Department of Health Systems Management, Yezreel Valley College, Israel.
J Health Serv Res Policy. 2012 Apr;17(2):121-3. doi: 10.1258/jhsrp.2012.011166.
The Israeli public health insurance system covers an (almost) unlimited number of IVF cycles. In a global context, this is a policy which is looked upon as a northern star. However, many women may continue IVF treatment when the probability of a successful pregnancy is 'zero'. This paper argues that the implication of a policy of unlimited rounds of IVF from the perspective of the 'culture of perseverance' that develops in IVF clinics has not yet been fully assessed. A systematic long term assessment of the health and welfare of women after IVF in Israel--especially after prolonged treatment with IVF--is necessary. In a global context, an evidence-based policy on ART may improve both the allocation of resources and the duty of care, not only in Israel, but also in other countries.
以色列的公共医疗保险系统覆盖了（几乎）无限数量的试管婴儿周期。在全球范围内，这项政策被视为一个标杆。然而，当怀孕的可能性为“零”时，许多女性可能会继续接受试管婴儿治疗。本文认为，从发展中的“坚持文化”的角度来看，从试管婴儿诊所尚未充分评估无限轮次的试管婴儿治疗政策的影响。有必要对以色列试管婴儿后的妇女健康和福利进行系统的长期评估，尤其是在长期接受试管婴儿治疗后。在全球范围内，关于辅助生殖技术的循证政策不仅可以改善资源分配和护理责任，不仅在以色列，而且在其他国家。
