关于协助死亡的书面证明的观点和经验:采访瑞典医生
Filip Jonsson1, Manne Sjöstrand2, Ulrik Kihlbom3
1Department of Learning, Informatics, Management and Ethics, Karolinska Institutet (KI), Stockholm, Sweden.
Frontiers in psychiatry
|July 3, 2025
概括
瑞典医生经常面临关于协助死亡 (AD) 请求的困境. 虽然他们犹在瑞典进行AD,但他们通常支持为在国外寻求AD的患者提供医疗证明.
科学领域:
- 医学伦理 医学伦理
- 在生命末期的护理.
- 医生决策能力 - - 医生决策能力
背景情况:
- 寻求协助死亡 (AD) 的瑞典患者必须前往瑞士.
- 医生需要医疗证明,以便在国外提供AD.
- 瑞典的法律和道德没有明确指导医生参与AD证书申请,造成困境.
研究的目的:
- 探讨瑞典医生关于在瑞士申请协助死亡 (AD) 或授权AD的证书的意见和推理.
- 了解医生在面对这样的要求时所面临的伦理和专业考虑.
主要方法:
- 进行了12次半结构面试,与各种专业的医生进行了面试.
- 采访被转录并使用专题分析进行分析.
主要成果:
- 医生强调要解决患者追求AD的根本原因,包括恐惧和存在的担忧.
- 大多数人支持撰写医疗证明,以便在瑞士进行AD,尽管对在瑞典进行AD持保留意见.
- 人们对所感知的障碍和在促进AD方面的专业角色表示担忧.
结论:
- 在瑞士,医生愿意提供协助死亡 (AD) 的证书,重点是以患者为中心的护理和解决根本原因.
- 尽管对瑞典的AD合法化持怀疑态度,但医生支持为选择出国旅行的患者提供便利.
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