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影响辅助生殖技术可及性的全球文化和社会经济因素。

Global cultural and socioeconomic factors that influence access to assisted reproductive technologies.

作者信息

Adamson G David

机构信息

Fertility Physicians of Northern California, Palo Alto, CA 94301, USA.

出版信息

Womens Health (Lond). 2009 Jul;5(4):351-8. doi: 10.2217/whe.09.28.

Abstract

Assisted reproductive technology (ART) is the most successful treatment for the 9% of people at reproductive age who suffer with infertility, but only a small percentage of those needing ART actually access it. Access varies greatly internationally owing to religious, cultural and political factors, probably the most important factor being each society's perspective on the moral status of the embryo. Economic factors, the nature of the healthcare system and public funding affect access both among and within countries. Regulations and guidelines are highly variable, but critical, in determining access and types of services. Cross-border travel for reproductive care is not uncommon. In the future, better public funding of ART, technological improvements, lower cost and slow international harmonization with fewer differences in ART services will probably increase access significantly.

摘要

辅助生殖技术(ART)是针对9%患有不孕症的育龄人群最成功的治疗方法,但实际接受ART治疗的需求者中只有一小部分。由于宗教、文化和政治因素,国际上获得ART治疗的情况差异很大,其中最重要的因素可能是每个社会对胚胎道德地位的看法。经济因素、医疗保健系统的性质和公共资金在国家之间和国家内部都会影响获得治疗的机会。法规和指南在决定获得治疗的机会和服务类型方面差异很大,但至关重要。跨境寻求生殖护理并不罕见。未来,对ART更好的公共资金投入、技术改进、成本降低以及国际间协调的缓慢推进,使得ART服务的差异减少,可能会显著增加获得治疗的机会。

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