在辅助生殖技术中使用"补充剂"的道德理由:专家的观点和经验
Siun Gallagher1, Ian Kerridge2, Ainsley Newson1
1The University of Sydney, Faculty of Medicine and Health, Sydney School of Public Health, Sydney Health Ethics, Sydney, NSW, Australia.
Reproductive biomedicine online
|January 7, 2024
概括
辅助生殖技术 (ART) 提供者在决定添加使用时优先考虑患者的偏好和心理需求,而不是活产率. 这表明需要对未经证实的ART补充剂进行更明确的监管.
科学领域:
- 生殖医学 生殖医学
- 医学伦理 医学伦理
- 医疗保健服务研究 医疗服务研究
背景情况:
- 辅助生殖技术 (ART) 涉及各种程序来帮助怀孕.
- 补充治疗是与标准程序一起提供的补充治疗,通常证据有限.
- 了解供应商对附加组件的决策对于患者护理和道德实践至关重要.
研究的目的:
- 探索ART提供商在决定提供附加功能时考虑的因素.
- 了解使用ART附加组件背后的动机.
主要方法:
- 对31名ART专业人员的采访进行了定性分析.
- 专注于提供者对ART附加组件的看法和经验.
- 探索用于附加组件使用的决策因素.
主要成果:
- 医疗服务提供者考虑了益处/危害的可能性,患者的心理需求/偏好以及组织的期望.
- 患者的偏好,心理因素和低危害风险是比增加活产率或创新更强大的动机.
- 决策受到伦理,以患者为中心和运营因素的复杂相互作用的影响.
结论:
- 附加功能和ART中的创新不一定是相关的.
- 监管改革可能是必要的,可能会限制未经证实的补充到正式的科学评估.
- 关于附加程序的做法可能需要关注企业责任和消费品标准.
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