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Attitudes, sociodemographic characteristics, and actual end-of-life decisions of physicians in flanders, Belgium

Freddy Mortier (UGent) , Johan Bilsen (UGent) , Robert Vander Stichele (UGent) , Jean Bernheim (UGent) and Luc Deliens (UGent)
(2003) MEDICAL DECISION MAKING. 23(6). p.502-510
Author
Organization
Abstract
Aim. To study the effect of sociodemographic and attitudinal determinants of physicians making end-of-life decisions (ELDs). Methods. The physicians having signed 489 consecutive death certificates in the city of Hasselt (Belgium) were sent an anonymous questionnaire regarding their ELDs and another on their attitudes toward voluntary euthanasia (EUTH) and physician-assisted suicide (PAS). Results. 55% response rate, Nontreatment decisions occurred in 16.7% of all death cases; in 16%, there was potentially life-shortening use of drugs to alleviate pain and symptoms; in 4.8% of cases, death was deliberately induced by lethal drugs, including EUTH, PAS, and life termination without explicit request by the patient. In their attitudes toward EUTH and PAS, the 92 responding physicians clustered into 3 groups: positive and rule oriented, positive rule-adverse, and opposed. Cluster group membership, commitment to life stance, years of professional experience, and gender were each associated with specific ELD-making patterns.
Keywords
suicide, assisted, euthanasia, end-of-life decisions, attitudes, ALBERTA EUTHANASIA SURVEY, PRIMARY-CARE PHYSICIANS, ASSISTED SUICIDE, ONCOLOGISTS, DEATH

Citation

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MLA
Mortier, Freddy, Johan Bilsen, Robert Vander Stichele, et al. “Attitudes, Sociodemographic Characteristics, and Actual End-of-life Decisions of Physicians in Flanders, Belgium.” MEDICAL DECISION MAKING 23.6 (2003): 502–510. Print.
APA
Mortier, Freddy, Bilsen, J., Vander Stichele, R., Bernheim, J., & Deliens, L. (2003). Attitudes, sociodemographic characteristics, and actual end-of-life decisions of physicians in flanders, Belgium. MEDICAL DECISION MAKING, 23(6), 502–510.
Chicago author-date
Mortier, Freddy, Johan Bilsen, Robert Vander Stichele, Jean Bernheim, and Luc Deliens. 2003. “Attitudes, Sociodemographic Characteristics, and Actual End-of-life Decisions of Physicians in Flanders, Belgium.” Medical Decision Making 23 (6): 502–510.
Chicago author-date (all authors)
Mortier, Freddy, Johan Bilsen, Robert Vander Stichele, Jean Bernheim, and Luc Deliens. 2003. “Attitudes, Sociodemographic Characteristics, and Actual End-of-life Decisions of Physicians in Flanders, Belgium.” Medical Decision Making 23 (6): 502–510.
Vancouver
1.
Mortier F, Bilsen J, Vander Stichele R, Bernheim J, Deliens L. Attitudes, sociodemographic characteristics, and actual end-of-life decisions of physicians in flanders, Belgium. MEDICAL DECISION MAKING. THOUSAND OAKS ; UNITED STATES OF AMERICA: SAGE PUBLICATIONS INC; 2003;23(6):502–10.
IEEE
[1]
F. Mortier, J. Bilsen, R. Vander Stichele, J. Bernheim, and L. Deliens, “Attitudes, sociodemographic characteristics, and actual end-of-life decisions of physicians in flanders, Belgium,” MEDICAL DECISION MAKING, vol. 23, no. 6, pp. 502–510, 2003.
@article{412602,
  abstract     = {Aim. To study the effect of sociodemographic and attitudinal determinants of physicians making end-of-life decisions (ELDs). Methods. The physicians having signed 489 consecutive death certificates in the city of Hasselt (Belgium) were sent an anonymous questionnaire regarding their ELDs and another on their attitudes toward voluntary euthanasia (EUTH) and physician-assisted suicide (PAS). Results. 55% response rate, Nontreatment decisions occurred in 16.7% of all death cases; in 16%, there was potentially life-shortening use of drugs to alleviate pain and symptoms; in 4.8% of cases, death was deliberately induced by lethal drugs, including EUTH, PAS, and life termination without explicit request by the patient. In their attitudes toward EUTH and PAS, the 92 responding physicians clustered into 3 groups: positive and rule oriented, positive rule-adverse, and opposed. Cluster group membership, commitment to life stance, years of professional experience, and gender were each associated with specific ELD-making patterns.},
  author       = {Mortier, Freddy and Bilsen, Johan and Vander Stichele, Robert and Bernheim, Jean and Deliens, Luc},
  issn         = {0272-989X},
  journal      = {MEDICAL DECISION MAKING},
  keywords     = {suicide,assisted,euthanasia,end-of-life decisions,attitudes,ALBERTA EUTHANASIA SURVEY,PRIMARY-CARE PHYSICIANS,ASSISTED SUICIDE,ONCOLOGISTS,DEATH},
  language     = {eng},
  number       = {6},
  pages        = {502--510},
  publisher    = {SAGE PUBLICATIONS INC},
  title        = {Attitudes, sociodemographic characteristics, and actual end-of-life decisions of physicians in flanders, Belgium},
  volume       = {23},
  year         = {2003},
}

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