死亡医疗援助,息护理,安全和结构脆弱性
James Downar1,2, Susan MacDonald3, Sandy Buchman4,5
1Division of Palliative Care, Department of Medicine, University of Ottawa, Ottawa, Ontario, Canada.
Journal of palliative medicine
|July 5, 2023
概括
合法化死亡医疗援助 (AD) 应该专注于解决社会经济脆弱性,而不是限制获取. 对AD的保障措施与息治疗 (PC) 相似,质疑对AD的禁令.
科学领域:
- 医学伦理 医学伦理
- 公共卫生政策 公共卫生政策
- 社会学 社会学 社会学
背景情况:
- 围绕死亡医疗援助 (AD) 的辩论通常集中在社会经济因素和不足的支持服务上.
- 媒体叙述有时会强调个别案例,这些案例似乎支持了人们对AD司机的担忧.
- 人口研究往往驳斥了社会经济贫困和AD率之间的联系.
研究的目的:
- 根据加拿大的经验,分析有关死亡医疗援助 (AD) 的担忧.
- 争辩解决脆弱性根源的原因,而不是限制AD访问.
- 为了比较AD和息治疗 (PC) 的安全问题和监督机制.
主要方法:
- 编辑对加拿大最近与AD的经验进行了分析.
- 媒体报道关于AD和息护理 (PC) 滥用的比较审查.
- 对终身护理法规的伦理和政策分析.
主要成果:
- 即使接受事证据,政策也应该针对结构性脆弱性,而不是限制AD.
- 关于AD的滥用担忧与非法律司法管辖区的息护理 (PC) 相似.
- 对阿尔茨海默病的监督怀疑需要在非法律环境中对终身护理产生同等的怀疑.
结论:
- 限制对AD的访问并不是对其司机的担忧的逻辑政策回应.
- 禁止AD并不能证明保护弱势群体比监管访问更好.
- 在AD和PC滥用报告之间的相似性表明,需要对所有终身护理选择进行一致的伦理和监管审查.
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