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协助自杀:艾伯塔省医生的观点

Assisted suicide: opinions of Alberta physicians.

作者信息

Kinsella T D, Verhoef M J

机构信息

Office of Medical Bioethics, Faculty of Medicine, University of Calgary, Alberta.

出版信息

Clin Invest Med. 1995 Oct;18(5):406-12.

PMID:8529324
Abstract

The legal status of assisted suicide and active euthanasia are receiving increasing attention among physicians, legislators, the judiciary, and public lobby groups. Many seem to assume that these forms of assisted dying reside naturally within the practice of medicine but, surprisingly, comprehensive data about the opinions of Canadian physicians are not available. We report the results of a survey of the opinions of Alberta physicians about assisted suicide, compare their opinions to those about active euthanasia, and determine their relationships with various demographic and bioethical matters. A stratified random sample (n = 2,002) was drawn from all Alberta physicians. The response rate was 69% (1,391) and was representative of the reference population for age, sex, and type of practice. Fifty-five percent believed assisted suicide should remain a criminal offence, whereas 18% did not, and 27% were uncertain. Strong relationships were found between opinions about assisted suicide, and age and religious activity. These data demonstrate no ground swell of support by Alberta physicians for the decriminalization of assisted suicide. Our data confirm the need for a national study of the opinions of Canadian physicians about physician-assisted dying, and caution against precipitate changes in relevant legislation and health policy.

摘要

协助自杀和积极安乐死的法律地位正日益受到医生、立法者、司法机构及公众游说团体的关注。许多人似乎认为这些形式的协助死亡自然属于医疗实践范畴,但令人惊讶的是,尚无关于加拿大医生观点的全面数据。我们报告了一项对艾伯塔省医生关于协助自杀观点的调查结果,将他们的观点与关于积极安乐死的观点进行比较,并确定这些观点与各种人口统计学和生物伦理学问题之间的关系。从艾伯塔省所有医生中抽取了一个分层随机样本(n = 2002)。回复率为69%(1391人),在年龄、性别和执业类型方面代表了参考人群。55%的人认为协助自杀应仍然是刑事犯罪,18%的人不这么认为,27%的人不确定。在关于协助自杀的观点与年龄和宗教活动之间发现了密切关系。这些数据表明,艾伯塔省医生对协助自杀合法化没有广泛支持。我们的数据证实有必要对加拿大医生关于医生协助死亡的观点进行全国性研究,并提醒不要仓促改变相关立法和卫生政策。

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