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Area of Science:

  • Medical Ethics
  • Public Health Policy
  • End-of-Life Care

Background:

  • Oregon has provided legal assisted dying for 25 years.
  • Annual reports track patient demographics and process details.
  • This study examines changes in assisted dying data over time.

Purpose of the Study:

  • To analyze temporal trends in assisted dying in Oregon.
  • To identify shifts in patient characteristics and reasons for choosing assisted dying.
  • To assess changes in the process of assisted dying.

Main Methods:

  • Analysis of 2454 assisted deaths from Oregon Health Authority reports (1998-2022).
  • Descriptive statistics used to identify time trends.
  • Review of sociodemographic data, patient-reported reasons, and process elements.

Main Results:

  • Assisted deaths increased from 16 (1998) to 278 (2022).
  • Patient funding shifted from private to government support.
  • Increased reporting of feeling a burden and financial concerns as reasons.
  • Physician-patient relationship duration decreased; psychiatric referrals remained low.
  • Data gaps exist, especially regarding complications.

Conclusions:

  • Significant changes observed in the number and characteristics of individuals utilizing assisted dying.
  • The process and contributing factors have evolved since 1998.
  • Further research is needed on socioeconomic factors influencing the desire for assisted dying.