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Reetta P. Piili

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Articles

Has there been a change in the end-of-life decision-making over the past 16 years?

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By Reetta P. Piili, Juho Lehto, Riina Metsänoja, Heikki Hinkka
| bmj.com
Abstract Objectives Physicians’ decision-making in end-of-life (EOL) care includes many medical, ethical and juridical aspects. We studied the changes of these decisions over time and factors influencing them. Methods A postal survey including two hypothetical patient scenarios was sent to 1258 Finnish physicians in 2015 and to 1182 in 1999. The attitudes, values and background factors of the physicians were also enquired. Results The response rate was 56%.
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Changes in attitudes towards hastened death among Finnish physicians over the past sixteen years

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By Reetta P. Piili, Riina Metsänoja, Heikki Hinkka, Pirkko-Liisa I. Kellokumpu-Lehtinen
| Biomed Central (BMC)
Our study shows that some Finnish physicians’ attitudes and life values have changed substantially during the last 16 years. Their approval of euthanasia has slightly increased, whereas their acceptance of physician-assisted suicide (PAS) has remained low. In an end-of-life patient case scenario, physicians show an increasing willingness to give a high morphine dose, which might potentially hasten death.
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