Evidence map›Paper›PMID 40394643›Full record

ArticleBMC medical ethics2025

"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.

Reetta P Piili, Minna Hökkä, Elina Tolvanen, Jukka Vänskä, Pekka Louhiala, Juho T Lehto

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Article in BMC medical ethics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Reetta P Piili *Faculty of Medicine and Health Technology, Tampere University, Tampere, Finland. reetta.piili@tuni.fi.
Minna Hökkä *Diaconia University of Applied Sciences, Helsinki, Finland.
Elina TolvanenFaculty of Medicine and Health Technology, Tampere University, Tampere, Finland.
Jukka VänskäFinnish Medical Association, Helsinki, Finland.
Pekka LouhialaFaculty of Social Sciences, Tampere University, Tampere, Finland.
Juho T LehtoFaculty of Medicine and Health Technology, Tampere University, Tampere, Finland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEuthanasia and physician-assisted suicide (PAS) are complex and ethically challenging topics. Physicians' attitudes toward euthanasia and PAS have been studied, but little is known about their ethical considerations regarding these topics. This study aimed to assess Finnish physicians' views on assisted dying (AD), including euthanasia and PAS. Our special emphasis was to describe physicians' views on the legalization of AD, their views on AD as a phenomenon, and how AD reflects on physicians' roles.

methodsA survey including statements and open questions concerning euthanasia and PAS was sent to all Finnish physicians in 2020. The data was analysed using quantitative measures and a qualitative approach.

resultsAltogether, 6889 physicians answered the survey, yielding a response rate of 26%. Of the responders, 9% fully agreed that accepting euthanasia would benefit the physician-patient relationship, while 19% fully agreed that it would harm this relationship. From 2565 responders, 3033 answers were received to the open questions. The qualitative analysis yielded two unifying categories, firstly 'Physicians' views on assisted dying (AD) in the current societal situation and on its legalization' included three main categories namely: 'AD and end-of-life issues in the current societal situation' (f = 230), 'Physicians perspectives on legalisation of AD' (f = 605) and 'The possible consequences of legalizing AD' (f = 543). Secondly, the unifying category 'Physicians views on AD as part of their work and as a phenomenon' included two main categories, 'AD and the physicians' professional role (f = 650) and 'AD as a multifaceted phenomenon' (f = 296).

conclusionAssisted dying is seen as a complex issue, and it was difficult to form an opinion on it. Physicians and the care team are faced with ethical dilemmas about topics related to AD, even though it is not legalized in Finland. Open and pluralistic discussion on AD, including ethical aspects, implications for society and end-of-life care practices is of utmost importance.

Indexed as

Attitude of Health PersonnelEuthanasiaPhysiciansSuicide, AssistedAdultFemaleFinlandHumansMaleMiddle AgedPhysician-Patient RelationsPhysician's RoleQualitative ResearchSurveys and QuestionnairesAssisted dyingEthicsEuthanasiaPhysicianPhysician-assisted suicide

Identifiers

PMID40394643
PMCPMC12093782

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LicenceCC BY
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Registered trials

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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.