Participation of French general practitioners in end-of-life decisions for their hospitalised patients
David Bourget (Western Ontario)
David Chalmers (ANU, NYU)
Rafael De Clercq
Jack Alan Reynolds
Learn more about PhilPapers
E. Ferrand, P. Jabre, S. Fernandez-Curiel, F. Morin, C. Vincent-Genod, P. Duvaldestin, F. Lemaire, C. Herve & J. Marty
Journal of Medical Ethics 32 (12):683-687 (2006)
Background and objective: Assuming the hypothesis that the general practitioner can and should be a key player in making end-of-life decisions for hospitalised patients, perceptions of GPs’ role assigned to them by hospital doctors in making withdrawal decisions for such patients were surveyed.Design: Questionnaire survey.Setting: Urban and rural areas.Participants: GPs.Results: The response rate was 32.2% , and it was observed that 70.8% of respondents believed that their participation in withdrawal decisions for their hospitalised patients was essential, whereas 42.1% believed that the hospital doctors were sufficiently skilled to make withdrawal decisions without input from the GPs. Most respondents were found to believe that they had the necessary skills and enough time to participate in withdrawal decisions. The last case of treatment withdrawal in hospital for one of their patients was described by 40% of respondents, of whom only 40.0% believed that they had participated actively in the decision process. The major factors in the multivariate analysis were the GP’s strong belief that his or her participation was essential , information on admission of the patient given to the GP by the hospital department , rural practice , visit to the patient dying in hospital and a request by the family to be kept informed about the patient .Conclusion: Strong interest was evinced among GPs regarding end-of-life issues, as well as considerable experience of patients dying at home. As GPs are more closely corrected to patients’ families, they may be a good choice for third-party intervention in making end-of-life decisions for hospitalised patients
|Keywords||No keywords specified (fix it)|
|Categories||categorize this paper)|
Setup an account with your affiliations in order to access resources via your University's proxy server
Configure custom proxy (use this if your affiliation does not provide a proxy)
|Through your library|
References found in this work BETA
No references found.
Citations of this work BETA
No citations found.
Similar books and articles
Jakob Hohwy & David Reutens (2009). A Case for Increased Caution in End of Life Decisions for Disorders of Consciousness. Monash Bioethics 28 (2):13.1-13.13.
M. Lavin (1990). Let the Patients Smoke: A Defence of a Patient Privilege. Journal of Medical Ethics 16 (3):136-140.
Orsolya Friedrich (2013). Knowledge of Partial Awareness in Disorders of Consciousness: Implications for Ethical Evaluations? Neuroethics 6 (1):13-23.
Antoine Baumann, Frederique Claudot, Gerard Audibert, Paul-Michel Mertes & Louis Puybasset (2011). The Ethical and Legal Aspects of Palliative Sedation in Severely Brain Injured Patients: A French Perspective. Philosophy, Ethics, and Humanities in Medicine 6 (1):4-.
R. Lind, P. Nortvedt, G. Lorem & O. Hevroy (2012). Family Involvement in the End-of-Life Decisions of Competent Intensive Care Patients. Nursing Ethics 20 (1):0969733012448969.
Hanne Irene Jensen, Jette Ammentorp, Helle Johannessen & Helle Ørding (2013). Challenges in End-of-Life Decisions in the Intensive Care Unit: An Ethical Perspective. [REVIEW] Journal of Bioethical Inquiry 10 (1):93-101.
Kasper Raus, Sigrid Sterckx & Freddy Mortier (2011). Continuous Deep Sedation at the End of Life and the 'Natural Death' Hypothesis. Bioethics 26 (6):329-336.
Peter Allmark, Mark Cobb, B. Jane Liddle & Angela Mary Tod (2010). Is the Doctrine of Double Effect Irrelevant in End-of-Life Decision Making? Nursing Philosophy 11 (3):170-177.
Franklin G. Miller, Robert D. Truog & Dan W. Brock (2010). Moral Fictions and Medical Ethics. Bioethics 24 (9):453-460.
Mary Ann Baily (2011). Futility, Autonomy, and Cost in End-of-Life Care. Journal of Law, Medicine and Ethics 39 (2):172-182.
M. Sercu, P. Pype, T. Christiaens, M. Grypdonck, A. Derese & M. Deveugele (2012). Are General Practitioners Prepared to End Life on Request in a Country Where Euthanasia is Legalised? Journal of Medical Ethics 38 (5):274-280.
R. Sivakumar (2004). Communicating Information on Cardiopulmonary Resuscitation to Hospitalised Patients. Journal of Medical Ethics 30 (3):311-312.
Marilyn Webb (2008). The Media and End of Life Choices and Decisions. In James L. Werth & Dean Blevins (eds.), Decision Making Near the End of Life: Issues, Development, and Future Directions. Brunner-Routledge.
Bert Hayslip Jr (2008). Culture, Individual Diversity, and End-of-Life Decisions. In James L. Werth & Dean Blevins (eds.), Decision Making Near the End of Life: Issues, Development, and Future Directions. Brunner-Routledge.
Ellen L. Csikai (2008). Communication Related to End-of-Life Care and Decisions. In James L. Werth & Dean Blevins (eds.), Decision Making Near the End of Life: Issues, Development, and Future Directions. Brunner-Routledge.
Added to index2010-08-24
Total downloads9 ( #184,436 of 1,692,749 )
Recent downloads (6 months)3 ( #75,945 of 1,692,749 )
How can I increase my downloads?