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
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