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A study of four cases of physician participation in terminally ill patients' suicides: Factors that may contribute to a physician's decision.

机译：对四例医生参与绝症患者自杀的研究：可能有助于医生做出决定的因素。

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摘要

The purpose of this study was to identify and understand the factors that contribute to a physician's decision to participate in a terminally ill patient's suicide. To accomplish this, four published stories by two physicians who agreed to participate in terminally ill patients' suicides were analyzed using a cross-case study methodology.;Due to the continued advancements in medical technologies, our life expectancy has increased, causing us to suffer from more illnesses. Many of these illnesses are degenerative and debilitating over time, making people die a prolonged death. Because of the prolonged dying process and the suffering that comes along with it, people are asking their physicians to participate in helping them control their own deaths. Previous studies show that some physicians do consent to assist with their patient's suicide, and some show that a higher percentage of physicians support the legalization of physician-assisted suicide than those that do not.;Four common factors contributing to a physician's decision to participate in a terminally ill patient's suicide were identified. The four factors are: (1) Physician/patient relationship, (2) Physician/patient communication, (3) Physician/patient progression together through patient's disease, and (4) Physician understanding/acceptance of patient's personal definition of suffering.;Each of the four stories in this study clearly demonstrated the four identified factors. The physician and patient developed a personal and professional relationship over a period of time. Together they worked through the different stages of the patient's illness, which enabled the physicians to understand and accept the patient's definition of suffering. The trust between the physician and the patient developed because of their ability to communicate openly and honestly, leading to the accomplishment of the other three factors.
机译：这项研究的目的是确定和理解导致医师决定参加绝症患者自杀的因素。为了实现这一目标，使用跨案例研究方法分析了两名同意参加绝症患者自杀的医师发表的四个故事。由于医疗技术的不断进步，我们的预期寿命增加了，使我们遭受了痛苦从更多的疾病。随着时间的流逝，这些疾病中的许多疾病会退化和衰弱，使人们长期死亡。由于死亡过程的延长以及随之而来的痛苦，人们要求他们的医生参与帮助他们控制自己的死亡。先前的研究表明，一些医生确实同意协助其患者自杀，而另一些研究表明，与不支持自杀的医生相比，有更高比例的医生支持医生协助自杀的合法化;构成医师决定参与的四个共同因素确定了一名绝症患者的自杀。这四个因素是：（1）医师/患者之间的关系，（2）医师/患者之间的沟通，（3）医师/患者通过患者疾病共同发展，以及（4）医师对患者对痛苦的个人定义的理解/接受。这项研究中的四个故事中的一个清楚地表明了四个已确定的因素。医师和患者在一段时间内建立了个人和专业关系。他们一起工作，经历了患者疾病的不同阶段，这使医生能够理解并接受患者对痛苦的定义。医师与患者之间的信任是由于他们公开坦诚沟通的能力而产生的，从而实现了其他三个因素。

著录项

  • 作者

    Stone, Kirby L.;

  • 作者单位

    Colorado State University.;

  • 授予单位 Colorado State University.;
  • 学科 Health Sciences General.;Education Health.
  • 学位 Ph.D.
  • 年度 2000
  • 页码 137 p.
  • 总页数 137
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

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