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The importance of being pregnant: On the healthcare need for uterus transplantation
Linköping University, Department of Medical and Health Sciences, Division of Health Care Analysis. Linköping University, Faculty of Medicine and Health Sciences.ORCID iD: 0000-0003-0987-7653
2018 (English)In: Bioethics, ISSN 0269-9702, E-ISSN 1467-8519, Vol. 32, no 8, p. 519-526Article in journal (Refereed) 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.

Place, publisher, year, edition, pages
WILEY , 2018. Vol. 32, no 8, p. 519-526
Keywords [en]
adoption; health-care need; priority-setting; surrogacy; uterus transplantation
National Category
Social Sciences Interdisciplinary
Identifiers
URN: urn:nbn:se:liu:diva-152391DOI: 10.1111/bioe.12525ISI: 000447264100006PubMedID: 30318621OAI: oai:DiVA.org:liu-152391DiVA, id: diva2:1259630
Available from: 2018-10-30 Created: 2018-10-30 Last updated: 2019-06-27

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The full text will be freely available from 2020-10-15 11:32
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CiteExportLink to record
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Citation style
  • apa
  • harvard1
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  • modern-language-association-8th-edition
  • vancouver
  • oxford
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
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  • asciidoc
  • rtf