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Reasons for requesting medical assistance in dying
Ellen Wiebe1, Jessica Shaw2, Stefanie Green3
1Clinical Professor in the Department of Family Practice at the University of British Columbia in Vancouver and a family physician who practises in women's health and assisted death. ellenwiebe@gmail.com.
Canadian Family Physician Medecin De Famille Canadien
|September 14, 2018
Summary
Patients seeking medical assistance in dying (MAID) most commonly cite disease symptoms and loss of autonomy. Reasons varied by diagnosis, with differing proportions compared to other jurisdictions.
Area of Science:
- Medical Ethics
- Palliative Care
- End-of-Life Studies
Background:
- Medical assistance in dying (MAID) is a complex end-of-life option.
- Understanding patient motivations is crucial for ethical practice and policy development.
Purpose of the Study:
- To review patient charts requesting medical assistance in dying (MAID).
- To examine the primary reasons cited by patients for requesting MAID.
- To analyze how reasons for MAID requests differ by patient diagnosis.
Main Methods:
- Retrospective chart survey of patients assessed for MAID in British Columbia during 2016.
- Data collected from 250 patient assessments.
- Analysis of patient diagnoses and stated reasons for MAID requests.
Main Results:
- Disease-related symptoms, loss of autonomy, and loss of enjoyment were key reasons for MAID requests.
- Patients with malignancies most often cited disease symptoms, while those with neurological diseases cited loss of autonomy.
- Reasons for MAID requests showed different proportions compared to other international studies.
Conclusions:
- Patient reasons for MAID requests align with international trends but with notable proportional differences.
- Physician-recorded data may influence the reported reasons for MAID.
- Further research into data collection methods and cross-jurisdictional comparisons is warranted.
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