Title |
Is Lower Quality Clinical Care Ethically Justifiable for Patients Residing in Areas with Infrastructure Deficits?
|
---|---|
Published in |
The AMA Journal of Ethic, March 2018
|
DOI | 10.1001/journalofethics.2018.20.3.ecas1-1803 |
Pubmed ID | |
Authors |
Marcia C Inhorn, Pasquale Patrizio |
Abstract |
Reproductive health services, including infertility care, are important in countries with infrastructure deficits, such as Lebanon, which now hosts more than one million Syrian refugees. Islamic prohibitions on child adoption and third-party reproductive assistance (donor eggs, sperm, embryos, and surrogacy) mean that most Muslim couples must turn to in vitro fertilization (IVF) and intracytoplasmic sperm injection (ICSI) to overcome their childlessness. Attempts to bring low-cost IVF-ICSI to underserved populations might help infertile couples where no other services are available. However, a low-cost IVF-ICSI protocol for male infertility remains technically challenging and thus may result in two standards of clinical care. Nonetheless, low-cost IVF-ICSI represents a form of reproductive justice in settings with infrastructure deficits and is clearly better than no treatment at all. |
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Geographical breakdown
Country | Count | As % |
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Spain | 1 | 20% |
United Kingdom | 1 | 20% |
United States | 1 | 20% |
Unknown | 2 | 40% |
Demographic breakdown
Type | Count | As % |
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Members of the public | 4 | 80% |
Practitioners (doctors, other healthcare professionals) | 1 | 20% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
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Unknown | 66 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
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Student > Master | 10 | 15% |
Student > Bachelor | 8 | 12% |
Researcher | 5 | 8% |
Student > Doctoral Student | 4 | 6% |
Lecturer | 3 | 5% |
Other | 14 | 21% |
Unknown | 22 | 33% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 18 | 27% |
Nursing and Health Professions | 10 | 15% |
Social Sciences | 4 | 6% |
Unspecified | 2 | 3% |
Biochemistry, Genetics and Molecular Biology | 1 | 2% |
Other | 6 | 9% |
Unknown | 25 | 38% |