ArticleBMC medical ethics2019
Assessing attitudes towards medical assisted dying in Canadian family medicine residents: a cross-sectional study.
Article in BMC medical ethics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers.
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Who cites it
12 citing papers in PubMed.
- Delineating a Spectrum of Physician Participation in Medical Aid in Dying: A Qualitative Exploration.Journal of the American Geriatrics Society · 2026Article
- National study of medical education, ethical attitudes and curricular exposure to voluntary assisted dying by VOICE (Views Of Incoming Clinicians on End-of-life care).Future healthcare journal · 2026Article
- Finnish physicians' attitudes towards euthanasia and physician-assisted suicide: a nationwide cross-sectional study.BMJ open · 2026Article
- The Discourse of Medical Assistance in Dying and Its Relationship With Hospice Palliative Care in Canada: An Integrative Literature Review.Journal of advanced nursing · 2026Review
- "It is difficult to be absolutely sure one way or the other." - a mixed method study on Finnish physicians' views on euthanasia and physician-assisted suicide.BMC medical ethics · 2025Article
- Health leaders' perspectives and attitudes on medical assistance in dying and its legalization: a qualitative study.BMC medical ethics · 2025Article
- Comparison of the Role of Different Levels of Religiousness and Spirituality in Controversial Ethical Issues and Clinical Practice among Brazilian Resident Physicians: Results from the Multicenter SBRAMER Study.Journal of religion and health · 2024Article
- Examining assisted suicide and euthanasia through the lens of healthcare quality.Irish journal of medical science · 2024Review
- Contextualizing attitudes toward medical aid in dying in a national sample of interdisciplinary US hospice clinicians: hospice philosophy of care, patient-centered care, and professional exposure.Palliative care and social practice · 2024Article
- Development of learning objectives for a medical assistance in dying curriculum for Family Medicine Residency.BMC medical education · 2022Article
- Trends in Swedish physicians' attitudes towards physician-assisted suicide: a cross-sectional study.BMC medical ethics · 2021Article
- Development of a Canadian Medical Assistance in Dying Curriculum for Healthcare Providers.Journal of medical education and curricular developmentArticle
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Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMedical Assistance in Dying (MAID) in Canada came into effect in 2016 with the passing of Bill C-14. As patient interest and requests for MAID continue to evolve in Canada, it is important to understand the attitudes of future providers and the factors that may influence their participation. Attitudes towards physician hastened death (PHD) in general and the specific provision of MAID (e.g., causing death by lethal prescription or injection) are unknown among Canadian residents. This study examined residents' attitudes towards PHD and MAID, and identified factors (e.g., demographics, clinical exposure to death and dying) that may influence their decision to participate in PHD and provide MAID.
methodsA cross-sectional survey was adapted from prior established surveys on MAID to reflect the Canadian setting. All Canadian family medicine programs were invited to participate. The survey was distributed between December 2016 and April 2017. Analysis of the results included descriptive statistics to characterize the survey participants and multivariable logistic regressions to identify factors that may influence residents' attitudes towards PHD and MAID.
resultsOverall, 247 residents from 6 family medicine training programs in Canada participated (response rate of 27%). While residents were most willing to participate in treatment withdrawal (52%), active participation in PHD (41%) and MAID by prescription of a lethal drug (31%) and lethal injection (24%) were less acceptable. Logistic regressions identified religion as a consistent and significant factor impacting residents' willingness to participate in PHD and MAID. Residents who were not strictly practicing a religion were more likely to be willing to participate in PHD (OR = 17.38, p < 0.001) and MAID (lethal drug OR = 10.55, p < 0.01, lethal injection OR = 8.54, p < 0.05). Increased clinical exposure to death and dying crudely correlated with increased willingness to participate in PHD and MAID, but when examined in multivariable models, only a few activities (e.g., declaring death, completing a death certificate) had a statistically significant association. Other significant factors included the residents' sex and location of training.
conclusionsResidents are hesitant to provide MAID themselves, with religious faith being a major factor impacting their decision.
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