ArticleCanadian family physician Medecin de famille canadien2018
Providing medical assistance in dying: Practice perspectives.
Article in Canadian family physician Medecin de famille canadien, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
24 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Factors That Influence Access to Medical Assistance in Dying Services: An Integrative Review.Health expectations : an international journal of public participation in health care and health policy · 2024Pooled it
- Pooled it
- Assisted Dying Makes Us Think Differently About Care.Health expectations : an international journal of public participation in health care and health policy · 2026Article
- A qualitative study of the barriers to and facilitators of the delivery of medical assistance in dying services in Canada from the perspectives of involved professionals.BMC health services research · 2026Article
- Sustainability of medical assistance in dying provision: Provider perspectives.Palliative & supportive care · 2026Article
- Narrative review of the impact on physicians of administering euthanasia or physician-assisted suicide and its association with moral distress.Palliative & supportive care · 2025Review
- Health leaders' perspectives and attitudes on medical assistance in dying and its legalization: a qualitative study.BMC medical ethics · 2025Article
- Medical assistance in dying when natural death is not reasonably foreseeable: Survey of providers' experiences with patients making track 2 requests.Canadian family physician Medecin de famille canadien · 2023Article
- A qualitative study of experiences of institutional objection to medical assistance in dying in Canada: ongoing challenges and catalysts for change.BMC medical ethics · 2023Article
- The impact on patients of objections by institutions to assisted dying: a qualitative study of family caregivers' perceptions.BMC medical ethics · 2023Article
- Physician experiences with medical assistance in dying: Qualitative study in northwestern Ontario.Canadian family physician Medecin de famille canadien · 2022Article
- Medical assistance in dying legislation: Hospice palliative care providers' perspectives.Nursing ethics · 2022Article
- Health care providers' ethical perspectives on waiver of final consent for Medical Assistance in Dying (MAiD): a qualitative study.BMC medical ethics · 2022Article
- Winging it: a qualitative study of knowledge-acquisition experiences for early adopting providers of medical assistance in dying.Palliative care and social practice · 2022Article
- Article
- "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
- "What Is Right for Me, Is Not Necessarily Right for You": The Endogenous Factors Influencing Nonparticipation in Medical Assistance in Dying.Qualitative health research · 2021Article
- How is the medical assistance in dying (MAID) process carried out in Nova Scotia, Canada? A qualitative process model flowchart study.BMJ open · 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
- Physician snapshot: the forming landscape of MAiD in northwestern Ontario.Palliative care and social practice · 2020Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo explore the experiences of the first cohort of physicians to offer medical assistance in dying (MAID) in British Columbia.
designQualitative study using semistructured, one-on-one interviews.
settingBritish Columbia.
participantsEight physicians who offered MAID in British Columbia in 2016.
methodsThe physicians were interviewed by telephone or by e-mail between 4 and 6 months after MAID was made legal in Canada, with follow-up in January 2017. Interviews were audiorecorded, transcribed, and analyzed through qualitative thematic analysis. MAIN
findingsParticipants believed that MAID was rewarding and satisfying work. They explained that some of the structural and emotional challenges related to providing MAID included the following: the refusal of faith-based institutions to provide information about MAID to patients, as well as their refusal to allow assessments or deaths to occur on site; having to deny MAID to patients who did not qualify for it; disagreements with colleagues who did not support the provision of MAID; dealing with the grief of family and friends who were present at the death; and feeling like they were always on call. While a few participants thought that the legislative restrictions of Bill C-14 were appropriate in the beginning when MAID was first available in Canada, most would like to see changes to the legislation to make it more aligned with the intent of the Carter decision, including broadening the eligibility criteria to include mature minors and people with advanced psychiatric diagnoses, having the ability to honour advance directives, and removing the requirement of death being in the reasonably foreseeable future for patients with grievous and irremediable conditions.
conclusionPhysicians in this study explained that providing MAID is rewarding work; however, there are many challenges that complicate their ability to offer MAID to patients. The current MAID legislation in Canada should be updated to better serve the needs of patients.
Indexed as
Identifiers
30209113PMC6135115What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.