Assistance in dying for older people without a serious medical condition who have a wish to die: a national cross-sectional survey
Background The Dutch euthanasia law regulates physician assistance in dying for patients who are suffering unbearably from a medical condition. We studied the attitudes of the Dutch population to assistance in dying for older persons who have a wish to die without the presence of a serious medical c...
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| Veröffentlicht in: | Journal of medical ethics 2015-02, Vol.41 (2), p.145-150 |
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| creator | Raijmakers, Natasja J H van der Heide, Agnes Kouwenhoven, Pauline S C van Thiel, Ghislaine J M W van Delden, Johannes J M Rietjens, Judith A C |
| description | Background The Dutch euthanasia law regulates physician assistance in dying for patients who are suffering unbearably from a medical condition. We studied the attitudes of the Dutch population to assistance in dying for older persons who have a wish to die without the presence of a serious medical condition. Methods A cross-sectional survey was conducted among a random sample of the Dutch public (response rate 78%, n=1960), using statements and vignettes about attitudes to assistance in dying for older persons who are tired of living. Results A minority of 26% agreed with a vignette in which a physician warrants the request for physician-assisted suicide of an older person who is tired of living without having a serious medical condition. Furthermore, 21% agreed with the statement ‘In my opinion euthanasia should be allowed for persons who are tired of living without having a serious disease’. People supporting euthanasia for older persons who are tired of living were more likely than opponents to be highly educated (OR 1.6; 95% CI 1.1 to 2.3), to be non-religious (OR 1.7; 95% CI 1.3 to 2.3), to have little trust in physicians (OR 1.6; 95% CI 1.2 to 2.2), and to prefer to make their own healthcare decisions (OR 1.7; 95% CI 1.3 to 2.3). Conclusions Although it is lower than the level of support for assistance in dying for patients whose suffering is rooted in a serious medical condition, our finding that a substantial minority of the general public supports physician assistance in dying for older people who are tired of living implies that this topic may need to be taken seriously in the debate about end-of-life decision-making. |
| doi_str_mv | 10.1136/medethics-2012-101304 |
| format | Article |
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We studied the attitudes of the Dutch population to assistance in dying for older persons who have a wish to die without the presence of a serious medical condition. Methods A cross-sectional survey was conducted among a random sample of the Dutch public (response rate 78%, n=1960), using statements and vignettes about attitudes to assistance in dying for older persons who are tired of living. Results A minority of 26% agreed with a vignette in which a physician warrants the request for physician-assisted suicide of an older person who is tired of living without having a serious medical condition. Furthermore, 21% agreed with the statement ‘In my opinion euthanasia should be allowed for persons who are tired of living without having a serious disease’. People supporting euthanasia for older persons who are tired of living were more likely than opponents to be highly educated (OR 1.6; 95% CI 1.1 to 2.3), to be non-religious (OR 1.7; 95% CI 1.3 to 2.3), to have little trust in physicians (OR 1.6; 95% CI 1.2 to 2.2), and to prefer to make their own healthcare decisions (OR 1.7; 95% CI 1.3 to 2.3). Conclusions Although it is lower than the level of support for assistance in dying for patients whose suffering is rooted in a serious medical condition, our finding that a substantial minority of the general public supports physician assistance in dying for older people who are tired of living implies that this topic may need to be taken seriously in the debate about end-of-life decision-making.</description><identifier>ISSN: 0306-6800</identifier><identifier>EISSN: 1473-4257</identifier><identifier>DOI: 10.1136/medethics-2012-101304</identifier><identifier>PMID: 24335917</identifier><identifier>CODEN: JMETDR</identifier><language>eng</language><publisher>England: BMJ Publishing Group</publisher><subject>Aged ; Aged patients ; Assisted suicide ; Bioethics ; Care and treatment ; Clinical ethics ; Cross-Sectional Studies ; Decision Making ; Educational Status ; Elderly patients ; Euthanasia ; Euthanasia - ethics ; Euthanasia - psychology ; Female ; Government regulation ; Households ; Humans ; Internet ; Laws, regulations and rules ; Male ; Middle Aged ; Netherlands ; Older people ; Patients - psychology ; Physician-Patient Relations ; Polls & surveys ; Public opinion ; Social aspects ; Society ; Studies ; Suicides & suicide attempts ; Surveys ; Young Adult</subject><ispartof>Journal of medical ethics, 2015-02, Vol.41 (2), p.145-150</ispartof><rights>Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions</rights><rights>2015 BMJ Publishing Group Ltd and the Institute of Medical Ethics</rights><rights>Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.