迈向加拿大以患者为中心的配子捐赠监管

Towards a Patient-Centred Regulation of Gamete Donation in Canada.

作者信息

Henein Mary, Ells Carolyn

机构信息

Biomedical Ethics Unit, McGill University, Montréal, QC; Department of Family Medicine, McGill University, Montréal, QC.

Biomedical Ethics Unit, McGill University, Montréal, QC; Department of Family Medicine, McGill University, Montréal, QC; Department of Medicine, McGill University, Montréal, QC.

出版信息

J Obstet Gynaecol Can. 2019 Sep;41(9):1338-1340. doi: 10.1016/j.jogc.2019.05.012. Epub 2019 Jul 22.

DOI:10.1016/j.jogc.2019.05.012

PMID:31345737

Abstract

Commercial gamete donation in Canada is prohibited by the Assisted Human Reproduction Act. However, the Act permits gamete recipients to reimburse donors for donation-related expenses. Until recently, the types of expenses that were eligible and the process for reimbursing donors were not specified. In 2016, Health Canada announced its intent to develop regulations that would regulate gamete donor reimbursement; it released the proposed policy in 2017. As a result of consultations with Canadian lawmakers, physicians, and patients, debates surrounding commercial gamete donation are being revisited. Considering the ethical implications of gamete donation payment arrangements, a patient-centred care framework is useful going forward in the regulation of this practice. Patient-centred values of communication, respecting relational autonomy, and respecting patient interests should guide decisions regarding regulation of gamete donation arrangements in Canada.

摘要

加拿大的《人类辅助生殖法案》禁止商业性配子捐赠。然而，该法案允许配子接受者补偿捐赠者与捐赠相关的费用。直到最近，符合条件的费用类型以及补偿捐赠者的流程都没有明确规定。2016年，加拿大卫生部宣布打算制定规范配子捐赠者补偿的法规；并于2017年发布了拟议政策。经过与加拿大立法者、医生和患者的磋商，围绕商业性配子捐赠的辩论正在重新展开。考虑到配子捐赠支付安排的伦理影响，以患者为中心的护理框架对于今后规范这种做法很有帮助。沟通、尊重关系自主性和尊重患者利益这些以患者为中心的价值观，应该指导加拿大关于配子捐赠安排监管的决策。