Morsani College of Medicine, University of South Florida, Tampa, USA.
Morsani College of Medicine, University of South Florida, Tampa, USA.
Patient Educ Couns. 2022 Jul;105(7):1943-1952. doi: 10.1016/j.pec.2022.03.016. Epub 2022 Mar 18.
This review analyzes the experiences of patients and clinicians with regards to international cross-border reproductive care (CBRC) for the purpose of conception.
Electronic databases PubMed, Embase, Web of Science, and Scopus were searched using 'medical tourism' AND 'assisted reproductive technology' from 1978 to 2020.
Predominant patient motivators for CBRC were cost and legality of assisted reproduction technology (ART) in one's home country, followed by cultural factors like shared language, religion, and cultural familiarity. Clinicians suggested global laws for CBRC would reduce the potential for exploitation of vulnerable populations but believed the enactment of international regulations unlikely and, even if enacted, difficult to enforce.
While patient and clinician experiences with CBRC varied, patients frequently cited financial and legal reasons for pursuing CBRC, while many providers had concern for the patient's safety.
This review recommends clinicians involved in family planning counsel patients seeking treatment abroad by: (i) informing patients of the risks and benefits of treatment abroad, (ii) establishing guidelines and standards for clinicians on resuming patient care post-CBRC, and (iii) creating a directory of reputable CBRC clinicians and experts.
本综述分析了患者和临床医生在跨境生殖保健（CBRC）方面的经验，旨在进行受孕。
使用“医疗旅游”和“辅助生殖技术”从 1978 年到 2020 年在电子数据库 PubMed、Embase、Web of Science 和 Scopus 中进行搜索。
CBRC 的主要患者动机是在本国的辅助生殖技术（ART）的成本和合法性，其次是语言、宗教和文化熟悉等文化因素。临床医生建议制定全球 CBRC 法例，以减少剥削弱势人群的潜在风险，但认为不太可能颁布国际法规，即使颁布，也难以执行。
尽管患者和临床医生对 CBRC 的体验有所不同，但患者经常因追求 CBRC 而提出经济和法律方面的原因，而许多提供者则担心患者的安全。
本综述建议从事计划生育的临床医生通过以下方式为寻求出国治疗的患者提供咨询：（i）告知患者出国治疗的风险和益处，（ii）为 CBRC 后恢复患者护理的临床医生制定指南和标准，以及（iii）创建信誉良好的 CBRC 临床医生和专家名录。
