Associations between physicians' personal preferences for end-of-life decisions and their own clinical practice: PROPEL survey study in Europe, North America, and Australia

被引：0

作者：

Mroz, Sarah ^{[1
,2
,3
,4
]}

Daenen, Frederick ^{[1
,2
,3
]}

Dierickx, Sigrid ^{[1
,2
,3
,4
]}

Mortier, Freddy ^{[1
,2
,5
]}

De Panfilis, Ludovica ^{[6
]}

Downar, James ^{[7
,8
]}

Lapenskie, Julie ^{[8
]}

Anderson, Koby ^{[8
]}

Skold, Anna ^{[9
,10
]}

Campbell, Courtney ^{[11
]}

Campbell, Toby C. ^{[12
]}

Feeney, Rachel ^{[13
]}

Willmott, Lindy ^{[13
]}

White, Ben P. ^{[13
]}

Chambaere, Kenneth ^{[1
,2
,4
]}

Deliens, Luc ^{[1
,2
,3
]}

机构：

[1] Vrije Univ Brussel VUB, End Life Care Res Grp, Laarbeeklaan 103, B-1090 Brussels, Belgium

[2] Univ Ghent, Laarbeeklaan 103, B-1090 Brussels, Belgium

[3] Vrije Univ Brussel VUB, Dept Family Med & Chron Care, Brussels, Belgium

[4] Univ Ghent, Dept Publ Hlth & Primary Care, Ghent, Belgium

[5] Ghent Univ Gent, Bioeth Inst Ghent, Dept Philosophy & Moral Sci, Ghent, Belgium

[6] Azienda Unita Sanit Locale IRCCS Reggio Emilia, Med Oncol Unit, Reggio Emilia, Italy

[7] Univ Ottawa, Dept Crit Care, Ottawa, ON, Canada

[8] Ottawa Hosp Res Inst, Ottawa, ON, Canada

[9] Southeast Permanente Med Grp, Atlanta, GA USA

[10] Georgia Hosp Assoc, Atlanta, GA USA

[11] Oregon State Univ, Sch Hist Philosophy & Relig, Corvallis, OR 97330 USA

[12] Univ Wisconsin, Sch Med & Publ Hlth, Madison, WI USA

[13] Queensland Univ Technol, Australian Ctr Hlth Law Res, Brisbane, Qld, Australia

来源：

PALLIATIVE MEDICINE | 2025年 / 39卷 / 02期

关键词：

End-of-life care; palliative care; euthanasia; physician assisted dying; cross-sectional survey; CARE; DOCTORS;

D O I：

10.1177/02692163241300853

中图分类号：

R19 [保健组织与事业（卫生事业管理）];

学科分类号：

摘要：

Background: Physicians have significant influence on end-of-life decisions. Therefore, it is important to understand the connection between physicians' personal end-of-life care preferences and clinical practice, and whether there is congruence between what they prefer for themselves and for patients.Aim: Study to what extent physicians believe their personal end-of-life preferences impact their clinical practice and to what extent physicians' personal treatment option preferences differ from what they prefer for their patients.Design: A cross-sectional survey was conducted from May 2022 to February 2023.Setting/participants: Eight jurisdictions: Belgium, Italy, Canada, USA (Oregon, Wisconsin, and Georgia), and Australia (Victoria and Queensland). Three physician types were included: general practitioners, palliative care physicians, and other medical specialists.Results: We analyzed 1157 survey responses. Sixty-two percent of physicians acknowledge considering their own preferences when caring for patients at the end of life and 29.7% believe their personal preferences impact the recommendations they make. Palliative care physicians are less likely to consider their own preferences when caring for and making recommendations to patients. Congruence was found between what physicians prefer for patients and themselves with cardiopulmonary resuscitation considered "not a good option for both" by 99.1% of physicians. Incongruence was found with physicians considering some options "not good for the patient, but good for themselves"-palliative sedation (8.3%), physician-assisted suicide (7.0%), and euthanasia (11.6%).Conclusion: Physicians consider their own preferences when providing care and their preferences impact the recommendations they make to patients. Incongruence exists between what physicians prefer for themselves and what they prefer for patients.

引用

页码：266 / 276

页数：11

共 2 条

[1] Physician-patient end-of-life care discussions: Correlates and associations with end-of-life care preferences of cancer patients-a cross-sectional survey study
Tang, Siew Tzuh
Liu, Tsang-Wu
Liu, Li Ni
Chiu, Chang-Fang
Hsieh, Ruey-Kuen
Tsai, Chun-Ming
PALLIATIVE MEDICINE, 2014, 28 (10) : 1222 - 1230
[2] Factors affecting the attitudes and opinions of ICU physicians regarding end-of-life decisions for their patients and themselves: A survey study from Turkey
Baykara, Nur
Utku, Tughan
Alparslan, Volkan
Arslantas, Mustafa Kemal
Ersoy, Nermin
PLOS ONE, 2020, 15 (05):

← 1 →