American Journal of Hospice and Palliative Medicine® · 2008 · 165 citations · 42 references
NursingReligionReligious StudiesEnd-of-life CarePalliative CarePalliative MedicineCultural Beliefs About DyingEnd-of-life Care EthicsEnd-of-life Decision MakingEnd-of-life EthicsPhysician-assisted DyingWithdrawing Life-sustaining TreatmentBeliefs About Death And DyingCultural Beliefs About DeathCultural Perspectives On DyingCultural Views On Life Support WithdrawalMedical Assistance In DyingPersonal ReligiosityReligious Perspectives On DyingReligious Views Of Death
This study analyzes data from a national survey to estimate the proportion of physicians who currently object to physician-assisted suicide (PAS), terminal sedation (TS), and withdrawal of artificial life support (WLS), and to examine associations between such objections and physician ethnicity, religious characteristics, and experience caring for dying patients. Overall, 69% of the US physicians object to PAS, 18% to TS, and 5% to WLS. Highly religious physicians are more likely than those with low religiosity to object to both PAS (84% vs 55%, P < .001) and TS (25% vs 12%, P < .001). Objection to PAS or TS is also associated with being of Asian ethnicity, of Hindu religious affiliation, and having more experience caring for dying patients. These findings suggest that, with respect to morally contested interventions at the end of life, the medical care patients receive will vary based on their physicians' religious characteristics, ethnicity, and experience caring for dying patients.
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End-of-Life Practices in European Intensive Care Units
Charles L. Sprung, Simon Cohen, Peter Sjökvist et al. · JAMA · 2003 · 1.1K citations