End-of-life decision-making: community and medical practitioners' perspectives. Export

@article{citeulike:1220007, abstract = {OBJECTIVE: To examine current attitudes and knowledge of the community and medical practitioners in Queensland to end-of-life decisions. DESIGN: Cross-sectional survey by postal questionnaire. PARTICIPANTS: 387 general practitioners and medical specialists and 910 community members from the Queensland electoral roll. MAIN OUTCOME MEASURES: Responses to five questions about end-of-life decision-making, and to legislative changes relating to such decisions. RESULTS: The overall response rate for medical practitioners was 67\% and for community members was 53\%. 78\% of community members (age adjusted) and 54\% of doctors thought that a doctor should comply with a patient's request to turn off a life-support system; 68\% of doctors through people would still ask to have their life ended even if pain were controlled, compared with 54\% of community members; 70\% of community members thought the law should be changed to allow active voluntary euthanasia, compared with 33\% of doctors; and 65\% of community members thought that a doctor should be allowed by law to assist a terminally ill person to die, but only 36\% of doctors agreed. 79\% of doctors and 75\% of community members agreed that people would still ask for assistance to end their lives even if optimal palliative care were freely available. CONCLUSION: Community members supported greater choice and control over end-of-life decisions, while doctors were less supportive of some of the options canvassed. In a climate of community participation in health care decisions, it is important to better understand the basis and meaning of these different views. Further detailed research is recommended.}, address = {Department of Social and Preventive Medicine, University of Queensland, Herston.}, author = {Steinberg, M. A. and Najman, J. M. and Cartwright, C. M. and MacDonald, S. M. and Williams, G. M.}, citeulike-article-id = {1220007}, citeulike-linkout-0 = {http://view.ncbi.nlm.nih.gov/pubmed/9059434}, citeulike-linkout-1 = {http://www.hubmed.org/display.cgi?uids=9059434}, comment = {geen full text}, day = {3}, issn = {0025-729X}, journal = {Med J Aust}, keywords = {end-of-life-decisions, patient, physician}, month = {February}, number = {3}, pages = {131--135}, posted-at = {2007-04-11 08:53:27}, priority = {4}, title = {End-of-life decision-making: community and medical practitioners' perspectives.}, url = {http://view.ncbi.nlm.nih.gov/pubmed/9059434}, volume = {166}, year = {1997} }

TY - JOUR ID - citeulike:1220007 L3 - citeulike-article-id:1220007 N2 - OBJECTIVE: To examine current attitudes and knowledge of the community and medical practitioners in Queensland to end-of-life decisions. DESIGN: Cross-sectional survey by postal questionnaire. PARTICIPANTS: 387 general practitioners and medical specialists and 910 community members from the Queensland electoral roll. MAIN OUTCOME MEASURES: Responses to five questions about end-of-life decision-making, and to legislative changes relating to such decisions. RESULTS: The overall response rate for medical practitioners was 67% and for community members was 53%. 78% of community members (age adjusted) and 54% of doctors thought that a doctor should comply with a patient's request to turn off a life-support system; 68% of doctors through people would still ask to have their life ended even if pain were controlled, compared with 54% of community members; 70% of community members thought the law should be changed to allow active voluntary euthanasia, compared with 33% of doctors; and 65% of community members thought that a doctor should be allowed by law to assist a terminally ill person to die, but only 36% of doctors agreed. 79% of doctors and 75% of community members agreed that people would still ask for assistance to end their lives even if optimal palliative care were freely available. CONCLUSION: Community members supported greater choice and control over end-of-life decisions, while doctors were less supportive of some of the options canvassed. In a climate of community participation in health care decisions, it is important to better understand the basis and meaning of these different views. Further detailed research is recommended. IS - 3 JF - Med J Aust SN - 0025-729X AD - Department of Social and Preventive Medicine, University of Queensland, Herston. EP - 135 TI - End-of-life decision-making: community and medical practitioners' perspectives. VL - 166 SP - 131 KW - end-of-life-decisions KW - patient KW - physician N1 - geen full text AU - Steinberg, MA AU - Najman, JM AU - Cartwright, CM AU - MacDonald, SM AU - Williams, GM PY - 1997/02/03/ UR - http://view.ncbi.nlm.nih.gov/pubmed/9059434 ER -