ArticlePalliative medicine2018
Involvement of palliative care in euthanasia practice in a context of legalized euthanasia: A population-based mortality follow-back study.
Article in Palliative medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.
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Who cites it
18 citing papers in PubMed.
- Exploring the underlying structural mechanisms and whole-person perspectives on the desire for hastened death in patients with terminal cancer: A qualitative study.Palliative & supportive care · 2026Article
- Institutional challenges in responding to Austria's Dying Decree Law: An evaluation from the perspectives of nursing and medical directors.Palliative care and social practice · 2026Article
- Maybe for unbearable suffering: Diverse racial, ethnic and cultural perspectives of assisted dying. A scoping review.Palliative medicine · 2024Article
- What medical conditions lead to a request for euthanasia? A rapid scoping review.Health science reports · 2024Article
- Contemplating the Impacts of Canadian Healthcare Institutions That Refuse to Provide Medical Assistance in Dying: A Framework-Based Discussion of Potential Health Access Implications.The American journal of hospice & palliative care · 2023Article
- Voluntary Assisted Dying/Euthanasia: Will This Have an Impact on Cancer Care in Future Years?Current treatment options in oncology · 2023Review
- Attitudes and Behaviors of Palliative Care Nurses on Euthanasia.Florence Nightingale journal of nursing · 2023Article
- "Respecting our patients' choices": making the organizational decision to participate in voluntary assisted dying provision: findings from semi-structured interviews with a rural community hospice board of management.BMC palliative care · 2022Article
- Understanding why patients request euthanasia when it is illegal: a qualitative study in palliative care units on the personal and practical impact of euthanasia requests.Palliative care and social practice · 2022Article
- Navigating medical assistance in dying from Bill C-14 to Bill C-7: a qualitative study.BMC health services research · 2021Article
- "I Am Okay With It, But I Am Not Going to Do It": The Exogenous Factors Influencing Non-Participation in Medical Assistance in Dying.Qualitative health research · 2021Article
- Social determinants of health and slippery slopes in assisted dying debates: lessons from Canada.Journal of medical ethics · 2021Article
- Trends and Patterns in the Public Awareness of Palliative Care, Euthanasia, and End-of-Life Decisions in 3 Central European Countries Using Big Data Analysis From Google: Retrospective Analysis.Journal of medical Internet research · 2021Article
- How does Medical Assistance in Dying affect end-of-life care planning discussions? Experiences of Canadian multidisciplinary palliative care providers.Palliative care and social practice · 2021Article
- The Relationship of Palliative Care With Assisted Dying Where Assisted Dying is Lawful: A Systematic Scoping Review of the Literature.Journal of pain and symptom management · 2020Article
- [Ethical arguments for and against the participation of the medical profession in assisted death: analysis of the Ethics Department of the Chilean Medical Association].Revista medica de Chile · 2020Article
- The rocks and hard places of MAiD: a qualitative study of nursing practice in the context of legislated assisted death.BMC nursing · 2020Article
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4 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundIn the international debate about assisted dying, it is commonly stated that euthanasia is incompatible with palliative care. In Belgium, where euthanasia was legalized in 2002, the Federation for Palliative Care Flanders has endorsed the viewpoint that euthanasia can be embedded in palliative care.
aimTo examine the involvement of palliative care services in euthanasia practice in a context of legalized euthanasia.
designPopulation-based mortality follow-back survey. SETTING/
participantsPhysicians attending a random sample of 6871 deaths in Flanders, Belgium, in 2013.
resultsPeople requesting euthanasia were more likely to have received palliative care (70.9%) than other people dying non-suddenly (45.2%) (odds ratio = 2.1 (95% confidence interval, 1.5-2.9)). The most frequently indicated reasons for non-referral to a palliative care service in those requesting euthanasia were that existing care already sufficiently addressed the patient's palliative and supportive care needs (56.5%) and that the patient did not want to be referred (26.1%). The likelihood of a request being granted did not differ between cases with or without palliative care involvement. Palliative care professionals were involved in the decision-making process and/or performance of euthanasia in 59.8% of all euthanasia deaths; this involvement was higher in hospitals (76.0%) than at home (47.0%) or in nursing homes (49.5%).
conclusionIn Flanders, in a context of legalized euthanasia, euthanasia and palliative care do not seem to be contradictory practices. A substantial proportion of people who make a euthanasia request are seen by palliative care services, and for a majority of these, the request is granted.
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