医助自殺に対する医学生の態度
R S Mangus1, A Dipiero, C E Hawkins
1The Oregon Health Sciences University, Portland, USA.
JAMA
|December 11, 1999
まとめ
医学生が医師による自殺支援 (PAS) を支持している. 多くの学生が参加する意向を示しているが,オレゴン州の学生は致命的な薬を処方する意向が低く,臨床実務における潜在的な躊躇を示している.
科学分野:
- 医療倫理 医療倫理について
- 終末期介護は終末期介護である.
- 医師による自殺補助は医師による自殺補助である.
背景:
- オレゴン州は1994年に医師による自殺支援 (PAS) を合法化し,この終末期ケアオプションを提供した最初の米国州となりました.
- PASに関する医学生の見解を理解することは,その進化する法的地位と倫理的考慮を考慮して極めて重要です.
研究 の 目的:
- オレゴン州の医学生の PAS に関する態度と経験を比較する.
- これらの見解と,オレゴン州以外の米国医科大学の4年生医学生の見解を比較する.
主な方法:
- オレゴン州保健科学大学 (Oregon Health Sciences University) のすべての学生に調査が行われました.
- オレゴン州以外の3つの米国医学部の4年生の医学生が,対照群として含まれていた.
- オレゴン州の生徒の回答率は58% (n=227) で,対照学校の回答率は33% (n=113) でした.
主要な成果:
- オレゴン州とオレゴン州以外の学生の間で,PASの合法化に対する全体的な支持はほぼ同じだった (64%対66%).
- 調査対象となった学生の大多数は,PASが合法であれば,致命的な処方箋を書く可能性のある意思を示した (合計55%).
- オレゴン州の4年生は,対照群 (60%) と比べて,致命的な処方箋を出す意欲 (44%) が著しく低いことを示した.
結論:
- この研究は,医学部学生の間でPASへの有意な支持と参加意欲を強調しています.
- 一部の学生は,トレーニング中にPASを目撃したと報告しました.
- オレゴン州4年生の処方意欲の低下は,PASを臨床実践に統合することを躊躇していることを示唆する可能性があります.
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