Karapetis Christos S, Stein Brian, Koczwara Bogda, Harrup Rosemary, Milleshkin Linda, Parente Phil, Millward Michael, Haines Ian, Blinman Prunella, Olver Ian
Flinders Centre for Innovation in Cancer, Flinders University, Adelaide, South Australia, Australia.
Department of Medical Oncology, Flinders Medical Centre, Adelaide, South Australia, Australia.
Intern Med J. 2018 Jul;48(7):774-779. doi: 10.1111/imj.13951.
The controversial topic of voluntary assisted dying (VAD) is receiving significant attention at state government levels and in the community. Acknowledging potential legalisation of VAD, the Medical Oncology Group of Australia (MOGA) undertook a survey of members to inform the development of a position statement on the subject. All MOGA members were invited to complete an anonymous online survey. The survey comprised 12 closed-response categorical questions. Descriptive statistics were used to summarise the survey data. Majority views expressed in the survey would form the basis of a MOGA position statement on VAD. A total of 362 members completed the questionnaire, representing 55% of the membership; 47% of respondents disagreed with VAD; 36% agreed with VAD and the remaining members (17%) were 'neutral'. A clear majority position was not established. Only 14% agreed that physicians involved in VAD should be required personally to administer the lethal medication; 94% supported conscientious objection of physicians to the VAD process; 95% agreed that a palliative care physician consultation should be required and 86% agreed with the need for the involvement of specialist psychiatry medical services before a patient can be deemed as suitable for VAD. The MOGA membership expressed a range of views on the topic of VAD. A clear majority-held view to support a MOGA position that either supports or opposes VAD was not established. The position statement that flows from the survey encourages informed debate on this topic and brings into focus important considerations.
自愿协助死亡（VAD）这一颇具争议的话题正在州政府层面和社会各界受到广泛关注。鉴于VAD可能合法化，澳大利亚肿瘤内科学会（MOGA）对其成员进行了一项调查，以为该主题立场声明的制定提供参考。所有MOGA成员均受邀完成一项匿名在线调查。该调查包含12个封闭式分类问题。描述性统计用于汇总调查数据。调查中表达的多数观点将构成MOGA关于VAD立场声明的基础。共有362名成员完成了问卷，占会员总数的55%；47%的受访者反对VAD；36%的受访者支持VAD，其余成员（17%）持“中立”态度。未形成明确的多数立场。只有14%的人同意参与VAD的医生应亲自给予致命药物；94%的人支持医生对VAD程序的良心反对；95%的人同意应要求进行姑息治疗医生会诊，86%的人同意在患者被视为适合VAD之前需要有精神科专科医疗服务的参与。MOGA成员对VAD主题表达了一系列观点。未形成支持或反对VAD的MOGA立场的明确多数观点。基于该调查得出的立场声明鼓励就这一话题展开明智的辩论，并突出了重要的考量因素。
