Vega Vega C, Moya Pueyo V
Departamento de Toxicología y Legislación Sanitaria, Facultad de Medicina, Madrid.
Med Clin (Barc). 1992 Apr 11;98(14):545-8.
The present forms of carrying out public health care have lead to probably more effective medicine but which at the same time has led to greater risks in violating patients' rights and welfare. At present, a series of arguments are been debated for soliciting the legalization of euthanasia as a form of avoiding possible abuses. Thus, the opinions and attitudes concerning legislation for active euthanasia in terminally ill patients were herein investigated.
An anonymous survey was elaborated in which 1,109 subjects from three sectors of the population participated: a) hospital personnel (doctors n = 346 and nurses n = 346) of the University Hospital San Carlos in Madrid, b) students (n = 261) of the University Complutense of Madrid, and c) retired people (n = 156) in an old age residence in the province of Madrid (Pinto). The sample was made up of a total of 446 males and 657 females with ages of between 20 and 90 years.
Most of those surveyed were in agreement in determined circumstances or totally in agreement with legislation for active euthanasia in terminally ill patients (63%). With respect to acceptation to the practice of legislation for active euthanasia 63% were in agreement in determined circumstances or totally in agreement. Significant differences were found (p less than 0.05) in relation to age, sex, marital status, religion and political ideology of the subjects.
Although the results found in this study concerning the opinions and attitudes on legislation for active euthanasia in terminally ill patients coincided when compared with other existing studies with respect to acceptation for legislation, a less favorable tendency to the same was evident.
当前实施公共卫生保健的形式或许带来了更有效的医疗,但同时也导致了侵犯患者权利和福祉的更大风险。目前,一系列关于将安乐死合法化以避免可能滥用的争论正在进行。因此,本文对晚期患者主动安乐死立法的观点和态度进行了调查。
精心设计了一项匿名调查,来自三个群体的1109名受试者参与其中:a)马德里圣卡洛斯大学医院的医院工作人员(医生346名,护士346名);b)马德里康普顿斯大学的学生(261名);c)马德里省平托一家养老院的退休人员(156名)。样本共有446名男性和657名女性,年龄在20岁至90岁之间。
大多数受访者在特定情况下同意或完全同意晚期患者主动安乐死立法(63%)。对于主动安乐死立法实践的接受度,63%的人在特定情况下同意或完全同意。在受试者的年龄、性别、婚姻状况、宗教和政治意识形态方面发现了显著差异(p小于0.05)。
尽管本研究中关于晚期患者主动安乐死立法的观点和态度的结果与其他现有研究在立法接受度方面一致,但对其不太有利的倾向是明显的。