Kennedy R, Kingsland C, Rutherford A, Hamilton M, Ledger W
Department of Obstetrics and Gynaecology, University Hospital, Coventry.
Hum Fertil (Camb). 2006 Sep;9(3):181-9. doi: 10.1080/14647270600908411.
Assisted conception providers in England were surveyed to establish the uptake of NICE guideline for infertility particularly in respect of assisted conception and the criteria used to accept patients for NHS funded treatment. Detailed information on selection criteria was obtained from a group of commissioning consortia at an advanced stage in their arrangements. While there was an overall increase in the number of NHS IVF cycles purchased in England, implementation is stalled at one fresh cycle in the vast majority of Primary Care Trusts (PCTs). There is little consensus about the criteria used for acceptance into an NHS programme. This is particularly so in respect of social criteria which are often arbitrary and used as a rationing tool. This information complements that provided by the survey of Primary Care Trusts performed in March 2005 by the All Party Parliamentary Group on Infertility (APPGI) in partnership with the National Infertility Awareness Campaign (NIAC) which together provide a basis for recommendations for NHS funding. The recommendations presented should be applied across England and Wales to ensure consistency, fairness and equity of access.
对英国的辅助生殖服务提供者进行了调查，以确定对英国国家卫生与临床优化研究所（NICE）不育症指南的采用情况，特别是在辅助生殖方面以及用于接受患者进行国民保健制度（NHS）资助治疗的标准。从一组处于安排后期阶段的委托财团获得了关于选择标准的详细信息。虽然英格兰购买的NHS试管婴儿周期数量总体上有所增加，但在绝大多数初级保健信托基金（PCT）中，实施工作停滞在一个新周期。对于纳入NHS计划的标准几乎没有共识。在社会标准方面尤其如此，这些标准往往是任意的，并被用作配给工具。这些信息补充了2005年3月由全党议会不育症小组（APPGI）与全国不育症宣传运动（NIAC）合作对初级保健信托基金进行的调查所提供的信息，两者共同为NHS资金的建议提供了基础。提出的建议应在英格兰和威尔士适用，以确保获得服务的一致性、公平性和公正性。
