对辅助生殖技术的商业影响:一个范围审查
M Wiersma1, I Kerridge2, S Gallagher3
1The University of Sydney, School of Public Health, Sydney Health Ethics, Rm 134, Edward Ford Building, Sydney, Australia. miriam.wiersma@sydney.edu.au.
Journal of bioethical inquiry
|September 11, 2025
概括
商业化影响辅助生殖技术 (ART) 服务,特别是"附加"干预措施. 这一综述综合了论点,并提出了改善患者信息和监管监督等策略,以减轻不良影响.
科学领域:
- 生殖医学 生殖医学
- 医疗保健经济学 医疗保健经济学
- 生物伦理学生物伦理学
背景情况:
- 辅助生殖技术 (ART) 是一个快速扩张的全球行业,主要在私人医疗保健中运作.
- 人们担心商业化对ART服务和患者护理的潜在负面影响.
- 目前缺乏对ART商业影响的现有论点的全面综合和批评.
研究的目的:
- 提供对ART的商业影响的细微了解.
- 探索ART中的商业力量如何被识别,研究和评估.
- 确定在与健康有关的期刊中管理商业影响的建议策略.
主要方法:
- 对与健康相关的期刊进行了范围审查.
- 在2023年1月至7月期间,在PubMed,Web of Science,Cinahl和Scopus进行了搜索.
- 从最初搜索的11873篇文章中,包括了163篇文章.
主要成果:
- 对ART的商业影响最常讨论的是与"附加"干预有关 (25%的文章).
- 虽然许多文章批评商业化的影响,但有些人承认私营部门参与ART的潜在好处.
- 减轻不利商业影响的拟议策略包括加强患者信息,改善知情同意和增加监管监督.
结论:
- 该审查强调了管理对辅助生殖技术的商业影响的战略.
- 建议加强监管,但指出潜在的挑战和缺乏普遍支持.
- 调查结果旨在为决策者和服务提供者在ART的商业环境中进行导航提供信息.
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