Perceptions of Portuguese Doctors Regarding Hastened Death Scenarios: A Cross-Sectional Study

Detalhes bibliográficos
Autor(a) principal: Pereira, Eva
Data de Publicação: 2022
Outros Autores: Marina, Sílvia, Ricou, Miguel
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/17290
Resumo: Introduction: A growing number of countries have legalized the process of hastening death. At a time when laws decriminalizing hastened death have been passed in the Portuguese Parliament, the development of research related with decision making regarding this issue is of crucial importance. This study seeks to evaluate, in a sample of Portuguese doctors, whether the presentation of clinical vignettes changes the agreement with the practice of hastened death compared with general scenarios.Material and Methods: A questionnaire was distributed among academic physicians from medical schools across Portugal to assess their level of agreement or disagreement with the practice of hastened death. The questionnaire included eight standard cases and eight clinical vignettes framed under conditions defined by law for the practice of hastened death. Differences were analyzed using the t-Student test for paired samples.Results: There were statistically significant differences in five scenarios (t = 3.46; p < 0.05; t = 2.47; p < 0.05; t = 4.28; p < 0.05; t = 3.38; p < 0.05; t = 3.66; p < 0.05) with greater agreement concerning the clinical vignettes. The highest acceptance was found in the requests made by adults with terminal and incurable illnesses.Conclusion: Agreement increased when the clinical vignette was presented in comparison with the respective standard for most of the cases of hastened death presented.
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spelling Perceptions of Portuguese Doctors Regarding Hastened Death Scenarios: A Cross-Sectional StudyPerceções dos Médicos Portugueses sobre Cenários de Morte Antecipada: Um Estudo TransversalDecision MakingEuthanasia/legislation & jurisprudencePortugalSuicide, Assisted/legislation & jurisprudenceEutanásia/legislação & jurisprudênciaPortugalSuicídio Assistido/legislação & jurisprudênciaTomada de DecisãoIntroduction: A growing number of countries have legalized the process of hastening death. At a time when laws decriminalizing hastened death have been passed in the Portuguese Parliament, the development of research related with decision making regarding this issue is of crucial importance. This study seeks to evaluate, in a sample of Portuguese doctors, whether the presentation of clinical vignettes changes the agreement with the practice of hastened death compared with general scenarios.Material and Methods: A questionnaire was distributed among academic physicians from medical schools across Portugal to assess their level of agreement or disagreement with the practice of hastened death. The questionnaire included eight standard cases and eight clinical vignettes framed under conditions defined by law for the practice of hastened death. Differences were analyzed using the t-Student test for paired samples.Results: There were statistically significant differences in five scenarios (t = 3.46; p < 0.05; t = 2.47; p < 0.05; t = 4.28; p < 0.05; t = 3.38; p < 0.05; t = 3.66; p < 0.05) with greater agreement concerning the clinical vignettes. The highest acceptance was found in the requests made by adults with terminal and incurable illnesses.Conclusion: Agreement increased when the clinical vignette was presented in comparison with the respective standard for most of the cases of hastened death presented.Introdução: Um número crescente de países tem vindo a legalizar o processo de antecipação da morte. Numa altura em que a lei sobre a despenalização da morte antecipada medicamente foi aprovada no parlamento português, o desenvolvimento de investigação relacionada com o processo de tomada de decisão assume crucial importância. Com este estudo pretendemos avaliar se a apresentação de vinhetas clínicas altera a concordância com a prática de morte antecipada, comparando com cenários descritos de forma geral, numa amostra de médicos portugueses.Material e Métodos: Foi distribuído um questionário por médicos docentes nas faculdades de Medicina do país, para avaliar o grau de concordância com a prática de morte antecipada. O questionário contemplou oito casos norma e oito vinhetas clínicas enquadrados em condições definidas na lei para a prática de morte antecipada. As diferenças foram analisadas através do teste t-Student para amostras emparelhadas.Resultados: Verificaram-se diferenças estaticamente significativas em cinco cenários, com uma maior concordância em relação às vinhetas clínicas (t = 3,46; p < 0,05; t = 2,47; p < 0,05; t = 4,28; p < 0,05; t = 3,38; p < 0,05; t = 3,66; p < 0,05). O cenário com maior concordância foi o referente a pedidos por parte de adultos com doença incurável fatal.Conclusão: A concordância com a vinheta clínica aumentou em comparação com o respetivo caso norma para a maioria dos casos de morte antecipada apresentados.Ordem dos Médicos2022-10-12info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfapplication/pdfhttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/17290Acta Médica Portuguesa; Vol. 36 No. 2 (2023): February; 105-112Acta Médica Portuguesa; Vol. 36 N.