Mullen M A, Williams J I, Lowy F H
Centre for Bioethics, University of Toronto, Ont.
CMAJ. 1994 Aug 1;151(3):325-30.
To provide empirical data on the attitudes of Ontario family physicians and gynecologists toward the use of electively aborted fetal tissue for transplantation (FTT).
Cross-sectional survey.
Ontario.
Random samples of 300 physicians from the membership list of the College of Family Physicians of Canada and 300 from the membership list of the Society of Obstetricians and Gynaecologists of Canada; 248 family physicians and 186 gynecologists responded, for an overall response rate of 72%.
Physicians' attitudes toward incentives to collect fetal tissue at abortion, patient-management issues, consent issues and potential conflicts in the supply and demand of fetal tissue.
Of those surveyed 75% agreed that there should be no incentives to collect fetal tissue at abortion, 90% believed that decisions to abort must be separate from decisions to donate fetal tissue, 94% agreed that an option to donate fetal tissue should be discussed only after a firm decision to abort has been made, and 88% stated that the demand for fetal tissue should not hinder the availability of new abortion technology such as the abortifacient pill (RU 486).
Results suggest that there is general approval for FTT. Apparent variations between responses to global statements and to practice-oriented statements suggest strategies for effective Canadian public policy regarding FTT.
提供有关安大略省家庭医生和妇科医生对将选择性流产胎儿组织用于移植(FTT)的态度的实证数据。
横断面调查。
安大略省。
从加拿大家庭医生学院成员名单中随机抽取300名医生,从加拿大妇产科学会成员名单中随机抽取300名医生;248名家庭医生和186名妇科医生做出了回应,总体回应率为72%。
医生对流产时收集胎儿组织的激励措施、患者管理问题、同意问题以及胎儿组织供需潜在冲突的态度。
在接受调查的人中,75%的人同意流产时收集胎儿组织不应有激励措施,90%的人认为流产决定必须与捐赠胎儿组织的决定分开,94%的人同意只有在做出坚定的流产决定后才应讨论捐赠胎儿组织的选择,88%的人表示对胎儿组织的需求不应妨碍新的流产技术(如堕胎药RU 486)的可得性。
结果表明对FTT普遍持认可态度。对总体陈述和面向实践陈述的回应之间明显的差异表明了加拿大关于FTT的有效公共政策的策略。