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The importance of being pregnant: On the healthcare need for uterus transplantation
Linköpings universitet, Institutionen för medicin och hälsa, Avdelningen för hälso- och sjukvårdsanalys. Linköpings universitet, Medicinska fakulteten.ORCID-id: 0000-0003-0987-7653
2018 (engelsk)Inngår i: Bioethics, ISSN 0269-9702, E-ISSN 1467-8519, Vol. 32, nr 8, s. 519-526Artikkel i tidsskrift (Fagfellevurdert) Published
Abstract [en]

Researchers have recently provided proof of concept for uterus transplantation, giving rise to a discussion about priority setting. This article analyses whether absolute uterine-factor infertility (AUFI), the main indication for uterus transplantation, gives rise to a healthcare need and the extent to which such a need places justified claims on public funding in a needs-based welfare system. It is argued that, regardless of the concept of health to which one subscribes, there is a healthcare need for uterus transplantation in women with AUFI. The provision of alternative ways of addressing this need, such as surrogacy and adoption, reduces its severity. Hence, where such alternatives are publicly funded, uterus transplantation is unlikely to become cost-effective. However, where surrogacy and adoption are not publicly funded, uterus transplantation should be given a similar priority level to other assisted reproductive technologies. In these circumstances, public funding for uterus transplants may well be justified, particularly in well-funded healthcare system with relatively generous cost-effectiveness thresholds.

sted, utgiver, år, opplag, sider
WILEY , 2018. Vol. 32, nr 8, s. 519-526
Emneord [en]
adoption; health-care need; priority-setting; surrogacy; uterus transplantation
HSV kategori
Identifikatorer
URN: urn:nbn:se:liu:diva-152391DOI: 10.1111/bioe.12525ISI: 000447264100006PubMedID: 30318621OAI: oai:DiVA.org:liu-152391DiVA, id: diva2:1259630
Tilgjengelig fra: 2018-10-30 Laget: 2018-10-30 Sist oppdatert: 2019-06-27

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