Ledger William L
Centre for Reproductive Medicine and Fertility, Jessop Wing, Royal Hallamshire Hospital, Sheffield S10 2SF, UK.
Hum Fertil (Camb). 2003 May;6 Suppl 1:S22-4. doi: 10.1080/1464770312331369203.
Hospital-based infertility management will alter radically over the next few years. The forthcoming National Institute for Clinical Excellence guidelines should improve financial support for couples having National Health Service (NHS) assisted conception treatment, and increasing NHS interest in clinical governance may well lead to policy on issues such as number of embryos transferred, risk of ovarian hyperstimulation and patient selection for treatment. Changes in clinical practice will follow. In addition, a number of alterations to clinical training in reproductive medicine will soon be in place, with impact on both sub-specialist and specialist registrar training. It is also clear that private sector practice in general, and private facility assisted conception in particular will be more tightly regulated in the coming years, with increasing governance in both research and clinical practice.
未来几年，基于医院的不孕症管理将发生根本性变化。即将出台的国家临床优化研究所指南应会改善对接受国民医疗服务体系（NHS）辅助生殖治疗的夫妇的资金支持，而NHS对临床治理兴趣的增加很可能会催生关于诸如移植胚胎数量、卵巢过度刺激风险以及治疗患者选择等问题的政策。临床实践也将随之改变。此外，生殖医学临床培训的一些变革很快将实施，这将对专科医生和专科住院医生培训产生影响。同样明显的是，总体而言，私营部门的业务，尤其是私立机构的辅助生殖，在未来几年将受到更严格的监管，研究和临床实践方面的治理都将加强。
