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Published on: April 6, 2018
Truth-telling and doctor-assisted death as perceived by Israeli physicians
Baruch Velan1,2, Arnona Ziv3, Giora Kaplan3,4
1TheGertner Institute for Epidemiology and Health Policy Research, Sheba Medical Center, Ramat Gan, Israel. baruch_v@yahoo.com.
Israeli physicians hold diverse views on patient truth-telling and doctor-assisted death. While nearly 60% support assisted death, opinions on full prognosis disclosure are split, with younger doctors favoring patient autonomy.
Area of Science:
- Medical Ethics
- Physician Attitudes
- End-of-Life Care
Background:
- Medical practice is evolving, necessitating examination of complex ethical issues.
- This study investigates Israeli physicians' perspectives on two critical dilemmas: full truth disclosure for poor prognoses and physician-assisted death.
Purpose of the Study:
- To explore and analyze the attitudes of Israeli physicians towards patient autonomy and end-of-life care decisions.
- To understand the factors influencing physicians' ethical stances on truth-telling and assisted dying.
Main Methods:
- A nationwide online survey was administered to members of the Israeli Medical Association.
- Data from 2926 physician respondents were analyzed to determine attitudes towards medico-ethical dilemmas.
Main Results:
- Nearly 60% of physicians supported doctor-assisted death; one-third opposed it. Opinions on full truth disclosure were divided, with 50% supporting and 50% opposing.
- Support for truth-telling correlated with younger age. Doctor-assisted death support was higher among females and hospital-based physicians.
- A quarter supported both truth-telling and assisted death (respecting autonomy), while another quarter rejected truth-telling but supported assisted death (compassionate pragmatism).
Conclusions:
- Physician attitudes towards ethical dilemmas are influenced by personal attributes and professional experiences.
- This study provides insight into the complex medico-ethical landscape in Israel.
- Selected questions can effectively gauge the ethical climate of a medical community over time.
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