BMJ 1994;308:1332-34 (21 May)
Papers
Attitudes among NHS doctors to requests for euthanasia
B J Ward,
P A Tate,
East Barnwell Health Centre, Cambridge CB5 8SP. aa Department of Anatomy, Cambridge University, Cambridge CB2 3DY Correspondence to: Dr
Abstract
Objectives : To explore NHS doctors' attitudes to competent patients' requests for euthanasia and to estimate the proportion of doctors who have taken active steps to hasten a patient's death. Design - Anonymous postal questionnaire, with no possibility of follow up. The survey was conducted from December 1992 to March 1993.
Subjects : All (221) general practitioners and 203 hospital consultants in one area of England.
Results : 273 doctors responded to a question on whether a patient had ever asked them to hasten death. Of these, 163 had been asked to; 124 of these had been asked to take active steps to hasten death; 38 of 119 (32%) of these had complied with such a request (95% confidence interval 23% to 40%). This proportion represented 12% of all those who returned a completed questionnaire and 9% of all those who had been sent a questionnaire (95% confidence interval 6.3% to 11.7%). A larger proportion of the respondents (142/307 (46%)), however, would consider taking active steps to bring about the death of a patient if it was legal to do so.
Conclusions : Many doctors face difficult decisions about euthanasia. For the benefit of both patients and doctors euthanasia should be discussed more openly.
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Clinical implications
- Clinical implications
- Few data exist in Britain on the incidence of euthanasia or on doctors' attitudes towards euthanasia
- This study showed that almost half of the doctors surveyed had been asked by a patient to take active steps to hasten death
- A third of the doctors who had been asked to take active steps had complied with a patient's request
- Almost half of all doctors would consider taking active steps to hasten a patient's death if it became legal to do so.
- British law on euthanasia is not satisfactory for either patients or doctors, and euthanasia should be discussed more openly
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