Faculty of Medicine. University of Porto. Porto. Portugal.
Faculty of Medicine. University of Porto. Porto. CINTESIS - Center for Health Technology and Services Research. Porto. Portugal.
Acta Med Port. 2023 Feb 1;36(2):105-112. doi: 10.20344/amp.17290.
A growing number of countries have legalized the process of hastening death. At a time when laws decriminalizing hastened death have been passed in the Portuguese Parliament, the development of research related with decision making regarding this issue is of crucial importance. This study seeks to evaluate, in a sample of Portuguese doctors, whether the presentation of clinical vignettes changes the agreement with the practice of hastened death compared with general scenarios.
A questionnaire was distributed among academic physicians from medical schools across Portugal to assess their level of agreement or disagreement with the practice of hastened death. The questionnaire included eight standard cases and eight clinical vignettes framed under conditions defined by law for the practice of hastened death. Differences were analyzed using the t-Student test for paired samples.
There were statistically significant differences in five scenarios (t = 3.46; p < 0.05; t = 2.47; p < 0.05; t = 4.28; p < 0.05; t = 3.38; p < 0.05; t = 3.66; p < 0.05) with greater agreement concerning the clinical vignettes. The highest acceptance was found in the requests made by adults with terminal and incurable illnesses.
Agreement increased when the clinical vignette was presented in comparison with the respective standard for most of the cases of hastened death presented.
越来越多的国家将加速死亡的过程合法化。在葡萄牙议会通过将加速死亡合法化的法律之际，与这一问题的决策相关的研究的发展至关重要。本研究旨在评估葡萄牙医生样本中，与一般情况相比，呈现临床病例是否会改变他们对加速死亡实践的认同。
向葡萄牙各医学院校的学术医生分发了一份问卷，以评估他们对加速死亡实践的认同或不认同程度。问卷包括八个标准案例和八个临床病例，这些病例是根据法律规定的加速死亡实践条件制定的。使用配对样本 t 检验分析差异。
在五个情景中存在统计学显著差异（t = 3.46；p < 0.05；t = 2.47；p < 0.05；t = 4.28；p < 0.05；t = 3.38；p < 0.05；t = 3.66；p < 0.05），对临床病例的认同度更高。在患有晚期和无法治愈疾病的成年人提出的请求中，接受度最高。
与呈现的大多数加速死亡标准相比，呈现临床病例时，认同度增加。
