医生对亲属在安乐死和医生协助自杀决策中的作用的看法:荷兰医生之间的混合方法研究
Sophie C Renckens1,2, Bregje D Onwuteaka-Philipsen3,4, Agnes van der Heide5
1Department of Public and Occupational Health, Amsterdam UMC, Location VU Medical Center, Amsterdam, The Netherlands. s.renckens@amsterdamumc.nl.
BMC medical ethics
|April 5, 2024
概括
荷兰的医生经常让亲属参与安乐死和医生协助自杀 (EAS) 的决策,尽管它没有正式的作用. 这种做法有助于亲属应对并确保和,但患者的自主性仍然至关重要.
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.
- 医学社会学 医学社会学
背景情况:
- 荷兰立法没有正式包括亲属在安乐死和医生协助自杀 (EAS) 中.
- 医生经常让家庭成员参与EAS决策过程.
- 了解医生在EAS中涉及或不涉及亲属的理由至关重要.
研究的目的:
- 量化荷兰医生在EAS决策中的相对参与程度.
- 探索医生决定涉及或排除亲属的原因.
- 定义相对参与EAS的性质.
主要方法:
- 一种混合方法的方法,将问卷和采访结合起来.
- 746名医生填写了问卷 (33%的响应率),20人接受了采访.
- 调查数据的定量分析和采访的专题分析.
主要成果:
- 80%的医生在申请EAS时寻求亲属的意见;35%的医生将这些意见纳入决策.
- 医生让亲属参与,以帮助接受,定制支持,确保和,并调解冲突.
- 排除的原因包括保护患者的自主权和保护亲属免受负担的决定.
结论:
- 让亲属参与EAS决策在荷兰很常见,尽管没有正式的角色.
- 医生重视这种参与,以支持悲伤的家庭,并实现和的终身护理.
- 亲属的意见影响但不决定最终的EAS决定.
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