Attitudes of UK doctors towards euthanasia and physician-assisted suicide: a systematic literature review.

2.50
Hdl Handle:
http://hdl.handle.net/10147/238538
Title:
Attitudes of UK doctors towards euthanasia and physician-assisted suicide: a systematic literature review.
Authors:
McCormack, Ruaidhri; Clifford, Margaret; Conroy, Marian
Affiliation:
Department of Palliative Medicine, Milford Care Centre, Castletroy, Limerick, Ireland. r.mccormack@kcl.ac.uk
Citation:
Attitudes of UK doctors towards euthanasia and physician-assisted suicide: a systematic literature review. 2012, 26 (1):23-33 Palliat Med
Journal:
Palliative medicine
Issue Date:
Jan-2012
URI:
http://hdl.handle.net/10147/238538
DOI:
10.1177/0269216311397688
PubMed ID:
22190615
Abstract:
To review studies over a 20-year period that assess the attitudes of UK doctors concerning active, voluntary euthanasia (AVE) and physician-assisted suicide (PAS), assess efforts to minimise bias in included studies, determine the effect of subgroup variables (e.g. age, gender) on doctors' attitudes, and make recommendations for future research. Data sources: Three electronic databases, four pertinent journals, reference lists of included studies. Review methods: Literature search of English articles between January 1990 and April 2010. Studies were excluded if they did not present independent data (e.g. commentaries) or if they related to doctors outside the UK, patients younger than 18 years old, terminal sedation, withdrawing or withholding treatment, or double-effect. Quantitative and qualitative data were extracted.; Following study selection and data extraction, 15 studies were included. UK doctors oppose the introduction of both AVE and PAS in the majority of studies. Degree of religiosity appeared as a statistically significant factor in influencing doctors' attitudes. The top three themes in the qualitative analysis were the provision of palliative care, adequate safeguards in the event of AVE or PAS being introduced, and a profession to facilitate AVE or PAS that does not include doctors.; UK doctors appear to oppose the introduction of AVE and PAS, even when one considers the methodological limitations of included studies. Attempts to minimise bias in included studies varied. Further studies are necessary to establish if subgroup variables other than degree of religiosity influence attitudes, and to thoroughly explore the qualitative themes that appeared.
Item Type:
Article
Language:
en
Description:
OBJECTIVES: To review studies over a 20-year period that assess the attitudes of UK doctors concerning active, voluntary euthanasia (AVE) and physician-assisted suicide (PAS), assess efforts to minimise bias in included studies, determine the effect of subgroup variables (e.g. age, gender) on doctors' attitudes, and make recommendations for future research. Data sources: Three electronic databases, four pertinent journals, reference lists of included studies. Review methods: Literature search of English articles between January 1990 and April 2010. Studies were excluded if they did not present independent data (e.g. commentaries) or if they related to doctors outside the UK, patients younger than 18 years old, terminal sedation, withdrawing or withholding treatment, or double-effect. Quantitative and qualitative data were extracted. RESULTS: Following study selection and data extraction, 15 studies were included. UK doctors oppose the introduction of both AVE and PAS in the majority of studies. Degree of religiosity appeared as a statistically significant factor in influencing doctors' attitudes. The top three themes in the qualitative analysis were the provision of palliative care, adequate safeguards in the event of AVE or PAS being introduced, and a profession to facilitate AVE or PAS that does not include doctors. CONCLUSIONS: UK doctors appear to oppose the introduction of AVE and PAS, even when one considers the methodological limitations of included studies. Attempts to minimise bias in included studies varied. Further studies are necessary to establish if subgroup variables other than degree of religiosity influence attitudes, and to thoroughly explore the qualitative themes that appeared.
Keywords:
DEATH; EUTHANASIA
MeSH:
Attitude of Health Personnel; Euthanasia; Great Britain; Humans; Physician's Role; Physicians; Religion; Right to Die; Suicide, Assisted
ISSN:
1477-030X

