摘要
New biotechnologies such as assisted conception are socially embedded artefacts that raise context-specific ethical, moral and social anxieties. In contexts where the regulations of these profitable developments are limited or ambiguous, and competition between private facilities is high, individual doctors become morally and socially responsible for determining the parameters of administering such therapies. Ethnographic research at two private fertility centres in Colombia reveals that doctors do not determine boundaries based on monetary gain but rather personal morals, social norms and professional obligations. Medical professionals hold diverse perceptions of assisted conception, and often struggle to make decisions regarding who should access such therapies, who are ideal gamete donors and the fate of extra embryos. The complexity of these perceptions applied in a context of limited regulation and the competition of private medicine impacts the praxis of assisted conception. As doctors determine the boundaries of their practice they not only create variation between clinical practices, but also make moral decisions regarding who should be parents, how families should be formed and the significance of embryos. Thus, in navigating their everyday practices, doctors also shape the social world.
| 原文 | 英語 |
|---|---|
| 頁（從 - 到） | 1323-1337 |
| 頁數 | 15 |
| 期刊 | Sociology of Health and Illness |
| 卷 | 41 |
| 發行號 | 7 |
| DOIs | |
| 出版狀態 | 已發佈 - 九月 1 2019 |
指紋
ASJC Scopus subject areas
- Health(social science)
- Health Policy
- Public Health, Environmental and Occupational Health
引用此文
Doctors as moral pioneers: Negotiated boundaries of assisted conception in Colombia : Negotiated boundaries of assisted conception in Colombia. / Shaw, Malissa Kay.
於: Sociology of Health and Illness, 卷 41, 編號 7, 01.09.2019, p. 1323-1337.研究成果: 雜誌貢獻 › 文章
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TY - JOUR
T1 - Doctors as moral pioneers: Negotiated boundaries of assisted conception in Colombia
T2 - Negotiated boundaries of assisted conception in Colombia
AU - Shaw, Malissa Kay
PY - 2019/9/1
Y1 - 2019/9/1
N2 - New biotechnologies such as assisted conception are socially embedded artefacts that raise context-specific ethical, moral and social anxieties. In contexts where the regulations of these profitable developments are limited or ambiguous, and competition between private facilities is high, individual doctors become morally and socially responsible for determining the parameters of administering such therapies. Ethnographic research at two private fertility centres in Colombia reveals that doctors do not determine boundaries based on monetary gain but rather personal morals, social norms and professional obligations. Medical professionals hold diverse perceptions of assisted conception, and often struggle to make decisions regarding who should access such therapies, who are ideal gamete donors and the fate of extra embryos. The complexity of these perceptions applied in a context of limited regulation and the competition of private medicine impacts the praxis of assisted conception. As doctors determine the boundaries of their practice they not only create variation between clinical practices, but also make moral decisions regarding who should be parents, how families should be formed and the significance of embryos. Thus, in navigating their everyday practices, doctors also shape the social world.
AB - New biotechnologies such as assisted conception are socially embedded artefacts that raise context-specific ethical, moral and social anxieties. In contexts where the regulations of these profitable developments are limited or ambiguous, and competition between private facilities is high, individual doctors become morally and socially responsible for determining the parameters of administering such therapies. Ethnographic research at two private fertility centres in Colombia reveals that doctors do not determine boundaries based on monetary gain but rather personal morals, social norms and professional obligations. Medical professionals hold diverse perceptions of assisted conception, and often struggle to make decisions regarding who should access such therapies, who are ideal gamete donors and the fate of extra embryos. The complexity of these perceptions applied in a context of limited regulation and the competition of private medicine impacts the praxis of assisted conception. As doctors determine the boundaries of their practice they not only create variation between clinical practices, but also make moral decisions regarding who should be parents, how families should be formed and the significance of embryos. Thus, in navigating their everyday practices, doctors also shape the social world.
KW - assisted reproductive technologies
KW - bioethics
KW - biotechnologies
KW - Colombia
KW - improvised ethics
KW - moral pioneers
KW - private health care
UR - http://www.scopus.com/inward/record.url?scp=85069900834&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85069900834&partnerID=8YFLogxK
U2 - 10.1111/1467-9566.12979
DO - 10.1111/1467-9566.12979
M3 - Article
AN - SCOPUS:85069900834
VL - 41
SP - 1323
EP - 1337
JO - Sociology of Health and Illness
JF - Sociology of Health and Illness
SN - 0141-9889
IS - 7
ER -