Crossing borders for fertility treatment: motivations, destinations and outcomes of UK fertility travellers
Crossing borders for fertility treatment: motivations, destinations and outcomes of UK fertility travellers
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DOI：
10.1093/humrep/der191
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发表时间：
2011-09-01
影响因子：
6.1
通讯作者：
Pacey, A. A.
中科院分区：
文献类型：
--
作者：
Culley, L.;Hudson, N.;Pacey, A. A.
背景：关于跨境生育护理发生率的系统研究很少，对在原籍国以外接受治疗的人进行定性研究的报告则更少。本文报告了对具有跨境护理经验的英国居民进行的定性研究的结果：英国旅行者的社会人口特征；他们出国寻求治疗的原因；他们寻求的治疗方法；方法：2009年5月至2010年6月期间，通过半结构化深度访谈，有目的地抽样51人，收集跨境生育治疗数据。采用系统主题编码方法对数据进行分析，并进行定量转化。结果：患者出国旅游的动机是复杂的。在大量病例中（71%），人们明显渴望利用供体配子进行及时且负担得起的治疗。然而，大多数人给出了几个原因，包括：英国的治疗费用；国外的成功率更高；在压力较小的环境中接受治疗以及对英国治疗的不满。人们前往 13 个不同的国家旅行，其中最受欢迎的是西班牙和捷克共和国。大多数人自己组织治疗和旅行。寻求治疗的女性平均年龄为 38.8 岁（范围为 29-46 岁），多胎妊娠率为 19%。 结论：英国居民寻求海外治疗的原因和方式各不相同，且不符合媒体的刻板印象。需要进一步研究来探索跨境治疗对捐赠者、后代和医疗保健系统的影响。
BACKGROUND: There are few systematic studies of the incidence of cross-border fertility care and even fewer reports of qualitative research with those undertaking treatment outside their country of origin. This paper reports findings from a qualitative study of UK residents with experience of cross-border care: the socio-demographic characteristics of UK travellers; their reasons for seeking treatment abroad; the treatments they sought; the destinations they chose and the outcomes of their treatment.METHODS: Data regarding cross-border fertility treatment were collected from a purposive sample of 51 people by means of in-depth, semi-structured interviews between May 2009 and June 2010. Data were analysed using a systematic thematic coding method and also subjected to quantitative translation.RESULTS: Patient motivations for travelling abroad are complex. A desire for timely and affordable treatment with donor gametes was evident in a high number of cases (71%). However, most people gave several reasons, including: the cost of UK treatment; higher success rates abroad; treatment in a less stressful environment and dissatisfaction with UK treatment. People travelled to 13 different countries, the most popular being Spain and the Czech Republic. Most organized their own treatment and travel. The mean age of women seeking treatment was 38.8 years (range 29-46 years) and the multiple pregnancy rate was 19%.CONCLUSIONS: UK residents have diverse reasons for, and approaches to, seeking overseas treatment and do not conform to media stereotypes. Further research is needed to explore implications of cross-border treatment for donors, offspring and healthcare systems.