选择提供:爱尔兰的早期医疗堕胎和临床医生的良心
Mary Donnelly1, Claire Murray2
1Law School, University College Cork, Cork, Ireland. m.donnelly@ucc.ie.
Health care analysis : HCA : journal of health philosophy and policy
|September 1, 2024
概括
在爱尔兰,提供早期医疗堕胎 (EMA) 的全科医生 (GPs) 的动机是妇女权利和承诺避免过去的伤害. 他们的经历凸显了良心在堕胎护理提供中的持续作用.
科学领域:
- 医学伦理 医学伦理
- 生殖健康政策 生殖健康政策
- 医疗保健提供者研究 医疗保健提供者研究
背景情况:
- 堕胎护理的提供严重依赖于医疗保健提供者.
- 政治话语往往将堕胎护理提供者的作用边缘化.
- 2018年爱尔兰的健康 (终止怀孕的监管) 法案使堕胎合法化,早期医疗堕胎 (EMA) 成为主要的方法.
研究的目的:
- 调查爱尔兰提供EMA的全科医生的动机和经验.
- 探索一般医生对那些不提供EMA的同事的看法.
- 检查良心在堕胎护理提供中的影响.
主要方法:
- 经验研究涉及采访堕胎护理提供者.
- 对提供者动机,经验和对同事选择的观点进行定性分析.
主要成果:
- 许多提供EMA的全科医生都是出于对妇女自主权和健康的道德承诺.
- 提供者旨在防止与不安全堕胎相关的过去伤害再次发生.
- 爱尔兰大约10%的全科医生提供EMA.
结论:
- 尽管爱尔兰的EMA日益正常化,良心仍然是供应商的重要因素.
- 思考良心的多面作用对于理解堕胎护理提供至关重要.
- 提供者经验强调了在获得生殖健康保健方面的伦理考虑.
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