Characteristics of end-of-life decisions: survey of UK medical practitioners
- 1 October 2006
- journal article
- Published by SAGE Publications in Palliative Medicine
- Vol. 20 (7), 653-659
- https://doi.org/10.1177/0269216306070764
Abstract
Background: To assess the extent to which UK doctors discuss end-of-life decisions (ELDs) with patients, relatives and colleagues, and to assess the degree to which patients' lives are shortened by ELDs. Method: Postal survey of 857 UK medical practitioners. Comparison of UK data with published data from other countries, permissive and not permissive of medical involvement in actively hastening death. Findings: UK doctors, compared with those in permissive and non-permissive countries, are relatively cautious in shortening life by more than a few days. Willingness to discuss ELDs with patients and relatives is relatively high in the UK, but not as high as in permissive countries. UK doctors are highly likely to discuss ELDs with colleagues, and are more likely to do this than doctors in other countries, whether these countries are permissive or not. Interpretation: UK endof-life decision-making is particularly collegiate and reflects caution about actions that significantly shorten life. A culture of sharing decisions with patients and relatives is also evident.Keywords
This publication has 4 references indexed in Scilit:
- EORTC QLQ-C15-PAL: the new standard in the assessment of health-related quality of life in advanced cancer?Palliative Medicine, 2006
- Forgoing Treatment at the End of Life in 6 European CountriesArchives of Internal Medicine, 2005
- End-of-life decision-making in six European countries: descriptive studyThe Lancet, 2003
- End‐of‐life decisions in Australian medical practiceThe Medical Journal of Australia, 1997