van den Heuvel Ananda, Marteau Theresa M
King's College London, Institute of Psychiatry, Department of Psychology at Guy's, Health Psychology Section, 5th Floor, Thomas Guy House, London SE1 9RT, UK.
Semin Fetal Neonatal Med. 2008 Apr;13(2):99-102. doi: 10.1016/j.siny.2007.12.010. Epub 2008 Feb 6.
One of the ethical implications of the widespread introduction of non-invasive prenatal diagnosis (NIPD) is that it might undermine the making of informed choices. There is an almost universal agreement among health professionals and policy makers that prenatal testing decisions should reflect informed choices. It is, however, unclear the extent to which this is a universally held value. We present evidence to suggest that although informed choice is highly valued in Western, individualistically orientated countries, it is less highly valued in non-Western, more collectivist countries. This raises questions as to whether it is beneficial - and indeed appropriate - to recommend facilitating informed choices in countries where this is not a dominant value.
无创产前诊断（NIPD）的广泛应用所带来的伦理问题之一是，它可能会破坏知情选择的形成。卫生专业人员和政策制定者几乎普遍认为，产前检测决策应反映知情选择。然而，目前尚不清楚这在多大程度上是一种普遍持有的价值观。我们提供的证据表明，尽管在以个人主义为导向的西方国家，知情选择受到高度重视，但在非西方、集体主义更强的国家，其受到的重视程度较低。这就引发了一个问题，即在那些并非以知情选择为主导价值观的国家，推荐促进知情选择是否有益，甚至是否合适。
