爱尔兰辅助生殖技术监管与其他发达国家的比较。
A comparison of assisted human reproduction (AHR) regulation in Ireland with other developed countries.
机构信息
College of Science and Engineering, National University of Ireland, Galway, Ireland.
College of Science, Institute of Technology, Sligo, Ireland.
出版信息
Reprod Health. 2022 Mar 5;19(1):62. doi: 10.1186/s12978-022-01359-0.
BACKGROUND
Assisted human reproduction (AHR) treatment is not regulated in Ireland although it has been practiced since 1987. Thus, Ireland is one of the only European countries without any form of AHR specific regulation. This literature review research aimed to provide a comprehensive and comparative overview of AHR regulation and any associated literature to compare Ireland and other developed countries.
METHODS
Systematic searches were conducted in several databases (Google Scholar, Web of Science, MEDLINE, SCOPUS and official government websites) utilising search strings in relation to AHR legislation for each country under review. A final review of 155 research articles were eligible after screening related to legislation in each country for inclusion. The findings were synthesised and summarised by legislation in each country.
RESULTS
Different countries offer different levels of ART and IVF provision and services in terms of the type of services allowed, financial support, age, sex and eligibility of recipients. The UK's oversight legislation combined with the Netherlands financial legislation section provides as being most effective hybrid model of best practice for adoption in Ireland.
CONCLUSIONS
This research concluded that there is no AHR legislation in any country that can be described as all-encompassing in terms of the services allowed, financial support and age of recipients. It was concluded that significant changes need to be made to the Irish draft legislation which is in limbo with the government for the last 3 years in order to meet Irish patient needs.
背景
尽管爱尔兰自 1987 年以来就已经开展辅助生殖技术（AHR）治疗，但该治疗目前并未受到监管。因此，爱尔兰是欧洲少数几个没有任何形式的 AHR 具体监管规定的国家之一。本文献综述旨在提供 AHR 监管的全面和比较概述，以及任何相关文献，以比较爱尔兰和其他发达国家的情况。
方法
系统地在几个数据库（Google Scholar、Web of Science、MEDLINE、SCOPUS 和官方政府网站）中进行了搜索，使用了与每个审查国家的 AHR 立法相关的搜索词。在对每个国家的立法进行相关筛选后，最终有 155 篇研究文章符合纳入标准。研究结果按每个国家的立法进行了综合和总结。
结果
不同国家在允许的服务类型、财务支持、年龄、性别和接受者的资格方面，提供了不同程度的 ART 和 IVF 服务。英国的监管立法与荷兰的财务立法相结合，被认为是最适合爱尔兰采用的最佳实践混合模式。
结论
本研究得出结论，没有任何一个国家的 AHR 立法在允许的服务、财务支持和接受者年龄方面可以被描述为全面涵盖。研究还得出结论，爱尔兰的立法草案需要进行重大修改，该草案已被政府搁置 3 年，以满足爱尔兰患者的需求。
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