Evidence map›Paper›PMID 41969123›Full record

ArticlePalliative & supportive care2026

Sustainability of medical assistance in dying provision: Provider perspectives.

Cory Byrne, Doruntina Yakoub, Robert Sibbald, Dawn Papanayotou, Marat Slessarev, John Basmaji, Carter Winberg, Ian Ball

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Palliative & supportive care, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Cory ByrneSchulich School of Medicine, Western University, London, ON, Canada.ORCID https://orcid.org/0000-0002-1936-845X
Doruntina YakoubSchulich School of Medicine, Western University, London, ON, Canada.
Robert SibbaldLondon Health Sciences Centre, Department of Ethics, London, ON, Canada.
Dawn PapanayotouLondon Health Sciences Centre, Department of Ethics, London, ON, Canada.
Marat SlessarevDepartment of Medicine, Western University, London, ON, Canada.
John BasmajiDepartment of Medicine, Western University, London, ON, Canada.
Carter WinbergDepartment of Medicine, Western University, London, ON, Canada.
Ian BallDepartment of Medicine, Western University, London, ON, Canada.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesMedical assistance in dying (MAID) is a rapidly growing and evolving field. The provision of MAID in Canada has substantially outpaced the number of new providers. While challenges of provision have been well described, little is known about the sustainability of providing this care long term. To fill this gap, we aimed to determine if providing MAID is sustainable while identifying factors that impact provider wellbeing.

methodsWe developed a 20-item Likert scale-based questionnaire that focused on themes of sustainability. We performed descriptive analyses for each question and used Fisher's exact and Kruskal-Wallis tests to assess differences across provider characteristics. The questionnaire was distributed via a network of MAID navigators and providers in Ontario, Canada.

resultsIn total, 38 responses were received from well-experienced clinicians in a variety of specialties. A total of 74% of respondents felt their MAID work was sustainable for the long term. Practitioners strongly enjoyed the work and reported little emotional toll and burnout. While some providers felt the compensation and training were sufficient, others felt it could be improved. Nearly all respondents had someone ethically and clinically knowledgeable about MAID they could go to for support. SIGNIFICANCE OF

resultsOur questionnaire has shown clinicians who are well-experienced and connected to supports report very positive experiences providing MAID and view the work as sustainable. While existing literature and media often emphasize the challenges of MAID, the perspectives of providers highlight a positive experience.

Indexed as

Health PersonnelSuicide, AssistedAdultAttitude of Health PersonnelFemaleHumansMaleMiddle AgedOntarioSurveys and Questionnairesend-of-life careMedical assistance in dying (MAID)provider wellbeingresiliencesustainability

Identifiers

PMID41969123
PMCPMC13166695

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.