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1990年,1995年,2001年のオランダにおける安楽死およびその他の終末期の決定
Bregje D Onwuteaka-Philipsen1, Agnes van der Heide, Dirk Koper
1Department of Social Medicine and Institute for Research in Extramural Medicine, Vrije Universitat University Medical Center, van der Boechorststraat 7, 1081 BT, Amsterdam, Netherlands. b.philipsen.emgo@med.vu.nl <b.philipsen.emgo@med.vu.nl>
Lancet (London, England)
|August 9, 2003
まとめ
オランダでは医師の介護による死亡率が安定しています. 医療従事者の助死に対する需要と医療従事者の不意向は,1995年から2001年の間に変わらなかった.
科学分野:
- 医療倫理 医療倫理について
- 公衆衛生政策 公共衛生政策
- 医学社会学 医学社会学
背景:
- 安楽死や医師による自殺などの終末期の決定は,医療における継続的な議論の対象となっています.
- オランダでは,医師による死亡支援の許容性とタイミングに関する継続的な議論が続いている.
- この議論は,国内で生命の終わりの慣行の安定化につながっているようです.
研究 の 目的:
- 1995年から2001年の間にオランダにおける終末期慣行の変化を調査する.
- 患者と医師の間で医師による助死に対する需要が変化したかどうかを評価する.
- 助死医療に対する態度の変化を評価する.
主な方法:
- 以前に1990年と1995年に実施されたインタビュー研究の複製.
- 特定期間の死亡証明書のデータを分析する.
- 比較研究の設計は,時間の経過による変化を追跡するためです.
主要な成果:
- 1995年から2001年までの間,医師による助死に対する需要は増加しなかった.
- 患者と医師の医師助行死亡に対する態度は,医師助行死亡に対する不意向が増加する傾向を示した.
- オランダでは,使用寿命の終わりの慣行が徐々に安定していることが示されました.
結論:
- 医者の介助による死亡に関する議論は,この慣行に対する需要の増加につながっていない.
- 医師の態度が,終末期医療の安定化に影響を及ぼしている可能性があります.
- オランダの終末期介護は,医師による死亡支援に関して安定した状態に達しているようです.
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