EPIUnit - Instituto de Saúde Pública, Universidade do Porto, Rua das Taipas, no. 135, 4050-600, Porto, Portugal.
Departamento de Ciências da Saúde Pública e Forenses e Educação Médica, Faculdade de Medicina, Universidade do Porto, Alameda Prof. Hernâni Monteiro, 4200-319, Porto, Portugal.
J Assist Reprod Genet. 2020 Jan;37(1):133-140. doi: 10.1007/s10815-019-01625-4. Epub 2019 Nov 17.
Regulation of payment to gamete donors varies substantially across countries. The development of an ethically sustainable governance system of payments in gamete donation demands that the preferences of different stakeholders be heard. This study intends to contribute to improving the understanding of payment to gamete donors by analysing the views of donors and recipients about the preferred form of payment and its associations with their sociodemographic characteristics.
This cross-sectional study included 70 donors and 172 recipients recruited at the Portuguese Public Bank of Gametes (July 2017-June 2018). Participants completed a self-reported questionnaire. Views about the preferred form of payment were collected through a multiple-choice question and an open-ended item. Associations were quantified through χ2 tests; content analysis was conducted with the open-ended answers.
Both donors (48.6%) and recipients (40.7%) considered that reimbursement is the preferred form of payment to ensure solidarity-based motivations to donate. This option was followed by compensation for non-financial losses (41.4% of donors; 33.7% of recipients) based on gender equity. Preference for a fixed reward (22.7% of recipients; 8.6% of donors) was less frequent among younger donors and married/living with a partner or employed recipients, being based on the promotion of equality.
In the context of the search for cross-border reproductive care and gamete circulation across countries, the findings from this study claim for the need to create solutions for payment to gamete donors that take into account gender equity and are simultaneously sensitive to donor's actual expenses and further health complications.
各国对配子捐赠者支付的规定有很大差异。制定符合伦理的配子捐赠支付管理制度需要考虑到不同利益相关者的偏好。本研究旨在通过分析供体和受者对支付方式的偏好及其与社会人口特征的关系，来增进对配子捐赠支付的理解。
本横断面研究于 2017 年 7 月至 2018 年 6 月在葡萄牙公共配子银行招募了 70 名供体和 172 名受者。参与者完成了一份自我报告问卷。通过多项选择问题和开放式项目收集了对首选支付方式的看法。通过 χ2 检验量化关联；对开放式回答进行内容分析。
供体（48.6%）和受者（40.7%）都认为报销是确保基于团结的捐赠动机的首选支付方式。其次是补偿非财务损失（41.4%的供体；33.7%的受者），这是基于性别平等。对于固定报酬的偏好（22.7%的受者；8.6%的供体）在较年轻的供体和已婚/与伴侣生活或有工作的受者中不太常见，这是基于平等的促进。
在寻求跨境生殖护理和配子在国家间流通的背景下，本研究的结果呼吁需要为配子捐赠者的支付创造解决方案，既要考虑性别平等，又要同时考虑到捐赠者的实际费用和进一步的健康并发症。
