SISMER Reproductive Medicine Unit, Bologna, Italy.
Reprod Biomed Online. 2010 Feb;20(2):261-6. doi: 10.1016/j.rbmo.2009.11.009. Epub 2009 Nov 26.
Cross-border reproductive care, also called reproductive tourism, refers to the travelling of citizens from their country of residence to another country in order to receive fertility treatment through assisted reproductive technology. Several reasons account for cross-border reproductive care: (i) a certain kind of treatment is forbidden by law in the couple's own country or is inaccessible to the couple because of their demographic or social characteristics; (ii) foreign centres report higher success rates compared with those of the centres in the country of residence; (iii) a specific treatment may be locally unavailable because of a lack of expertise or because the treatment is considered experimental or insufficiently safe; and (iv) limited access to the treatment in the couple's home country because of long waiting lists, excessive distance from a centre or high costs. Although cross-border reproductive care can be viewed as a safety valve, the phenomenon is often associated with a high risk of health dangers, frustration and disparities. Solutions to these problematic effects need to be considered in the light of the fact that cross-border reproductive care is a growing phenomenon.
跨境生殖保健,又称生殖旅游,是指居住在一国的公民前往另一国,通过辅助生殖技术接受生育治疗的行为。跨境生殖保健的原因有以下几点:(i) 某些治疗方法在夫妻双方本国的法律中被禁止,或者因为他们的人口或社会特征而无法获得;(ii) 国外的中心报告的成功率高于居住国的中心;(iii) 由于缺乏专业知识或因为治疗被认为是实验性的或不够安全,某种特定的治疗方法在当地可能无法获得;(iv) 由于等待时间长、距离中心太远或费用过高,夫妻双方在本国获得治疗的机会有限。虽然跨境生殖保健可以被视为一种安全阀,但这种现象往往伴随着健康危险、挫折和不平等的高风险。鉴于跨境生殖保健是一种日益增长的现象,需要考虑解决这些问题的办法。