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Facing death in clinical practice: a view from physicians in Mexico
Asunción Álvarez-Del-Río1, Ma Luisa Marván, Patricio Santillán-Doherty
1Departamento de Psiquiatría y Salud Mental, Facultad de Medicina, Universidad Nacional Autónoma de México (UNAM), México D.F., Mexico.
Physicians often learn to cope with death through experience rather than formal training. Lack of training and experience correlates with withholding information from dying patients.
Area of Science:
- Medical Practice
- Palliative Care
- Medical Education
Background:
- Physicians' decisions significantly impact patients' final moments.
- Understanding physicians' perspectives on death is crucial for improving end-of-life care.
Purpose of the Study:
- To explore physicians' views on death within their clinical practice.
- To identify factors influencing physicians' communication with terminally ill patients.
Main Methods:
- Survey of 413 physicians in Mexico City hospitals.
- Utilized the "Physicians' Views about Death Questionnaire."
Main Results:
- Most physicians treat terminally ill patients, but formal death-related training is low (28%).
- Personal experiences and exposure to terminally ill patients are primary learning methods for dealing with death.
- Physicians desire truth about their own impending death (90.6%), yet less experienced/trained physicians are more likely to withhold information from patients.
Conclusions:
- Death is a significant concern for physicians in Mexico.
- Inadequate training and experience are linked to withholding information from dying patients.
- Interventions to improve coping skills for end-of-life care professionals are recommended.
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