Frédérique W. M. Kraak-Steenken, S. Renckens, H. R. Pasman, Fenne Bosma, Agnes van der Heide, B. Onwuteaka-Philipsen
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引用次数: 0
摘要
目的:我们探究了因年老而健康问题累积的人请求安乐死或医生协助自杀(EAS)的特征,并确定了与批准 EAS 请求相关的特征:我们探讨了因年老而累积健康问题、请求安乐死或医生协助自杀(EAS)的人的特征,并确定了与批准 EAS 请求相关的特征:我们对荷兰医生进行了一项横断面问卷调查,调查了这些请求安乐死或医生协助自杀(EAS)者的特征(n = 123)。采用逻辑回归分析评估了特征与批准请求之间的关联:结果:申请紧急医疗救助的患者主要年龄大于 80 岁(82.4%)、女性(70.0%)、寡妇/鳏夫(71.7%)、(部分)依赖护理(76.7%)、预期寿命大于 12 个月(68.6%)。最普遍的健康问题是骨关节炎(70.4%)以及视力和听力受损(53.0% 和 40.9%)。申请紧急医疗援助的最主要原因是身体状况恶化(68.6%)和依赖性(61.2%)。44.7% 的申请获得批准。批准申请与护理依赖、残疾/行动不便、视力受损、骨质疏松症、失控、痛苦且无改善前景以及与医生的治疗关系超过 12 个月呈正相关:加强对因年老而累积健康问题的人申请紧急医疗服务的了解,有助于目前关于是否允许在没有生命危险的情况下对患者实施紧急医疗服务的讨论。
Euthanasia and Physician-Assisted Suicide in People With an Accumulation of Health Problems Related to Old Age: A Cross-Sectional Questionnaire Study Among Physicians in the Netherlands
Objectives: We explored characteristics of people with an accumulation of health problems related to old age requesting euthanasia or physician-assisted suicide (EAS) and identified characteristics associated with granting EAS requests.Methods: We conducted a cross-sectional questionnaire study among Dutch physicians on characteristics of these people requesting EAS (n = 123). Associations between characteristics and granting a request were assessed using logistic regression analyses.Results: People requesting EAS were predominantly >80 years old (82.4%), female (70.0%), widow/widower (71.7%), (partially) care-dependent (76.7%), and had a life expectancy >12 months (68.6%). The most prevalent health problems were osteoarthritis (70.4%) and impaired vision and hearing (53.0% and 40.9%). The most cited reasons to request EAS were physical deterioration (68.6%) and dependence (61.2%). 44.7% of requests were granted. Granting a request was positively associated with care dependence, disability/immobility, impaired vision, osteoporosis, loss of control, suffering without prospect of improvement and a treatment relationship with the physician >12 months.Conclusion: Enhanced understanding of people with an accumulation of health problems related to old age requesting EAS can contribute to the ongoing debate on the permissibility of EAS in people without life-threatening conditions.
期刊介绍:
The International Journal of Public Health publishes scientific articles relevant to global public health, from different countries and cultures, and assembles them into issues that raise awareness and understanding of public health problems and solutions. The Journal welcomes submissions of original research, critical and relevant reviews, methodological papers and manuscripts that emphasize theoretical content. IJPH sometimes publishes commentaries and opinions. Special issues highlight key areas of current research. The Editorial Board''s mission is to provide a thoughtful forum for contemporary issues and challenges in global public health research and practice.