Hunt Jennifer
IVF Hammersmith, Hammersmith Hospital, Imperial College Healthcare NHS Trust, London, UK.
Hum Fertil (Camb). 2013 Mar;16(1):64-7. doi: 10.3109/14647273.2013.770565. Epub 2013 Mar 25.
There is increasing evidence that people with infertility problems are seeking treatment in a wide range of countries. While many make an independent choice about their destination clinic, others are referred under shared-care arrangements based in the UK. In response to cross border reproductive care, concerns have been raised and recommendations for best practice have begun to emerge. The involvement of counsellors appears to be limited. This paper considers the issues raised by cross-border reproductive care with a particular focus on those who travel abroad for treatment for gamete/embryo donation or surrogacy. It describes the part that counselling can play in both supporting patients and providing a service that will enable them to prepare for the additional challenges that may arise in the future. It concludes with a recommendation for further research, for UK clinics routinely to refer patients to a counsellor prior to travel arrangements being made and for collaboration between countries in developing and implementing best practice guidelines.
越来越多的证据表明，不孕不育患者正在世界各国寻求治疗。虽然许多人会自主选择治疗的诊所，但也有一些人是在英国的共享医疗安排下被转诊的。针对跨境生殖护理，人们提出了一些担忧，并开始出现关于最佳实践的建议。目前咨询师的参与程度似乎有限。本文探讨了跨境生殖护理引发的问题，特别关注那些前往国外接受配子/胚胎捐赠或代孕治疗的患者。文章描述了咨询在支持患者以及提供服务方面所能发挥的作用，使患者能够应对未来可能出现的更多挑战。文章最后建议进行进一步研究，英国诊所应在安排出行前常规性地将患者转介给咨询师，并建议各国之间开展合作，制定和实施最佳实践指南。