Full metadata record

DC FieldValue Language
dc.contributor.authorMcCormack, Ruaidhrien_GB
dc.contributor.authorClifford, Margareten_GB
dc.contributor.authorConroy, Marianen_GB
dc.date.accessioned2012-08-14T15:48:27Z-
dc.date.available2012-08-14T15:48:27Z-
dc.date.issued2012-01-
dc.identifier.citationAttitudes of UK doctors towards euthanasia and physician-assisted suicide: a systematic literature review. 2012, 26 (1):23-33 Palliat Meden_GB
dc.identifier.issn1477-030X-
dc.identifier.pmid22190615-
dc.identifier.doi10.1177/0269216311397688-
dc.identifier.urihttp://hdl.handle.net/10147/238538-
dc.descriptionOBJECTIVES: To review studies over a 20-year period that assess the attitudes of UK doctors concerning active, voluntary euthanasia (AVE) and physician-assisted suicide (PAS), assess efforts to minimise bias in included studies, determine the effect of subgroup variables (e.g. age, gender) on doctors' attitudes, and make recommendations for future research. Data sources: Three electronic databases, four pertinent journals, reference lists of included studies. Review methods: Literature search of English articles between January 1990 and April 2010. Studies were excluded if they did not present independent data (e.g. commentaries) or if they related to doctors outside the UK, patients younger than 18 years old, terminal sedation, withdrawing or withholding treatment, or double-effect. Quantitative and qualitative data were extracted. RESULTS: Following study selection and data extraction, 15 studies were included. UK doctors oppose the introduction of both AVE and PAS in the majority of studies. Degree of religiosity appeared as a statistically significant factor in influencing doctors' attitudes. The top three themes in the qualitative analysis were the provision of palliative care, adequate safeguards in the event of AVE or PAS being introduced, and a profession to facilitate AVE or PAS that does not include doctors. CONCLUSIONS: UK doctors appear to oppose the introduction of AVE and PAS, even when one considers the methodological limitations of included studies. Attempts to minimise bias in included studies varied. Further studies are necessary to establish if subgroup variables other than degree of religiosity influence attitudes, and to thoroughly explore the qualitative themes that appeared.en_GB
dc.description.abstractTo review studies over a 20-year period that assess the attitudes of UK doctors concerning active, voluntary euthanasia (AVE) and physician-assisted suicide (PAS), assess efforts to minimise bias in included studies, determine the effect of subgroup variables (e.g. age, gender) on doctors' attitudes, and make recommendations for future research. Data sources: Three electronic databases, four pertinent journals, reference lists of included studies. Review methods: Literature search of English articles between January 1990 and April 2010. Studies were excluded if they did not present independent data (e.g. commentaries) or if they related to doctors outside the UK, patients younger than 18 years old, terminal sedation, withdrawing or withholding treatment, or double-effect. Quantitative and qualitative data were extracted.-
dc.description.abstractFollowing study selection and data extraction, 15 studies were included. UK doctors oppose the introduction of both AVE and PAS in the majority of studies. Degree of religiosity appeared as a statistically significant factor in influencing doctors' attitudes. The top three themes in the qualitative analysis were the provision of palliative care, adequate safeguards in the event of AVE or PAS being introduced, and a profession to facilitate AVE or PAS that does not include doctors.-
dc.description.abstractUK doctors appear to oppose the introduction of AVE and PAS, even when one considers the methodological limitations of included studies. Attempts to minimise bias in included studies varied. Further studies are necessary to establish if subgroup variables other than degree of religiosity influence attitudes, and to thoroughly explore the qualitative themes that appeared.-
dc.language.isoenen
dc.rightsArchived with thanks to Palliative medicineen_GB
dc.subjectDEATHen_GB
dc.subjectEUTHANASIAen_GB
dc.subject.meshAttitude of Health Personnel-
dc.subject.meshEuthanasia-
dc.subject.meshGreat Britain-
dc.subject.meshHumans-
dc.subject.meshPhysician's Role-
dc.subject.meshPhysicians-
dc.subject.meshReligion-
dc.subject.meshRight to Die-
dc.subject.meshSuicide, Assisted-
dc.titleAttitudes of UK doctors towards euthanasia and physician-assisted suicide: a systematic literature review.en_GB
dc.typeArticleen
dc.contributor.departmentDepartment of Palliative Medicine, Milford Care Centre, Castletroy, Limerick, Ireland. r.mccormack@kcl.ac.uken_GB
dc.identifier.journalPalliative medicineen_GB

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