</rights><rights>Copyright: 2015 Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b485t-33e210b589be31ae2b48c7be3d20bb939cfca5d7d8289aae4ea9ced9962e8e823</citedby><cites>FETCH-LOGICAL-b485t-33e210b589be31ae2b48c7be3d20bb939cfca5d7d8289aae4ea9ced9962e8e823</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://jme.bmj.com/content/41/2/145.full.pdf$$EPDF$$P50$$Gbmj$$H</linktopdf><linktohtml>$$Uhttps://jme.bmj.com/content/41/2/145.full$$EHTML$$P50$$Gbmj$$H</linktohtml><link.rule.ids>114,115,314,780,784,803,3196,23571,27924,27925,58017,58250,77600,77631</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/24335917$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Raijmakers, Natasja J H</creatorcontrib><creatorcontrib>van der Heide, Agnes</creatorcontrib><creatorcontrib>Kouwenhoven, Pauline S C</creatorcontrib><creatorcontrib>van Thiel, Ghislaine J M W</creatorcontrib><creatorcontrib>van Delden, Johannes J M</creatorcontrib><creatorcontrib>Rietjens, Judith A C</creatorcontrib><title>Assistance in dying for older people without a serious medical condition who have a wish to die: a national cross-sectional survey</title><title>Journal of medical ethics</title><addtitle>J Med Ethics</addtitle><description>Background The Dutch euthanasia law regulates physician assistance in dying for patients who are suffering unbearably from a medical condition. We studied the attitudes of the Dutch population to assistance in dying for older persons who have a wish to die without the presence of a serious medical condition. Methods A cross-sectional survey was conducted among a random sample of the Dutch public (response rate 78%, n=1960), using statements and vignettes about attitudes to assistance in dying for older persons who are tired of living. Results A minority of 26% agreed with a vignette in which a physician warrants the request for physician-assisted suicide of an older person who is tired of living without having a serious medical condition. Furthermore, 21% agreed with the statement ‘In my opinion euthanasia should be allowed for persons who are tired of living without having a serious disease’. People supporting euthanasia for older persons who are tired of living were more likely than opponents to be highly educated (OR 1.6; 95% CI 1.1 to 2.3), to be non-religious (OR 1.7; 95% CI 1.3 to 2.3), to have little trust in physicians (OR 1.6; 95% CI 1.2 to 2.2), and to prefer to make their own healthcare decisions (OR 1.7; 95% CI 1.3 to 2.3). Conclusions Although it is lower than the level of support for assistance in dying for patients whose suffering is rooted in a serious medical condition, our finding that a substantial minority of the general public supports physician assistance in dying for older people who are tired of living implies that this topic may need to be taken seriously in the debate about end-of-life decision-making.</description><subject>Aged</subject><subject>Aged patients</subject><subject>Assisted suicide</subject><subject>Bioethics</subject><subject>Care and treatment</subject><subject>Clinical ethics</subject><subject>Cross-Sectional Studies</subject><subject>Decision Making</subject><subject>Educational Status</subject><subject>Elderly patients</subject><subject>Euthanasia</subject><subject>Euthanasia - ethics</subject><subject>Euthanasia - psychology</subject><subject>Female</subject><subject>Government regulation</subject><subject>Households</subject><subject>Humans</subject><subject>Internet</subject><subject>Laws, regulations and rules</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Netherlands</subject><subject>Older people</subject><subject>Patients - psychology</subject><subject>Physician-Patient Relations</subject><subject>Polls & surveys</subject><subject>Public opinion</subject><subject>Social aspects</subject><subject>Society</subject><subject>Studies</subject><subject>Suicides & suicide attempts</subject><subject>Surveys</subject><subject>Young Adult</subject><issn>0306-6800</issn><issn>1473-4257</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2015</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AVQMV</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>K50</sourceid><sourceid>M1D</sourceid><sourceid>M2O</sourceid><recordid>eNqNkTuPEzEQxy0E4kLgIxyyREOz4Mc-bLooggPppGugtrzeSdbRZh1s74W098mZsCEFFW7s8fzm-SfklrMPnMv64x46yL13qRCMi4IzLln5jCx42ciiFFXznCyYZHVRK8ZuyKuUdgyPUPoluRGllJXmzYI8rVLyKdvRAfUj7U5-3NJNiDQMHUR6gHAYgB597sOUqaUJog9ToljeOztQF8bOZx9GeuwD7e0jIHT0qac50M7DJzRHewbOcAwpFQncxU5TfITTa_JiY4cEby73kvz48vn7-mtx_3D3bb26L9pSVbmQEgRnbaV0C5JbEPjtGnx3grWtltptnK26plM4o7VQgtUOOq1rAQqUkEvyfs57iOHnBCmbvU8OhsGOgCMZXleiZJWQDaLv_kF3YYrYMlKN4kwrgStckmKmtnYA40fcRYZf2YVhgC0YbH79YFaYUguJuZGvZv7PHiJszCH6vY0nw5k5i2quopqzqGYWFePeXrqZWiSuUX9VROB2BnYph3j1o5vXjZLoZ7O_3e_-s-ZvaDy5yg</recordid><startdate>20150201</startdate><enddate>20150201</enddate><creator>Raijmakers, Natasja J H</creator><creator>van der Heide, Agnes</creator><creator>Kouwenhoven, Pauline