Division of Primary Care, University of Liverpool, School of Population, Community and Behavioural Sciences, The Whelan Building, Liverpool, UK.
J Med Ethics. 2009 Nov;35(11):662-7. doi: 10.1136/jme.2009.029793.
Infertility treatment is a speciality that has attracted considerable attention both from the public and bioethicists. The focus of this attention has mainly been on the dramatic dilemmas created by theses technologies. Relatively little is known, however, about how clinicians approach and resolve ethical issues on an everyday basis. The central aim of this study is to gain insight into these neglected aspects of practice. It was found that, for the clinicians, the process by which ethical decisions were made was of key importance. It will be argued that this focus on the process of decision-making is more than just empty proceduralism but is based on and facilitates certain substantive ethical principles. In conclusion, suggestions as to how ethical decision-making processes can be supported and improved in infertility practice will be made.
不孕不育治疗是一门专业，它引起了公众和生物伦理学家的极大关注。关注的焦点主要集中在这些技术带来的戏剧性困境上。然而，人们对临床医生如何在日常基础上处理和解决伦理问题知之甚少。本研究的主要目的是深入了解实践中这些被忽视的方面。研究发现，对于临床医生来说，做出伦理决策的过程至关重要。本文将论证，这种对决策过程的关注不仅仅是空洞的程序主义，而是基于并促进了某些实质性的伦理原则。最后，将就如何支持和改进不孕不育治疗中的伦理决策过程提出建议。
