Lum Hillary D, Ressalam Julie, Kini Vinay, Kessler Elizabeth R, DeCamp Matthew, Kutner Jean S, Campbell Eric G
Division of Geriatric Medicine, Department of Medicine, University of Colorado School of Medicine, Aurora, Colorado, USA.
Center for Bioethics and Humanities, University of Colorado School of Medicine, Aurora, Colorado, USA.
J Palliat Med. 2023 Jan;26(1):110-113. doi: 10.1089/jpm.2022.0235. Epub 2022 Nov 21.
The involvement of Medical Aid in Dying (MAiD) experts to guide MAiD prescribers who may be unfamiliar with the process is unknown. To examine the involvement of consulting services on physician experiences participating in MAiD activities. This is an anonymous survey. Colorado physicians ( = 583) likely to care for MAiD-eligible patients. Consulting services used in a recent MAiD case and perspectives on use of a MAiD service. Of 300 physicians (response rate 55%), 49 physicians had served as a MAiD attending and/or consulting physician. In a recent MAiD case, commonly used services included palliative care (92%), hospice (81%), social work (78%), or a MAiD service (63%). When a MAiD service was not used vs. used, respondents felt the MAiD case was less professionally risky (28% vs. 7%, = 0.04). Along with palliative care, hospice, and social work, use of an experienced MAiD service was relatively common. The role and function of MAiD services warrant further exploration.
医疗协助死亡（MAiD）专家参与指导可能不熟悉该流程的MAiD开处方者的情况尚不清楚。为了研究咨询服务对医生参与MAiD活动经历的影响。这是一项匿名调查。科罗拉多州可能照料符合MAiD条件患者的医生（n = 583）。近期MAiD案例中使用的咨询服务以及对使用MAiD服务的看法。在300名医生（回复率55%）中，49名医生曾担任MAiD主治医生和/或咨询医生。在近期的MAiD案例中，常用服务包括姑息治疗（92%）、临终关怀（81%）、社会工作（78%）或MAiD服务（63%）。当未使用MAiD服务与使用MAiD服务相比时，受访者认为MAiD案例的职业风险更低（28%对7%，P = 0.04）。除了姑息治疗、临终关怀和社会工作外，使用经验丰富的MAiD服务相对常见。MAiD服务的作用和功能值得进一步探索。
