Physician-assisted death: A Canada-wide survey of ALS health care providers

Detalhes bibliográficos
Autor(a) principal: Abrahao, Agessandro [UNIFESP]
Data de Publicação: 2016
Outros Autores: Downar, James, Pinto, Hanika, Dupre, Nicolas, Izenberg, Aaron, Kingston, William, Korngut, Lawrence, O'Connell, Colleen, Petrescu, Nicolae, Shoesmith, Christen, Tandon, Anu, Vargas-Santos, Ana Beatriz, Zinman, Lorne
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da UNIFESP
Texto Completo: http://repositorio.unifesp.br/handle/11600/50969
http://dx.doi.org/10.1212/WNL.0000000000002786
Resumo: Objective:To survey amyotrophic lateral sclerosis (ALS) health care providers to determine attitudes regarding physician-assisted death (PAD) after the Supreme Court of Canada (SCC) invalidated the Criminal Code provisions that prohibit PAD in February 2015.Methods:We conducted a Canada-wide survey of physicians and allied health professionals (AHP) involved in the care of patients with ALS on their opinions regarding (1) the SCC ruling, (2) their willingness to participate in PAD, and (3) the PAD implementation process for patients with ALS.Results:We received 231 responses from ALS health care providers representing all 15 academic ALS centers in Canada, with an overall response rate for invited participants of 74%. The majority of physicians and AHP agreed with the SCC ruling and believed that patients with moderate and severe stage ALS should have access to PAD
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spelling Abrahao, Agessandro [UNIFESP]Downar, JamesPinto, HanikaDupre, NicolasIzenberg, AaronKingston, WilliamKorngut, LawrenceO'Connell, ColleenPetrescu, NicolaeShoesmith, ChristenTandon, AnuVargas-Santos, Ana BeatrizZinman, Lorne2019-07-22T15:46:34Z2019-07-22T15:46:34Z2016Neurology. Philadelphia, v. 87, n. 11, p. 1152-1160, 2016.0028-3878http://repositorio.unifesp.br/handle/11600/50969http://dx.doi.org/10.1212/WNL.0000000000002786WOS000384178000020.pdf10.1212/WNL.0000000000002786WOS:000384178000020Objective:To survey amyotrophic lateral sclerosis (ALS) health care providers to determine attitudes regarding physician-assisted death (PAD) after the Supreme Court of Canada (SCC) invalidated the Criminal Code provisions that prohibit PAD in February 2015.Methods:We conducted a Canada-wide survey of physicians and allied health professionals (AHP) involved in the care of patients with ALS on their opinions regarding (1) the SCC ruling, (2) their willingness to participate in PAD, and (3) the PAD implementation process for patients with ALS.Results:We received 231 responses from ALS health care providers representing all 15 academic ALS centers in Canada, with an overall response rate for invited participants of 74%. The majority of physicians and AHP agreed with the SCC ruling and believed that patients with moderate and severe stage ALS should have access to PADhowever, most physicians would not provide a lethal prescription or injection to an eligible patient. They preferred the patient obtain a second opinion to confirm eligibility, have a psychiatric assessment, and then be referred to a third party to administer PAD. The majority of respondents felt unprepared for the initiation of this program and favored the development of PAD training modules and guidelines.Conclusions:ALS health care providers support the SCC decision and the majority believe PAD should be available to patients with moderate to severe ALS with physical or emotional suffering. However, few clinicians are willing to directly provide PAD and additional training and guidelines are required before implementation in Canada.Conselho Nacional de Desenvolvimento Cientifico e Tecnologico (CNPq), Ministry of Science, Technology and Innovation of BrazilTemerty family foundationUniv Toronto, Sunnybrook Hlth Sci Ctr, Toronto, ON M5S 1A1, CanadaUniv Fed Sao Paulo, Sao Paulo, BrazilUniv Hlth Network, Crit Care & Palliat Care, Toronto, ON, CanadaUniv Laval, Fac Med, CHU Quebec, Clin Neuromuscular & Neurogenet Dis, Quebec City, PQ G1K 7P4, CanadaUniv Calgary, Hotchkiss Brain Inst, Dept Clin Neurosci, Calgary, AB T2N 1N4, CanadaDalhousie Univ, Fac Med, Stan Cassidy Ctr Rehabil, Halifax, NS B3H 3J5, CanadaUniv Western Ontario, Schulich Sch Med & Dent, Dept Clin Neurol Sci, London, ON N6A 3K7, CanadaUniv Estado Rio de Janeiro, Dept Internal Med, Div Rheumatol, Rio De Janeiro, BrazilUniv Fed Sao Paulo, EPM, Sao Paulo, BrazilWeb of Science1152-1160engLippincott Williams & WilkinsPhysician-assisted death: A Canada-wide survey of ALS health care providersinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleinfo:eu-repo/semantics/openAccessreponame:Repositório Institucional da UNIFESPinstname:Universidade Federal de São Paulo (UNIFESP)instacron:UNIFESP11600/509692022-06-02 09:20:56.305metadata only accessoai:repositorio.unifesp.br:11600/50969Repositório InstitucionalPUBhttp://www.repositorio.unifesp.br/oai/requestopendoar:34652022-06-02T12:20:56Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)false
