Physician beliefs and practice regarding end-of-life care in India
Open Access
- 1 September 2008
- journal article
- research article
- Published by Jaypee Brothers Medical Publishing in Indian Journal of Critical Care Medicine
- Vol. 12 (3), 109-115
- https://doi.org/10.4103/0972-5229.43679
Abstract
Background and Aims: Physician beliefs and practices largely determine the withdrawal of life support in intensive care units. No information exists regarding beliefs regarding the withdrawal of life support among physicians in India. Materials and Methods: We performed a questionnaire at the NAPCON conference in Jaipur. Results: One hundred and twenty-two questionnaires were completed and returned. The majority of respondents did not apply do not resuscitate orders. Most physicians stated withdrawal of life support was not allowed or practiced at their institution. Thirty-five percent of physicians stated they performed life-support withdrawal. Barriers to good end-of-life care were primarily legal but also included hospital policy and social constraints. Conclusions: Pulmonary and critical care physicians in India have a lower rate of withdrawal of life support than western physicians. The reasons seem to be primarily legal and policy related. Culture and religion were not identified as barriers. Clarification of the legal and policy status of withdrawal of life support is neededKeywords
This publication has 13 references indexed in Scilit:
- The constitutional and legal provisions in Indian law for limiting life supportIndian Journal of Critical Care Medicine, 2005
- Limiting life-prolonging interventions and providing palliative care towards the end-of-life in Indian intensive care unitsIndian Journal of Critical Care Medicine, 2005
- Attitudes of Asian‐Indian Hindus Toward End‐of‐Life CareJournal of the American Geriatrics Society, 2004
- Physicians’ attitudes towards end-of-life decisions: a comparison between seven countriesSocial Science & Medicine, 2004
- Forgoing life support in western European intensive care unitsCritical Care Medicine, 1999
- Chinese and U.S. internists adhere to different ethical standardsJournal of General Internal Medicine, 1999
- Survey of Japanese physicians' attitudes towards the care of adult patients in persistent vegetative state.Journal of Medical Ethics, 1999
- A National Survey of End-of-life Care for Critically Ill PatientsAmerican Journal of Respiratory and Critical Care Medicine, 1998
- CRITICAL CARE IN INDIACritical Care Clinics, 1997
- European attitudes towards ethical problems in intensive care medicine: Results of an ethical questionnaireIntensive Care Medicine, 1990