RU486合法化過程意識型態論述分析

目標：RU486在台灣合法化過程，利益團體（婦產科醫學會、藥師公會與藥商）或女權團體扮演不同的角色，本文主要探討在RU486合法化過程中，相關利益或公益團體在意識型態方面的論證觀點。方法：採用質性研究參與RU486合法化過程之關鍵知情人士之訪談，歸納整理相關的訪談研究資料。結果：在RU486合法化過程中，利益相關團體與政府部門在意識形態衝突中包含了專業權威與自主性衝突、身體自主權衝突、對墮胎的認知衝突。墮胎概念上各利益團體與政府都欠缺對討論生命倫理的嚴謹態度；除婦女團體反駁墮胎污名化的現象外，相關團體都有污名化墮胎母體的現象；婦女團體主張國家應尊重其身體自主權，然官方卻仍主張應保留配偶的決定權；而婦女主張身體自主權之概念，也與醫師團體要求專業監控女性服用RU486墮胎有概念衝突。此外，RU486桃戰醫師傳統墮胎技術，使其專業權威受到威脅；而藥師捍衛專業調劑權，形成醫藥專業者間專業自主性之衝突；官方在RU486管理上也因其藥政專業認知與法律解釋而和醫師團體有所不同。結論：任何公共政策的合法化過程，均應建立制度化的利益團體參與和協商管道，擴大與利益相關者、利益團體與政府之對話空間，尊重不同團體彼此之專業自主，重新檢討優生保健法，徹底解決RU486可能誤用問題，並增加墮胎社會學與RU486使用的進階研究。

關鍵字

利益團體； RU486 ；合法化；意識型態

並列摘要

Objectives: The interest groups played different roles in the regulatory approval process of the abortion drug RU486 in Taiwan. This article explores the ideological narratives of the interest groups during the RU486 legitimating process. Methods: Qualitative research method was adopted by in-depth interviewing key informants involved in the legitimating process and combined to synthesize this data. Results: The ideological conflicts of RU486 legitimating process among government regulatory agencies and interest groups include ideological conflicts on abortion, conflicts between professional authority and autonomy, and conflicts in body autonomy. On the concept of abortion, all interest groups lack strict attitudes toward the right and ethics to life, and, except for women's rights group, have generally a stigma about on abortion. The women's rights group advocates the state should respect women's body autonomy, which is contrary to the official position of reserving such right to husbands. The body autonomy advocated by the women's rights group is contrary to professional dominance of RU486 use by medical doctors. In addition, RU486 poses a threat to the traditional surgical procedure of abortion, and henceforth threatens the authority of the medical profession. The dispensing of RU486 incurred another professional conflict between the pharmacy profession and medical profession. The health authorities also have different perception and legal interpretation on RU486 administration from the medical profession. Conclusions: Transparent and systemic participation and negotiation channels should be established for any public policy such as RU486 legitimating process; government agencies should expand opportunities for dialogue with interest groups; competing interest groups should mutually respect professional autonomy. Finally, it is recommended that the Genetic Health Law governing abortion should be extensively amended in order to solve the problem of illegal use of RU486; research on the sociology on abortion and RU486 use are also suggested.

並列關鍵字

interest groups ； RU486 ； regulatory approval ； ideological narratives

參考文獻

張菊惠、胡幼慧、張珏(1998)。子宮切除術前醫生告知內容之研究。婦女與兩性學刊。9，115-44。

張珏(1992)。墮胎合法化對台灣婦女影響的省思。婦女與兩性學刊。3，1-23。

Anonymous(1990).The efficacy and tolerance of mifepristone and prostaglandin in first trimester termination of pregnancy-UK Multicentre Trial.Br J Obstet Gynaecol.97,480-6.