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调整,预期,适应,还是落后? 在辅助生殖和晚期生育方面基于年龄的规定
1University of Vienna, Wittgenstein Centre for Demography and Global Human Capital (IIASA, OeAW, University of Vienna).
Population and development review
|November 18, 2024
概括
报销生育治疗的年龄限制往往落后于不断上升的晚产率. 虽然一些国家适应政策,但严格的年龄规则可能会限制受各种因素影响的非常晚分娩.
科学领域:
- 生殖医学 生殖医学
- 卫生政策分析 卫生政策分析
- 生殖的社会学 生殖的社会学
背景情况:
- 在全球范围内,晚期孕产妇年龄 (40岁以上) 和非常晚期孕产妇年龄 (45岁以上) 的比例正在上升.
- 现有年龄限制对获得不孕不育治疗和公共补偿的限制.
- 医疗辅助生殖 (MAR) 国家政策的变化.
研究的目的:
- 分析对获得不孕症治疗和退款资格的年龄限制.
- 评估以年龄为基础的政策与27个高收入国家的晚产率上升的协调程度.
- 调查监管框架对非常晚分娩 (45+) 的影响.
主要方法:
- 在27个高收入国家的体外受精 (IVF) 基于年龄的退款的比较政策分析.
- 检查医疗辅助生殖 (MAR) 的监管框架.
- 统计分析将年龄限制与晚产和非常晚产的趋势相关联.
主要成果:
- 在大多数国家,试管婴儿退款的年龄限制与日益增长的晚产 (40+) 患病率不匹配.
- 一些国家已经修订了政策或通过了允许的年龄标准,因为产前目标或适应生育趋势.
- 严格的基于年龄的规定似乎与非常晚分娩 (45岁以上) 的有限增加有关,尽管其他上下文因素也起着作用.
结论:
- 关于当代生育模式,目前对生育治疗报销的年龄限制往往已经过时.
- 一些国家的政策调整反映了适应或预期晚产率上升的情况.
- 马尔对非常晚分娩的影响是复杂的,受到监管和非监管上下文因素的影响.
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