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What influences intentions to request physician-assisted euthanasia or continuous deep sedation?
Anne-Lore Scherrens1,2, Marc Roelands3, Lieve Van den Block1
1a Department of Family Medicine and Chronic Care, End-of-Life Care Research Group , Vrije Universiteit Brussel (VUB) and Ghent University , Brussels , Belgium.
Belgian adults with poor health or depression are more likely to consider euthanasia or deep sedation for terminal illness. This highlights the need for careful evaluation of requests from these patient groups.
Area of Science:
- Medical Ethics
- Public Health
- Sociology
Background:
- Euthanasia prevalence is rising in Belgium, potentially due to evolving societal attitudes.
- Understanding public intention regarding end-of-life options is crucial for healthcare policy.
Purpose of the Study:
- To investigate the intention of Belgian adults to request physician-assisted euthanasia or continuous deep sedation.
- To examine the link between these intentions and sociodemographic/health characteristics.
Main Methods:
- Analysis of National Health Survey data from 9,651 Belgian adults.
- Examination of hypothetical scenarios involving terminal illness.
Main Results:
- 38.3% of respondents would consider requesting euthanasia.
- 25.8% would consider requesting continuous deep sedation.
- Poor subjective health and depression significantly increased the likelihood of considering euthanasia.
Conclusions:
- Subjective health status and mental health are key factors influencing end-of-life care decisions.
- Healthcare providers must pay close attention to these factors when evaluating euthanasia requests.
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