White Ben, Willmott Lindy, Cartwright Colleen, Parker Malcolm, Williams Gail
J Law Med. 2016;24(2):356-70.
Law establishes a framework for making decisions about withholding and withdrawing life-sustaining treatment from adults who lack capacity. However, to what extent do doctors know and follow this law? This article reports on a three-year empirical study that sought to answer these questions. The research found that doctors have significant legal knowledge gaps in this area. It also found that doctors do not attach significant weight to legal considerations in their decision-making. This article argues that law does have a role to play in end-of-life care. However, law reform is needed to make the law more accessible, medical education needs to be improved, and a change in attitude by doctors to medical law is required.
法律为针对缺乏行为能力的成年人做出维持生命治疗的撤除和终止决定建立了一个框架。然而,医生对这一法律的了解和遵循程度如何呢?本文报道了一项为期三年的实证研究,旨在回答这些问题。研究发现,医生在这一领域存在重大的法律知识空白。研究还发现,医生在决策过程中并不十分重视法律考量因素。本文认为,法律在临终关怀中确实可以发挥作用。然而,需要进行法律改革以使法律更易于理解,需要改进医学教育,并且医生对医学法律的态度也需要改变。