关键词: Derecho a morir Dignified death Eutanasia Euthanasia LORE Ley orgánica de regulación de la eutanasia Muerte digna Organic Law Regulating Euthanasia Right to die

Mesh : Humans Male Female Adult Middle Aged Aged Spain Cross-Sectional Studies Euthanasia Physicians Surveys and Questionnaires Anesthesiology Attitude of Health Personnel

来  源:   DOI:10.1016/j.rceng.2023.10.004

Abstract:
OBJECTIVE: The Organic Law Regulating Euthanasia (LORE, for its initials in Spanish) came into force in June 2021. This study aims to examine knowledge of the LORE among physicians licensed in Spain as well as their involvement with and the impact of the law.
METHODS: This work is a descriptive, cross-sectional study conducted by means of a survey. Information was gathered through a self-administered questionnaire.
RESULTS: The survey was answered by 1446 physicians licensed in Spain. The samples\' demographic characteristics were as follows: 54.7% were women, the mean age was 52 ± 14 years, and 66.0% worked in a hospital. Catalonia was the autonomous community with the most participants (44.6%). Regarding specialties, anesthesiology and resuscitation had the highest number of participants (21.9%), followed by family and community medicine (18.5%). The LORE was known in detail by 24.3% of physicians, 58.0% had a positive opinion of it, and 31.1% had direct experience with the euthanasia procedure. Practitioners working in the hospital setting perceived the law more favorably compared to those in the primary care setting (62.3% vs. 47.3%, p < 0.01).
CONCLUSIONS: Most doctors did not have in-depth knowledge of the LORE, although a majority supported its existence, particularly those in hospital medicine. Most physicians who viewed the LORE negatively were male, older, and worked in primary care. A minority of physicians considered registering as conscientious objectors.
摘要:
目的:规范安乐死的组织法(LORE,西班牙语缩写)于2021年6月生效。这项研究旨在研究在西班牙获得许可的医生对LORE的了解以及他们对法律的参与和影响。
方法:这项工作是描述性的,通过调查进行的横断面研究。信息是通过自我管理的问卷收集的。
结果:这项调查由1446名在西班牙获得执照的医生回答。样本的人口统计学特征如下:54.7%是女性,平均年龄为52±14岁,66.0%在医院工作。加泰罗尼亚是参与者最多的自治社区(44.6%)。关于专业,麻醉和康复的参与者最多(21.9%),其次是家庭和社区医学(18.5%)。24.3%的医生详细了解了LORE,58.0%的人对此有积极的看法,31.1%有安乐死手术的直接经验。与初级保健机构相比,在医院工作的从业人员对法律的看法更有利(62.3%vs.47.3%,p<0.01)。
结论:大多数医生对LORE没有深入的了解,尽管大多数人支持它的存在,尤其是医院医学。大多数负面看待LORE的医生是男性,年长的,在初级保健部门工作。少数医生认为注册为依良心拒服兵役者。
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