代孕问题的现况调查与伦理探析

Investigation and Ethical Analysis on Surrogacy

目的了解我国代孕的现况,分析我国代孕问题产生的原因,并为解决代孕问题提供建议与对策。方法发放问卷调查辅助生殖技术机构医务人员及就诊患者,结合文献研究、数据地图等社会学研究方法对代孕现象进行探讨与分析。结果辅助生殖技术机构的数量迅速增加,监管难度增大,在国内一线城市及东部、东南沿海省份的代孕网数量较多,且被调查者认同代孕现象在部分省市比较严重,代孕原因有患者客观需求、社会观念影响、政府监管薄弱、相关法规不完善等。结论解决代孕问题应建立健全辅助生殖技术法律法规,探索长效监管机制,并严格互联网管理,屏蔽代孕信息传播,加强辅助生殖技术人员医德修养与医学伦理教育,引导患者树立正确的伦理观念。

Objective： To investigate the current situation of surrogate in China, analyze the reasons, and thenprovide effective suggestions ana coumc- cal staff and patients in an institution with assisted reproductive technology （ART）, combining literature review and sociological research methods such as data maps, to explore and analyze the surrogacy. Results： The number of institutions with ART increased rapidly and its regulation became difficult. More surrogate network was observed in first -tier cities as well as the eastern and southeastern coastal provinces. That respondents agreeing with surrogacy was quite serious in some provinces. The reasons of surrogate were patients＂ needs, social concepts, weak govern- ment supervision, and so on. Conclusions： It should improve the laws of ART, explore long - term supervision mechanism, strengthen the management of internet, shield the information about surrogate, enhance medical ethics education for ART staff, and guide the infertility patients to establish the correct ethical concepts.