dc.title.en.fl_str_mv Physician-assisted death: A Canada-wide survey of ALS health care providers
title Physician-assisted death: A Canada-wide survey of ALS health care providers
spellingShingle Physician-assisted death: A Canada-wide survey of ALS health care providers
Abrahao, Agessandro [UNIFESP]
title_short Physician-assisted death: A Canada-wide survey of ALS health care providers
title_full Physician-assisted death: A Canada-wide survey of ALS health care providers
title_fullStr Physician-assisted death: A Canada-wide survey of ALS health care providers
title_full_unstemmed Physician-assisted death: A Canada-wide survey of ALS health care providers
title_sort Physician-assisted death: A Canada-wide survey of ALS health care providers
author Abrahao, Agessandro [UNIFESP]
author_facet Abrahao, Agessandro [UNIFESP]
Downar, James
Pinto, Hanika
Dupre, Nicolas
Izenberg, Aaron
Kingston, William
Korngut, Lawrence
O'Connell, Colleen
Petrescu, Nicolae
Shoesmith, Christen
Tandon, Anu
Vargas-Santos, Ana Beatriz
Zinman, Lorne
author_role author
author2 Downar, James
Pinto, Hanika
Dupre, Nicolas
Izenberg, Aaron
Kingston, William
Korngut, Lawrence
O'Connell, Colleen
Petrescu, Nicolae
Shoesmith, Christen
Tandon, Anu
Vargas-Santos, Ana Beatriz
Zinman, Lorne
author2_role author
author
author
author
author
author
author
author
author
author
author
author
dc.contributor.author.fl_str_mv Abrahao, Agessandro [UNIFESP]
Downar, James
Pinto, Hanika
Dupre, Nicolas
Izenberg, Aaron
Kingston, William
Korngut, Lawrence
O'Connell, Colleen
Petrescu, Nicolae
Shoesmith, Christen
Tandon, Anu
Vargas-Santos, Ana Beatriz
Zinman, Lorne
description Objective:To survey amyotrophic lateral sclerosis (ALS) health care providers to determine attitudes regarding physician-assisted death (PAD) after the Supreme Court of Canada (SCC) invalidated the Criminal Code provisions that prohibit PAD in February 2015.Methods:We conducted a Canada-wide survey of physicians and allied health professionals (AHP) involved in the care of patients with ALS on their opinions regarding (1) the SCC ruling, (2) their willingness to participate in PAD, and (3) the PAD implementation process for patients with ALS.Results:We received 231 responses from ALS health care providers representing all 15 academic ALS centers in Canada, with an overall response rate for invited participants of 74%. The majority of physicians and AHP agreed with the SCC ruling and believed that patients with moderate and severe stage ALS should have access to PAD
publishDate 2016
dc.date.issued.fl_str_mv 2016
dc.date.accessioned.fl_str_mv 2019-07-22T15:46:34Z
dc.date.available.fl_str_mv 2019-07-22T15:46:34Z
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.citation.fl_str_mv Neurology. Philadelphia, v. 87, n. 11, p. 1152-1160, 2016.
dc.identifier.uri.fl_str_mv http://repositorio.unifesp.br/handle/11600/50969
http://dx.doi.org/10.1212/WNL.0000000000002786
dc.identifier.issn.none.fl_str_mv 0028-3878
dc.identifier.file.none.fl_str_mv WOS000384178000020.pdf
dc.identifier.doi.none.fl_str_mv 10.1212/WNL.0000000000002786
dc.identifier.wos.none.fl_str_mv WOS:000384178000020
identifier_str_mv Neurology. Philadelphia, v. 87, n. 11, p. 1152-1160, 2016.
0028-3878
WOS000384178000020.pdf
10.1212/WNL.0000000000002786
WOS:000384178000020
url http://repositorio.unifesp.br/handle/11600/50969
http://dx.doi.org/10.1212/WNL.0000000000002786
dc.language.iso.fl_str_mv eng
language eng
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv 1152-1160
dc.publisher.none.fl_str_mv Lippincott Williams & Wilkins
publisher.none.fl_str_mv Lippincott Williams & Wilkins
dc.source.none.fl_str_mv reponame:Repositório Institucional da UNIFESP
instname:Universidade Federal de São Paulo (UNIFESP)
instacron:UNIFESP
instname_str Universidade Federal de São Paulo (UNIFESP)
instacron_str UNIFESP
institution UNIFESP
reponame_str Repositório Institucional da UNIFESP
collection Repositório Institucional da UNIFESP
repository.name.fl_str_mv Repositório Institucional da UNIFESP - Universidade Federal de São Paulo (UNIFESP)
repository.mail.fl_str_mv
_version_ 1802764134749569024

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