对提供死亡援助的临床医生的调查
Michael Pottash1,2, Kayla Saikaly1, Maximilian Stevenson2
1Georgetown University School of Medicine, Washington, DC, USA.
The American journal of hospice & palliative care
|September 30, 2023
概括
提供死亡医疗援助的临床医生通常在专业实践中工作,并在处方后报告道德冲突减少. 这项研究调查了临床医生,以了解他们对终身护理选择的经验.
科学领域:
- 医学伦理 医学伦理
- 抚慰性护理是一种缓解性护理.
- 生命终端研究研究.
背景情况:
- 对于在美国提供医疗死亡援助 (MAID) 的医疗保健提供者的人口统计和道德经验的了解有限.
- 调查参与MAID的临床医生的特征对于了解终身护理的景观至关重要.
研究的目的:
- 确定提供死亡医疗援助的临床医生的人口特征.
- 探索参与MAID的临床医生的道德经验和实践环境.
- 评估临床医生对MAID法律的看法及其对道德冲突的影响.
主要方法:
- 一个电子邮件调查在2023年5月分发给在美国临床医师学院注册的临床医生在死亡医疗援助 listserv.
- 该调查收集了有关临床医师人口统计,实践类型,息护理培训和与MAID相关的道德冲突的数据.
主要成果:
- 72名受访者主要是白人 (90%),60岁以上 (50%) 和超过20年的实践 (47%).
- 大多数临床医生从事初级保健 (39%) 或宿舍/息护理 (33%),其中22%从事专门的死亡辅助实践.
- 据报道,在处方死亡辅助药物后,道德冲突显著减少,96%的人感觉"几乎没有"或"根本没有"冲突.
结论:
- 提供MAID的临床医生通常在专业或独立/无关联的实践中工作.
- 参与处方死亡辅助的行为似乎减少了临床医生之间报告的道德冲突.
- 这些发现凸显了对MAID中临床医生独特的专业和伦理考虑的进一步研究的需要.
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