ArticleJournal of general internal medicine2019
Health Care Providers' Experiences with Implementing Medical Aid-in-Dying in Vermont: a Qualitative Study.
Article in Journal of general internal medicine, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Pooled it
- Delineating a Spectrum of Physician Participation in Medical Aid in Dying: A Qualitative Exploration.Journal of the American Geriatrics Society · 2026Article
- Clinical practice and pharmacology decisions of medical aid-in-dying providers in the United States.BMJ supportive & palliative care · 2026Article
- Interdisciplinary US Hospice Clinician Presence Throughout the Medical Aid in Dying Procedure.Journal of pain and symptom management · 2026Article
- Providers of and participants in suicide assistance in Germany: A field description based on expert interviews.PloS one · 2026Article
- Characterizing Interdisciplinary U.S. Hospice Clinician Presence During Patient Self-Administration of Medical Aid in Dying Medication.Journal of palliative medicine · 2026Article
- Early experiences of the End of Life Choice Act 2019 amongst assisted dying practitioners in Aotearoa New Zealand.BMC palliative care · 2025Article
- Prevalence and Risk Factors Associated with Chronic Occupational Low Back Pain among Healthcare Professionals Working at Hospitals: Exploratory Survey Study.Revista brasileira de ortopedia · 2024Article
- Willingness to be present throughout patient death via medical aid in dying in a national sample of interdisciplinary US hospice clinicians: a content analysis of rationales.Palliative care and social practice · 2024Article
- Suicide assistance in Germany: A protocol for a multi-perspective qualitative study to explore the current practice.PloS one · 2024Observational
- Physicians' Attitudes and Experiences with Medical Aid in Dying in Colorado: a "Hidden Population" Survey.Journal of general internal medicine · 2022Article
- Physician experiences with medical assistance in dying: Qualitative study in northwestern Ontario.Canadian family physician Medecin de famille canadien · 2022Article
- Symptom Burden and Complexity in the Last 12 Months of Life among Cancer Patients Choosing Medical Assistance in Dying (MAID) in Alberta, Canada.Current oncology (Toronto, Ont.) · 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
- Importance of the Pharmacist Perspective in Conversations About Medical Aid-in-Dying.Journal of general internal medicine · 2020Article
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Authors and funding
3 authors.
Funding
Abstract
backgroundThe evolving legal landscape for medical aid-in-dying (AID) in the USA raises clinical and public health challenges and concerns regarding how health care providers will accommodate AID while expanding access to high-quality end-of-life care.
objectiveTo describe Vermont health care providers' experiences practicing under the "Patient Choice and Control at End of Life" Act.
designQualitative semi-structured interviews analyzed using grounded theory.
participantsThe larger study included 144 health care providers, terminally ill patients, caregivers, policy stakeholders, and other Vermont residents working in 10 out of Vermont's 14 counties. This article reports on a subset of 37 providers who had clinical experience with the law. MAIN MEASURES: Themes from interviews. KEY
resultsPhysicians were roughly split between hospital and community-based practices. Most were women (68%) and the largest subgroup specialized in internal or family medicine (53%). Most of the nurses and social workers were women (89%) and most worked for hospice and home health agencies (61%). We identified five domains in which participants engaged with AID: (1) clinical communication and counseling; (2) the Act 39 protocol; (3) prescribing medication; (4) planning for death; and (5) professional education. How providers experienced these five domains of clinical practice depended on their practice setting and the supportive resources available.
conclusionHealth care providers' participation in AID involves clinical tasks outside of responding to patients' requests and writing prescriptions. Research to identify best practices should focus on all domains of clinical practice in order to best prepare providers.
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