患者应该为免费提供的精子付费吗？一项关于生育诊所对有偿使用无偿捐献精子看法的试点研究结果。
Should patients pay for sperm given for free? Results from a pilot study on fertility clinics' views on the charging for altruistically donated sperm.
机构信息
The University of Texas Medical Branch John Sealy School of Medicine, 301 University Boulevard, Galveston, TX, 77550, USA.
University of Dundee Reproductive Medicine, Ninewells Hospital, Dundee, DD1 9SY, UK.
出版信息
J Assist Reprod Genet. 2023 May;40(5):1063-1070. doi: 10.1007/s10815-023-02776-1. Epub 2023 Mar 21.
PURPOSE
Many countries prohibit payment for gamete donation, which means fertility clinics do not have to compensate donors. However, acquiring and utilizing donor sperm can still be expensive for fertility clinics. This study evaluates international fertility workers' views on charging patients for altruistically donated sperm.
METHODS
Using social media and email, we disseminated a SurveyMonkey survey with a question that was specifically focused on opinions about charging patients for altruistically donated sperm. Clinicians were able to select multiple pre-populated answer choices as well as write answers that reflected their views as an open-ended response. Snowball sampling was utilized to reach international fertility clinicians.
RESULTS
Of 112 respondents from 14 countries, 88% believe it is acceptable to charge for altruistically donated sperm based on one or more of four different assenting categories: so patients appreciate that sperm is valuable, because it generates funds for the running of the clinic, to cover specific costs associated with sperm, and to make a profit for the clinic.
CONCLUSIONS
The consensus that charging for altruistically donated sperm is acceptable was not surprising since recruiting and processing donor sperm can be expensive for clinics. However, there were geographical differences for specific assenting answer choices which may be based on countries' income, and healthcare system, as well as religious and cultural beliefs.
目的
许多国家禁止支付配子捐赠费用，这意味着生育诊所不必向捐赠者支付补偿。然而，对于生育诊所来说，获取和使用捐赠精子仍然可能很昂贵。本研究评估了国际生育工作者对向患者收取无偿捐赠精子费用的看法。
方法
我们使用社交媒体和电子邮件，分发了一份 SurveyMonkey 调查，其中包含一个专门针对向患者收取无偿捐赠精子费用的意见的问题。临床医生可以选择多个预先填充的答案选项，并以开放式回答的形式写出反映他们观点的答案。采用滚雪球抽样法来接触国际生育临床医生。
结果
在来自 14 个国家的 112 名受访者中，88%的人认为根据以下四个同意类别中的一个或多个收取无偿捐赠精子的费用是可以接受的：让患者意识到精子是有价值的，因为它为诊所的运营提供资金，覆盖与精子相关的特定费用，并为诊所创造利润。
结论
收取无偿捐赠精子费用是可以接受的这种共识并不令人惊讶，因为招募和处理捐赠精子对诊所来说可能很昂贵。然而，对于特定的同意答案选择，存在地理差异，这可能基于国家的收入和医疗保健系统，以及宗教和文化信仰。
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