相关实验视频
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Measurement of Lifespan in Drosophila melanogaster
Published on: January 7, 2013
六个欧洲国家的生命终结决策:描述性研究
Agnes van der Heide1, Luc Deliens, Karin Faisst
1Erasmus MC, University Medical Center Rotterdam, Department of Public Health, Rotterdam, Netherlands. a.vanderheide@erasmusmc.nl <a.vanderheide@erasmusmc.nl>
Lancet (London, England)
|August 9, 2003
概括
在六个欧洲国家,终身决定是常见的,患者参与和加速死亡的做法有很大的差异. 这些医疗决策经常与患者和亲属讨论,特别是在决策更为普遍的地方.
科学领域:
- 医学伦理 医学伦理
- 公共卫生 公共卫生
- 老年学是指老年学的学科.
背景情况:
- 关于生命终端决策实践的经验数据有限.
- 这项研究调查了六个欧洲国家的这些做法的频率和特征.
研究的目的:
- 量化生命终端决策的流行程度.
- 探索不同国家决策特征的变化.
- 评估患者和家庭参与这些关键的医疗选择.
主要方法:
- 对比利时,丹麦,意大利,荷兰,瑞典和瑞士的报道医生进行了邮寄问卷调查.
- 收集了2001年6月至2002年2月期间发生的死亡数据.
- 使用权重百分比来确保所有死亡的结果具有代表性.
主要成果:
- 响应率因国家而异,荷兰为75%,意大利为44%.
- 在任何生命终结决定之前死亡的比例从意大利的23%到瑞士的51%不等.
- 用于加快死亡的药物的使用率很低 (<1%至3.40%),在与患者和亲属讨论决策时,全国有显著的差异.
结论:
- 在被研究的欧洲国家,医疗终身决策是经常发生的.
- 患者和相对参与决策与这些决策的频率相关,特别是在患病率较高的国家.
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