S C</creator><creator>van Thiel, Ghislaine J M W</creator><creator>van Delden, Johannes J M</creator><creator>Rietjens, Judith A C</creator><general>BMJ Publishing Group</general><general>BMJ Publishing Group Ltd</general><general>BMJ Publishing Group LTD</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88I</scope><scope>88J</scope><scope>8AF</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>AABKS</scope><scope>ABSDQ</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AVQMV</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HCIFZ</scope><scope>K50</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1D</scope><scope>M1P</scope><scope>M2O</scope><scope>M2P</scope><scope>M2R</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20150201</creationdate><title>Assistance in dying for older people without a serious medical condition who have a wish to die: a national cross-sectional survey</title><author>Raijmakers, Natasja J H ; van der Heide, Agnes ; Kouwenhoven, Pauline S C ; van Thiel, Ghislaine J M W ; van Delden, Johannes J M ; Rietjens, Judith A C</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b485t-33e210b589be31ae2b48c7be3d20bb939cfca5d7d8289aae4ea9ced9962e8e823</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2015</creationdate><topic>Aged</topic><topic>Aged patients</topic><topic>Assisted suicide</topic><topic>Bioethics</topic><topic>Care and treatment</topic><topic>Clinical ethics</topic><topic>Cross-Sectional Studies</topic><topic>Decision Making</topic><topic>Educational Status</topic><topic>Elderly patients</topic><topic>Euthanasia</topic><topic>Euthanasia - 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Academic</collection><jtitle>Journal of medical ethics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Raijmakers, Natasja J H</au><au>van der Heide, Agnes</au><au>Kouwenhoven, Pauline S C</au><au>van Thiel, Ghislaine J M W</au><au>van Delden, Johannes J M</au><au>Rietjens, Judith A C</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Assistance in dying for older people without a serious medical condition who have a wish to die: a national cross-sectional survey</atitle><jtitle>Journal of medical ethics</jtitle><addtitle>J Med Ethics</addtitle><date>2015-02-01</date><risdate>2015</risdate><volume>41</volume><issue>2</issue><spage>145</spage><epage>150</epage><pages>145-150</pages><issn>0306-6800</issn><eissn>1473-4257</eissn><coden>JMETDR</coden><abstract>Background The Dutch euthanasia law regulates physician assistance in dying for patients who are suffering unbearably from a medical condition. We studied the attitudes of the Dutch population to assistance in dying for older persons who have a wish to die without the presence of a serious medical condition. Methods A cross-sectional survey was conducted among a random sample of the Dutch public (response rate 78%, n=1960), using statements and vignettes about attitudes to assistance in dying for older persons who are tired of living. Results A minority of 26% agreed with a vignette in which a physician warrants the request for physician-assisted suicide of an older person who is tired of living without having a serious medical condition. Furthermore, 21% agreed with the statement ‘In my opinion euthanasia should be allowed for persons who are tired of living without having a serious disease’. People supporting euthanasia for older persons who are tired of living were more likely than opponents to be highly educated (OR 1.6; 95% CI 1.1 to 2.3), to be non-religious (OR 1.7; 95% CI 1.3 to 2.3), to have little trust in physicians (OR 1.6; 95% CI 1.2 to 2.2), and to prefer to make their own healthcare decisions (OR 1.7; 95% CI 1.3 to 2.3). Conclusions Although it is lower than the level of support for assistance in dying for patients whose suffering is rooted in a serious medical condition, our finding that a substantial minority of the general public supports physician assistance in dying for older people who are tired of living implies that this topic may need to be taken seriously in the debate about end-of-life decision-making.</abstract><cop>England</cop><pub>BMJ Publishing Group</pub><pmid>24335917</pmid><doi>10.1136/medethics-2012-101304</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Journal of medical ethics, 2015-02, Vol.41 (2), p.145-150 |
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| subjects | Aged Aged patients Assisted suicide Bioethics Care and treatment Clinical ethics Cross-Sectional Studies Decision Making Educational Status Elderly patients Euthanasia Euthanasia - ethics Euthanasia - psychology Female Government regulation Households Humans Internet Laws, regulations and rules Male Middle Aged Netherlands Older people Patients - psychology Physician-Patient Relations Polls & surveys Public opinion Social aspects Society Studies Suicides & suicide attempts Surveys Young Adult |
| title | Assistance in dying for older people without a serious medical condition who have a wish to die: a national cross-sectional survey |
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