ArticleCanadian family physician Medecin de famille canadien2023
Medical assistance in dying when natural death is not reasonably foreseeable: Survey of providers' experiences with patients making track 2 requests.
Article in Canadian family physician Medecin de famille canadien, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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.
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Who cites it
11 citing papers in PubMed, 14 citations in OpenAlex.
- A Tale of Two Conditions: 50 Years of Chronic Illness and Cancer From a Nursing Perspective.Journal of advanced nursing · 2026Article
- Assessors' decision-making regarding applicant eligibility for Track 2 medical assistance in dying in Canada: a qualitative study.CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne · 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
- Impact of the COVID-19 Pandemic and the 2021 National Institute for Health and Care Excellence Guidelines on Public Perspectives Toward Myalgic Encephalomyelitis/Chronic Fatigue Syndrome: Thematic and Sentiment Analysis on Twitter (Rebranded as X).Journal of medical Internet research · 2025Article
- Health leaders' perspectives and attitudes on medical assistance in dying and its legalization: a qualitative study.BMC medical ethics · 2025Article
- The moral web of accessibility to medical assistance in dying: Reflections from the Canadian context.Nursing ethics · 2025Article
- Developing robust systems for Track 2 MAID in Canada: A qualitative study.Palliative care and social practice · 2025Article
- Key challenges in providing assisted dying in Belgium: a qualitative analysis of health professionals' experiences.Palliative care and social practice · 2025Article
- Assessing and managing patients with borderline personality disorder requesting medical assistance in dying.Frontiers in psychiatry · 2024Article
- Patient experiences with requests for medical assistance in dying: Perspectives of those with complex chronic conditions.Canadian family physician Medecin de famille canadien · 2024Article
- What Factors Influence Canadian Nurse Practitioners' Willingness to Act as Assessors and Providers for Medical Assistance in Dying (MAID)?Global qualitative nursing researchArticle
Corrections and comments
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Authors and funding
2 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo describe clinicians' experiences with assessing patients making track 2 requests for medical assistance in dying (MAID) and providing MAID to such patients in the first 6 months after Canada amended relevant legislation in March 2021 to expand access to MAID.
designOnline survey with closed and open-ended questions about clinicians' experiences with individual patients making track 2 MAID requests.
settingCanada.
participantsDoctors and nurse practitioners who were members of the Canadian Association of MAID Assessors and Providers.
main outcome measuresThe most common reasons patients gave for making track 2 MAID requests and the challenges providers identified in doing these assessments.
resultsTwenty-three MAID providers submitted information about 54 patients who had made track 2 requests between March 17, 2021 and September 17, 2021. The most common diagnoses were chronic pain syndromes, affecting 28 patients (51.9%), and complex chronic conditions such as myalgic encephalomyelitis or chronic fatigue syndrome, affecting 8 patients (14.8%). The most common challenges providers reported were related to patients having concurrent mental illness, noted in 37 assessments (68.5%). In 8 cases (14.8%), providers faced challenges in finding experts to help with assessments. In 19 cases (35.2%), providers felt patients had not been offered all appropriate and available treatments, and in 9 cases (16.7%) providers encountered difficulties in finding such treatments for patients.
conclusionProviders of MAID described many challenges in their experiences with patients making track 2 requests, including assessing individuals with concurrent mental illnesses, being uncertain that patients had been offered appropriate treatments prior to seeking MAID, and being unsure whether patients had seriously considered available treatments. Many providers experienced moral distress in attempting to balance patients' rights with what might be in patients' best interests. This is different from experiences providers have had with patients making track 1 requests, as most of these patients have end-stage malignancy or organ failure and seldom have unmet health care needs. This information could be used to enhance education and support for clinicians as they help patients with track 2 requests access their right to peaceful deaths.
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