量的排斥标准有很强的相关性时,年龄作为政策标准才能在伦理上得到证明.
- 年龄不应该被赋予特殊地位,因为它是几个潜在的预测变量之一.
结论:
- 拟议的框架提供了一种方法,用于批判性地评估规范获得生育治疗的政策的伦理基础.
- 确保生殖保健中的基于年龄的限制在道德上是合理的,基于证据,而不是任意的.
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