2019 冠状病毒病对医疗协助死亡的影响。
The impact of coronavirus disease 2019 on medical assistance in dying.
机构信息
Department of Supportive Care, Princess Margaret Cancer Centre, University Health Network.
Faculty of Medicine, University of Toronto.
出版信息
Curr Opin Support Palliat Care. 2022 Sep 1;16(3):125-129. doi: 10.1097/SPC.0000000000000607. Epub 2022 Jul 18.
PURPOSE OF REVIEW
The COVID-19 pandemic and measures to contain its impact are drastically altering end-of-life and grief experiences around the world, including the practice and experience of medical assistance in dying (MAiD).
RECENT FINDINGS
Recent published literature on the impact of COVID-19 on MAiD can be described under the following categories: studies investigating the impact of COVID-19 on MAiD from the healthcare providers' perspective; studies investigating the impact of COVID-19 on MAiD from the patient/family perspective; and opinion papers that review the impact of COVID-19 on MAiD from a legal-ethical perspective. Most of these studies were either conducted in Canada or included mostly Canadian participants.
SUMMARY
Recent published research on the impact of COVID-19 on MAiD highlights the tensions between COVID-19 restrictions and individual control over the circumstances of dying, and the resulting impact on patient and family suffering and on moral injury for their MAiD providers. These reports may help inform risk mitigation strategies for the current pandemic and future similar public health crises that acknowledge the value of humane, family-centered care at the end of life.
目的综述
COVID-19 大流行及其遏制影响的措施正在彻底改变全球各地的临终和悲伤体验，包括医疗协助死亡（MAiD）的实践和体验。
最近发现
最近发表的关于 COVID-19 对 MAiD 影响的文献可分为以下几类：研究 COVID-19 对 MAiD 从医疗保健提供者角度的影响；研究 COVID-19 对 MAiD 从患者/家庭角度的影响；以及从法律伦理角度审查 COVID-19 对 MAiD 影响的观点文章。这些研究大多在加拿大进行，或主要包括加拿大参与者。
总结
最近发表的关于 COVID-19 对 MAiD 影响的研究强调了 COVID-19 限制与个人对临终情况的控制之间的紧张关系，以及对患者和家庭痛苦以及对 MAiD 提供者道德伤害的影响。这些报告可能有助于为当前大流行和未来类似的公共卫生危机制定风险缓解策略，这些策略承认在生命末期提供人道、以家庭为中心的护理的价值。
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