Document Detail


End-of-life decision-making: community and medical practitioners' perspectives.
MedLine Citation:
PMID:  9059434     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
M A Steinberg; J M Najman; C M Cartwright; S M MacDonald; G M Williams
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Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  The Medical journal of Australia     Volume:  166     ISSN:  0025-729X     ISO Abbreviation:  Med. J. Aust.     Publication Date:  1997 Feb 
Date Detail:
Created Date:  1997-03-27     Completed Date:  1997-03-27     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0400714     Medline TA:  Med J Aust     Country:  AUSTRALIA    
Other Details:
Languages:  eng     Pagination:  131-5     Citation Subset:  E; IM    
Affiliation:
Department of Social and Preventive Medicine, University of Queensland, Herston.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Aged, 80 and over
Attitude of Health Personnel*
Australia
Cross-Sectional Studies
Decision Making
Euthanasia / legislation & jurisprudence,  statistics & numerical data
Female
Health Knowledge, Attitudes, Practice*
Humans
Life Support Care / statistics & numerical data
Male
Middle Aged
Palliative Care / statistics & numerical data
Physicians*
Physicians, Women
Questionnaires
Random Allocation
Suicide, Assisted / statistics & numerical data
Terminal Care / statistics & numerical data*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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