Hum. Reprod. Advance Access published online on June 21, 2007
Human Reproduction, doi:10.1093/humrep/dem158
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NEW DEBATE |
Coming soon to your clinic: patient-friendly ART
1 Bioethics Institute Ghent, Ghent University, Blandijnberg 2, 9000 Gent, Belgium 2 Genk Institute for Fertility Treatment, Department of Obstetrics and Gynaecology, Genk, Belgium
3 Correspondence address. Tel./Fax: 0032 16 620 767; E-mail: guido.pennings{at}ugent.be
The current practice in medically assisted reproduction is still too exclusively focused on effectiveness and success rates. This has a number of considerable, and more importantly, avoidable drawbacks. Single embryo transfer was an important move away from this model to include safety and welfare of mother and child. Patient-friendly ART goes one big step further. It is composed of a mix of four criteria: cost-effectiveness, equity of access, minimal risk for mother and child and minimal burden for patients. All four components have a strong normative ethical basis: cost-effectiveness relies on the optimal use of community resources to maximise well-being; equity of access is based on justice, minimal risk is founded on the fundamental non-maleficence rule and minimal burden is largely based on the autonomy principle. The inclusion of the four criteria in decision-making about treatment would express these values in clinical practice.
Key words: patient-friendly IVF/cost-effectiveness/ethics/risk/psychology
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