Seale Clive
School of Social Science and Law, Brunel University, Middlesex, UK.
Palliat Med. 2006 Oct;20(7):653-9. doi: 10.1177/0269216306070764.
To assess the extent to which UK doctors discuss end-of-life decisions (ELDs) with patients, relatives and colleagues, and to assess the degree to which patients' lives are shortened by ELDs.
Postal survey of 857 UK medical practitioners. Comparison of UK data with published data from other countries, permissive and not permissive of medical involvement in actively hastening death.
UK doctors, compared with those in permissive and non-permissive countries, are relatively cautious in shortening life by more than a few days. Willingness to discuss ELDs with patients and relatives is relatively high in the UK, but not as high as in permissive countries. UK doctors are highly likely to discuss ELDs with colleagues, and are more likely to do this than doctors in other countries, whether these countries are permissive or not.
UK endof-life decision-making is particularly collegiate and reflects caution about actions that significantly shorten life. A culture of sharing decisions with patients and relatives is also evident.
评估英国医生与患者、亲属及同事讨论临终决策（ELDs）的程度，以及评估临终决策对患者生命缩短的程度。
对857名英国执业医生进行邮寄调查。将英国的数据与其他允许和不允许医生积极加速死亡参与的国家公布的数据进行比较。
与允许和不允许相关行为的国家的医生相比，英国医生在将患者生命缩短超过几天时相对谨慎。在英国，医生与患者及亲属讨论临终决策的意愿相对较高，但不如允许相关行为的国家高。英国医生极有可能与同事讨论临终决策，并且比其他国家的医生更有可能这样做，无论这些国家是否允许相关行为。
英国的临终决策特别注重团队协作，并且反映出对显著缩短生命行为的谨慎态度。与患者和亲属共同做出决策的文化也很明显。
