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Providing medical assistance in dying: Practice perspectives
Jessica Shaw1, Ellen Wiebe2, Amelia Nuhn3
1Assistant Professor in the Faculty of Social Work at the University of Calgary in Alberta. jcashaw@ucalgary.ca.
Canadian Family Physician Medecin De Famille Canadien
|September 14, 2018
Summary
Physicians find medical assistance in dying (MAID) rewarding but challenging. Current Canadian MAID legislation needs updates to better meet patient needs and align with the Carter decision's intent.
Area of Science:
- Medical Ethics
- Palliative Care
- Sociology of Health
Background:
- Medical Assistance in Dying (MAID) became legal in Canada in 2016.
- The study focuses on the experiences of the first cohort of physicians providing MAID in British Columbia.
Purpose of the Study:
- To explore the experiences of physicians offering MAID.
- To identify challenges and rewards associated with providing MAID.
- To gather physician perspectives on current MAID legislation.
Main Methods:
- Qualitative study utilizing semistructured, one-on-one interviews.
- Interviews were conducted with eight physicians in British Columbia.
- Data were analyzed through qualitative thematic analysis.
Main Results:
- Physicians found MAID to be rewarding and satisfying work.
- Challenges included institutional barriers, patient ineligibility, colleague disagreements, managing grief, and being on call.
- Most physicians desired legislative changes to broaden eligibility and align with the Carter decision.
Conclusions:
- Providing MAID is a rewarding yet complex undertaking for physicians.
- Current MAID legislation requires updates to improve patient care and access.
- Legislative reform should consider expanding eligibility criteria and advance directives.
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