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选择性流产的人类胎儿组织移植:医生的态度

Transplantation of electively aborted human fetal tissue: physicians' attitudes.

作者信息

Mullen M A, Williams J I, Lowy F H

机构信息

Centre for Bioethics, University of Toronto, Ont.

出版信息

CMAJ. 1994 Aug 1;151(3):325-30.

PMID:8039086
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1336923/
Abstract

OBJECTIVE

To provide empirical data on the attitudes of Ontario family physicians and gynecologists toward the use of electively aborted fetal tissue for transplantation (FTT).

DESIGN

Cross-sectional survey.

SETTING

Ontario.

PARTICIPANTS

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%.

OUTCOME MEASURES

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.

RESULTS

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).

CONCLUSIONS

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.

摘要

目的

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。

设计

横断面调查。

地点

安大略省。

参与者

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%。

结果指标

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。

结果

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。

结论

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。

相似文献

1
Transplantation of electively aborted human fetal tissue: physicians' attitudes.选择性流产的人类胎儿组织移植:医生的态度
CMAJ. 1994 Aug 1;151(3):325-30.
2
Fetal tissue transplantation and abortion decisions: a survey of urban women.胎儿组织移植与堕胎决策:对城市女性的一项调查
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3
Current health policy initiatives and options. New-to-practice family physicians' attitudes.当前的卫生政策举措与选项。初入行业的家庭医生的态度。
Can Fam Physician. 1995 Dec;41:2104-11.
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Clinical practice guidelines. New-to-practice family physicians' attitudes.临床实践指南。初入行业的家庭医生的态度。
Can Fam Physician. 1996 Mar;42:463-8.
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The ethics of fetal-tissue donation: consensus and contradiction.胎儿组织捐赠的伦理:共识与矛盾
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引用本文的文献

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Attitudes towards human fetal tissue research: Survey of researchers and the public in Japan.对人类胎儿组织研究的态度:日本研究人员与公众调查
Regen Ther. 2023 Jun 13;24:78-84. doi: 10.1016/j.reth.2023.05.007. eCollection 2023 Dec.
2
Fetal tissue transplantation and abortion decisions: a survey of urban women.胎儿组织移植与堕胎决策:对城市女性的一项调查
CMAJ. 1995 Sep 1;153(5):545-52.

本文引用的文献

1
Transplantation of fetal tissue: an ethicist's viewpoint.
Clin Res. 1988 Apr;36(3):215-9.
2
Fetal liver transplantation in aplastic anemia and leukemia.
Thymus. 1987;10(1-2):89-94. doi: 10.1007/978-94-009-3365-1_9.
3
Experimental aspects of transplantation of haemopoietic cells of fetal liver.胎儿肝脏造血细胞移植的实验研究方面
Arch Immunol Ther Exp (Warsz). 1988;36(2):235-43.
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Fetal brain transplantation for Parkinson's disease: technique for obtaining donor tissue.用于帕金森病的胎儿脑移植:获取供体组织的技术
Lancet. 1989 Mar 11;1(8637):565. doi: 10.1016/s0140-6736(89)90114-1.
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Fetal tissue transplantation: can it be morally insulated from abortion?胎儿组织移植:它在道德上能与堕胎分隔开吗?
J Med Ethics. 1991 Jun;17(2):70-6. doi: 10.1136/jme.17.2.70.
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Diagnosis of ectopic pregnancy.异位妊娠的诊断。
Obstet Gynecol Clin North Am. 1991 Mar;18(1):19-37.
7
Transplantation of fetal cells.胎儿细胞移植。
Am J Obstet Gynecol. 1991 Jan;164(1 Pt 1):218-30. doi: 10.1016/0002-9378(91)90656-c.
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Aborting research.中止研究。
Sci Am. 1992 Aug;267(2):17-8. doi: 10.1038/scientificamerican0892-17.
9
Survival of implanted fetal dopamine cells and neurologic improvement 12 to 46 months after transplantation for Parkinson's disease.帕金森病移植术后12至46个月植入胎儿多巴胺能细胞的存活及神经功能改善情况
N Engl J Med. 1992 Nov 26;327(22):1549-55. doi: 10.1056/NEJM199211263272202.