º 2 (2023): Fevereiro; 105-1121646-07580870-399Xreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPenghttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/17290https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/17290/14961https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/17290/14962Direitos de Autor (c) 2022 Acta Médica Portuguesainfo:eu-repo/semantics/openAccessPereira, EvaMarina, SílviaRicou, Miguel2023-02-12T03:00:35Zoai:ojs.www.actamedicaportuguesa.com:article/17290Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T16:20:55.399351Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Perceptions of Portuguese Doctors Regarding Hastened Death Scenarios: A Cross-Sectional Study
Perceções dos Médicos Portugueses sobre Cenários de Morte Antecipada: Um Estudo Transversal
title Perceptions of Portuguese Doctors Regarding Hastened Death Scenarios: A Cross-Sectional Study
spellingShingle Perceptions of Portuguese Doctors Regarding Hastened Death Scenarios: A Cross-Sectional Study
Pereira, Eva
Decision Making
Euthanasia/legislation & jurisprudence
Portugal
Suicide, Assisted/legislation & jurisprudence
Eutanásia/legislação & jurisprudência
Portugal
Suicídio Assistido/legislação & jurisprudência
Tomada de Decisão
title_short Perceptions of Portuguese Doctors Regarding Hastened Death Scenarios: A Cross-Sectional Study
title_full Perceptions of Portuguese Doctors Regarding Hastened Death Scenarios: A Cross-Sectional Study
title_fullStr Perceptions of Portuguese Doctors Regarding Hastened Death Scenarios: A Cross-Sectional Study
title_full_unstemmed Perceptions of Portuguese Doctors Regarding Hastened Death Scenarios: A Cross-Sectional Study
title_sort Perceptions of Portuguese Doctors Regarding Hastened Death Scenarios: A Cross-Sectional Study
author Pereira, Eva
author_facet Pereira, Eva
Marina, Sílvia
Ricou, Miguel
author_role author
author2 Marina, Sílvia
Ricou, Miguel
author2_role author
author
dc.contributor.author.fl_str_mv Pereira, Eva
Marina, Sílvia
Ricou, Miguel
dc.subject.por.fl_str_mv Decision Making
Euthanasia/legislation & jurisprudence
Portugal
Suicide, Assisted/legislation & jurisprudence
Eutanásia/legislação & jurisprudência
Portugal
Suicídio Assistido/legislação & jurisprudência
Tomada de Decisão
topic Decision Making
Euthanasia/legislation & jurisprudence
Portugal
Suicide, Assisted/legislation & jurisprudence
Eutanásia/legislação & jurisprudência
Portugal
Suicídio Assistido/legislação & jurisprudência
Tomada de Decisão
description Introduction: A growing number of countries have legalized the process of hastening death. At a time when laws decriminalizing hastened death have been passed in the Portuguese Parliament, the development of research related with decision making regarding this issue is of crucial importance. This study seeks to evaluate, in a sample of Portuguese doctors, whether the presentation of clinical vignettes changes the agreement with the practice of hastened death compared with general scenarios.Material and Methods: A questionnaire was distributed among academic physicians from medical schools across Portugal to assess their level of agreement or disagreement with the practice of hastened death. The questionnaire included eight standard cases and eight clinical vignettes framed under conditions defined by law for the practice of hastened death. Differences were analyzed using the t-Student test for paired samples.Results: There were statistically significant differences in five scenarios (t = 3.46; p < 0.05; t = 2.47; p < 0.05; t = 4.28; p < 0.05; t = 3.38; p < 0.05; t = 3.66; p < 0.05) with greater agreement concerning the clinical vignettes. The highest acceptance was found in the requests made by adults with terminal and incurable illnesses.Conclusion: Agreement increased when the clinical vignette was presented in comparison with the respective standard for most of the cases of hastened death presented.
publishDate 2022
dc.date.none.fl_str_mv 2022-10-12
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/17290
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dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/17290
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/17290/14961
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/17290/14962
dc.rights.driver.fl_str_mv Direitos de Autor (c) 2022 Acta Médica Portuguesa
info:eu-repo/semantics/openAccess
rights_invalid_str_mv Direitos de Autor (c) 2022 Acta Médica Portuguesa
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Ordem dos Médicos
publisher.none.fl_str_mv Ordem dos Médicos
dc.source.none.fl_str_mv Acta Médica Portuguesa; Vol. 36 No. 2 (2023): February; 105-112
Acta Médica Portuguesa; Vol. 36 N.º 2 (2023): Fevereiro; 105-112
1646-0758
0870-399X
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