Faculty of Social Work, University of Calgary, Calgary, AB, Canada.
Omega (Westport). 2024 Mar;88(4):1290-1313. doi: 10.1177/00302228211052341. Epub 2021 Dec 31.
Medical assistance in dying (MAiD) has been legal in Canada since 2016 and some incarcerated patients who are at the end of their lives are eligible for the procedure. Interviews with nine incarcerated men at a federal penitentiary in Canada provide insight into some of the ways that people who are navigating aging and end-of-life in prison think about MAiD. Interview themes are organized around: experience with death and dying; possibilities and barriers related to applications for release from prison at end-of-life; experiences of peer-caregiving in a prison palliative care program; support for MAiD and the expansion of eligibility criteria; what a good death looks like. Themes are contextualized alongside federal guidelines related to end-of-life care (EOLC) and MAiD for prisoners, highlighting that sound policy requires both generalizable principles and attention to nuance. MAiD rests on patient voluntariness, and thus autonomy over EOLC decisions is paramount for prisoners.
协助死亡（MAiD）在加拿大自 2016 年起合法化，一些生命末期的被监禁病人有资格接受该程序。对加拿大一所联邦监狱的 9 名被监禁男性进行的访谈，深入了解了一些在监狱中经历衰老和生命末期的人对 MAiD 的看法。访谈主题围绕以下方面展开：对死亡和临终的体验；与临终时从监狱获释相关的可能性和障碍；在监狱姑息治疗计划中同伴护理的体验；对 MAiD 的支持和扩大资格标准；什么样的死亡才算好死。这些主题与联邦关于囚犯临终关怀（EOLC）和 MAiD 的指导方针相联系，突出表明，健全的政策既需要普遍适用的原则，也需要关注细微差别。MAiD 取决于患者的自愿性，因此，囚犯对临终关怀决策的自主权至关重要。
