Motevallizadeh Saeed, Malek Afzali Hossein, Larijani Bagher
Research and Technology Deputy, Ministry of Health and Medical Education, Tehran, Iran.
Epidemiology and Biostatistics Department, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
Iran J Reprod Med. 2011 Spring;9(2):77-82.
Family planning has been defined in the framework of mothers and children plan as one of Primary Healthcare (PHC) details. Besides quantity, the quality of services, particularly in terms of ethics, such as observing individuals' privacy, is of great importance in offering family planning services.
A preliminary study to gather information about the degree of medical ethics offered during family planning services at Tehran urban healthcare centers.
A questionnaire was designed for study. In the first question regarding informed consent, 47 clients who were advised about various contraception methods were asked whether advantages and disadvantages of the contraceptive methods have been discussed by the service provider. Then a certain rank was measured for either client or method in 2007. Finally, average value of advantage and disadvantage for each method was measured. In questions about autonomy, justice and beneficence, yes/no answers have been expected and measured accordingly.
Health care providers have stressed more on the advantages of pills and disadvantages of tubectomy and have paid less attention to advantages of injection ampoules and disadvantages of pills in first time clients. While they have stressed more on the advantages and disadvantages of tubectomy and less attention to advantages of condom and disadvantages of vasectomy in second time clients. Clients divulged their 100% satisfaction in terms of observing turns and free charges services. Observance degree of autonomy was 64.7% and 77.3% for first time and second- time clients respectively.
Applying the consultant's personal viewpoint for selecting a method will breach an informed consent for first and second time clients. System has good consideration to justice and no malfeasance.
计划生育在母婴计划框架内被定义为初级卫生保健（PHC）的细节之一。除了服务数量外，服务质量，特别是在伦理方面，如尊重个人隐私，在提供计划生育服务中至关重要。
进行一项初步研究，以收集有关德黑兰城市医疗中心在计划生育服务期间提供的医学伦理程度的信息。
设计了一份调查问卷用于研究。在关于知情同意的第一个问题中，询问了47名被建议采用各种避孕方法的客户，服务提供者是否讨论了避孕方法的优缺点。然后在2007年对客户或方法进行了某种排名。最后，测量了每种方法优缺点的平均值。在关于自主性、公正性和行善原则的问题中，预期并相应测量是/否的回答。
医疗服务提供者在首次客户中更强调避孕药的优点和输卵管切除术的缺点，而对注射剂的优点和避孕药的缺点关注较少。而在二次客户中，他们更强调输卵管切除术的优缺点，对避孕套的优点和输精管切除术的缺点关注较少。客户对遵守轮候和免费服务表示100%满意。首次和二次客户的自主性遵守程度分别为64.7%和77.3%。
顾问基于个人观点选择方法会侵犯首次和二次客户的知情同意权。该系统对公正性有充分考虑且无不当行为。
