Publications by authors named "S Attinger"

Article Synopsis
  • Comparing how different countries handled COVID-19 can help us get ready for future pandemics.
  • The study created a model that looks at health, behavior, and economy together to see how different strategies could work in different countries.
  • Results showed that New Zealand's strict rules might have helped with health but hurt the economy a lot, while Switzerland's relaxed rules could have led to a longer pandemic but with different costs.
View Article and Find Full Text PDF
Article Synopsis
  • In Australia and the UK, the rise of commercial and corporate models in assisted reproduction has created a marketplace that enhances patient choice, though this commercialization may compromise care quality.
  • Current regulations focus mainly on the relationships between doctors and patients, or clinics and consumers, neglecting conflicts of interest between clinic-corporations, shareholders, and their duties to patients.
  • The authors propose new regulatory frameworks that better define the responsibilities of both corporations and clinicians to patients and society, and suggest approaches suitable for both Australia's multi-jurisdictional system and the UK’s single jurisdiction.
View Article and Find Full Text PDF

In recent years, concerns about the financial burdens of health care and growing recognition of the relevance of cost to decision making and patient experience have increasingly focused attention on financial 'transparency' and disclosure of costs to patients. In some jurisdictions, there have been calls not only for timely disclosure of costs information, but also for 'informed financial consent'. However, simply putting the 'financial' into 'informed consent' and invoking an informed consent standard for cost information encounters several ethical, legal, and practical difficulties.

View Article and Find Full Text PDF

Research Question: What are the views and experiences of patient and expert stakeholders on the positive and negative impacts of commercial influences on the provision of assisted reproductive technology (ART) services, and what are their suggestions for governance reforms?

Design: Semi-structured interviews were conducted with 31 ART industry experts from across Australia and New Zealand and 25 patients undergoing ART from metropolitan and regional Australia, between September 2020 and September 2021. Data were analysed using thematic analysis.

Results: Expert and patient participants considered that commercial forces influence the provision of ART in a number of positive ways - increasing sustainability, ensuring consistency in standards and providing patients with greater choice.

View Article and Find Full Text PDF

Research Question: What factors do assisted reproductive terchnology (ART) providers take into account when they make decisions about offering 'add-ons'?

Design: A qualitative analysis of interviews with 31 ART professionals, focusing on their views and experiences in relation to add-ons, including the factors that are considered when doctors make decisions about their use.

Results: The participants reported that a range of considerations are taken into account when it comes to justifying the use of a particular add-on in a given circumstance, including the likelihood of benefit and harm, patients' perceived psychological needs and preferences, and organizational expectations. Importantly, patient preferences, psychological factors and low risk of harm appear to be stronger motivations than increasing the likelihood of a live birth or the desire to innovate.

View Article and Find Full Text PDF