Authors
Terrence Montague, Joanna Nemis-White, John Aylen, Sara Ahmed, Sharon Baxter, Lesli Martin, Owen Adams, Amédé Gogovor
Publication date
2017/1/1
Journal
Healthcare Quarterly (Toronto, Ont.)
Volume
20
Issue
2
Pages
18-21
Description
A new dimension has been added to Canadian Medicare ߝ exemption from prosecution for physicians, nurse practitioners and assistants providing medical assistance in dying for competent and informed adult patients with a grievous and irremediable medical condition causing intolerable physical or psychological suffering, irreversible decline in capabilities and reasonably foreseeable natural death. To define stakeholders' perceptions on all contemporary end-of-life care options, we analyzed data from the 2016 Health Care in Canada Survey comprising representative samples of the adult public (n= 1,500), physicians (n= 102), nurses (n= 102), pharmacists (n= 100), administrators (n= 100) and allied health professionals (n= 100). Among the public, enhanced pain management, hospice/palliative care and home/family care were all supported at, or above, the 80th percentile; medically assisted death was supported by 70%. Among all professionals, hospice/palliative care, pain management and home care garnered> 90% support; support for medically assisted death ranged from 58%(physicians) to 79%(allied professionals). In terms of priority to implement available options, medically assisted death was rated first by 46% of the public, overall, and by 69% of the sub-group who strongly supported it, followed by enhanced pain management (45%) and home care (42%). Among professionals, top implementation priorities (range: 57ߝ61%) were: enhanced pain management, hospice/palliative care and home care support. Priority for medically assisted death ranged between 25% and 41%, although among professionals who strongly supported …
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