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澳大利亚试管婴儿行业的利益冲突:实证分析与行动呼吁。

Conflicts of interest in Australia's IVF industry: an empirical analysis and call for action.

作者信息

Blakely Brette, Williams Jane, Mayes Christopher, Kerridge Ian, Lipworth Wendy

机构信息

Faculty of Medicine and Health Sciences, Australian Institute of Health Innovation, Macquarie University, Sydney, NSW, Australia.

Centre for Values Ethics and the Law in Medicine, The University of Sydney, Sydney, NSW, Australia.

出版信息

Hum Fertil (Camb). 2019 Dec;22(4):230-237. doi: 10.1080/14647273.2017.1390266. Epub 2017 Nov 1.

Abstract

In Australia, the growing assisted reproductive technologies (ART) industry has recently received some public criticism. Much of this criticism centres on the concern that doctors are increasingly motivated by profit, rather than patient interests. These concerns appear to suggest that the growing business of ART generates conflicts of interest (COI) for clinicians. While media reports may be rhetorically compelling, claims that ART practice is distorted by COI must be supported by empirical evidence. This preliminary study sought to engage with people involved with the ART industry and map out their concerns related to COI in ART. A small convenience sample of eight professionals was interviewed. Here, we present the major themes uncovered, including a richer understanding of the 'interests' of various parties involved in Australian ART. We then propose a strategy for how this topic could be constructively explored.

摘要

在澳大利亚,不断发展的辅助生殖技术(ART)行业最近受到了一些公众批评。这种批评大多集中在人们担心医生越来越受利润驱使,而非患者利益。这些担忧似乎表明,ART业务的不断增长给临床医生带来了利益冲突(COI)。虽然媒体报道在言辞上可能很有说服力,但声称ART实践因利益冲突而扭曲的说法必须有实证依据支持。这项初步研究旨在与ART行业相关人员交流,梳理出他们对ART中利益冲突的担忧。我们采访了一个由八名专业人员组成的小型便利样本。在此,我们呈现所发现的主要主题,包括对澳大利亚ART各相关方“利益”更深入的理解。然后,我们提出一个如何建设性地探讨这个话题的策略。

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