To die, to sleep: US physicians' religious and other objections to physician-assisted suicide, terminal sedation, and withdrawal of life support

被引:78
作者
Curlin, Farr A. [1 ,2 ,3 ]
Nwodim, Chinyere [4 ]
Vance, Jennifer L. [1 ]
Chin, Marshall H. [1 ,2 ,3 ]
Lantos, John D. [2 ,3 ,5 ]
机构
[1] Univ Chicago, Dept Med, Gen Internal Med Sect, Chicago, IL 60637 USA
[2] Univ Chicago, Robert Wood Johnson Clin Scholars Program, Chicago, IL 60637 USA
[3] Univ Chicago, MacLean Ctr Clin Med Eth, Chicago, IL 60637 USA
[4] Univ Chicago, Pritzker Sch Med, Chicago, IL 60637 USA
[5] Univ Chicago, Dept Pediat, Sect Gen Pediat, Chicago, IL 60637 USA
关键词
religion; ethics; physician-assisted suicide; terminal sedation; withdrawal of life support; ethnicity;
D O I
10.1177/1049909107310141
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
This study analyzes data from a national survey to estimate the proportion of physicians who currerntly object to physician-assisted Suicide (PAS), terminal sedation (TS), and withdrawal of artificial life Support (WLS), and to examine associations between such objections and physician ethnicity, religious characteristics, and experience caring for dying patients. Overall, 69% of the US physicians object to PAS, 18% to TS, and 5% to WLS. Highly religious physicians are more likely than those with low religiosity to object to both PAS (84% vs 55%, P < .001) and TS (25% vs 12%, P < .001). Objection to PAS or TS is also associated with being of Asian ethnicity, of Hindu religious affiliation, and having more experience caring for dying patients. These findings suggest that, with respect to morally contested interventions at the end of life, the medical care patients receive will vary based on their physicians religious characteristics, ethnicity, and experience caring for dying patients.
引用
收藏
页码:112 / 120
页数:9
相关论文
共 50 条
[1]  
[Anonymous], J PERSONALITY SOCIAL
[2]   Response rates to mail surveys published in medical journals [J].
Asch, DA ;
Jedrziewski, MK ;
Christakis, NA .
JOURNAL OF CLINICAL EPIDEMIOLOGY, 1997, 50 (10) :1129-1136
[3]   Attitudes of Michigan physicians and the public toward legalizing physician-assisted suicide and voluntary euthanasia [J].
Bachman, JG ;
Alcser, KH ;
Doukas, DJ ;
Lichtenstein, RL ;
Corning, AD ;
Brody, H .
NEW ENGLAND JOURNAL OF MEDICINE, 1996, 334 (05) :303-309
[4]  
Barham Denise, 2003, Int J Palliat Nurs, V9, P245
[5]   Responding to requests for physician-assisted suicide - "These are uncharted waters for both of us. ... " [J].
Bascom, PB ;
Tolle, SW .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2002, 288 (01) :91-98
[6]   Ethnicity and attitudes towards life sustaining technology [J].
Blackhall, LJ ;
Frank, G ;
Murphy, ST ;
Michel, V ;
Palmer, JM ;
Azen, SP .
SOCIAL SCIENCE & MEDICINE, 1999, 48 (12) :1779-1789
[7]   PHYSICIAN CHARACTERISTICS ASSOCIATED WITH DECISIONS TO WITHDRAW LIFE-SUPPORT [J].
CHRISTAKIS, NA ;
ASCH, DA .
AMERICAN JOURNAL OF PUBLIC HEALTH, 1995, 85 (03) :367-372
[8]   Ethical issues in end-of-life geriatric care: The approach of three monotheistic religions - Judaism, Catholicism, and Islam [J].
Clarfield, AM ;
Gordon, M ;
Markwell, H ;
Alibhai, SMH .
JOURNAL OF THE AMERICAN GERIATRICS SOCIETY, 2003, 51 (08) :1149-1154
[9]  
Crawford S. Cromwell, 1995, Dilemmas of life and death: Hindu ethics in North American context
[10]   Strategies for culturally effective end-of-life care [J].
Crawley, LM ;
Marshall, PA ;
Lo, B ;
Koenig, BA .
ANNALS OF INTERNAL MEDICINE, 2002, 136 (09) :673-679