Physicians' attitudes towards end-of-life decisions: a comparison between seven countries

G. Miccinesi, S. Fischer, E. Paci, B.D. Philipsen, C. Cartwright, A. van der Heide, T. Nilstun, M. Norup, F. Mortier

Research output: Contribution to JournalArticleAcademicpeer-review

Abstract

In the context of an European collaborative research project (EURELD), a study on attitudes towards medical end-of-life decisions was conducted among physicians in Belgium, Denmark, Italy, the Netherlands, Sweden and Switzerland. Australia also joined the consortium. A written questionnaire with structured questions was sent to practising physicians from specialties frequently involved in the care of dying patients. 10,139 questionnaires were studied. Response rate was equal to or larger than 50% in all countries except Italy (39%). Apart from general agreement with respect to the alleviation of pain and symptoms with possible life-shortening effect, there was large variation in support - between and within countries - for medical decision that may result in the hastening of death. A principal component factor analysis found that 58% of the variance of the responses is explained by four factors. 'Country' explained the largest part of the variation of the standardized factor scores. © 2004 Elsevier Ltd. All rights reserved.
Original languageEnglish
Pages (from-to)1961-1974
JournalSocial Science and Medicine
Volume60
Issue number9
DOIs
Publication statusPublished - 2005

Fingerprint

Italy
physician
Physicians
questionnaire
Belgium
Denmark
Principal Component Analysis
Switzerland
dying
Sweden
Netherlands
Statistical Factor Analysis
pain
factor analysis
Patient Care
research project
death
Pain
Research
Surveys and Questionnaires

Cite this

Miccinesi, G., Fischer, S., Paci, E., Philipsen, B. D., Cartwright, C., van der Heide, A., ... Mortier, F. (2005). Physicians' attitudes towards end-of-life decisions: a comparison between seven countries. Social Science and Medicine, 60(9), 1961-1974. https://doi.org/10.1016/j.socscimed.2004.08.061
Miccinesi, G. ; Fischer, S. ; Paci, E. ; Philipsen, B.D. ; Cartwright, C. ; van der Heide, A. ; Nilstun, T. ; Norup, M. ; Mortier, F. / Physicians' attitudes towards end-of-life decisions: a comparison between seven countries. In: Social Science and Medicine. 2005 ; Vol. 60, No. 9. pp. 1961-1974.
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Miccinesi, G, Fischer, S, Paci, E, Philipsen, BD, Cartwright, C, van der Heide, A, Nilstun, T, Norup, M & Mortier, F 2005, 'Physicians' attitudes towards end-of-life decisions: a comparison between seven countries' Social Science and Medicine, vol. 60, no. 9, pp. 1961-1974. https://doi.org/10.1016/j.socscimed.2004.08.061

Physicians' attitudes towards end-of-life decisions: a comparison between seven countries. / Miccinesi, G.; Fischer, S.; Paci, E.; Philipsen, B.D.; Cartwright, C.; van der Heide, A.; Nilstun, T.; Norup, M.; Mortier, F.

In: Social Science and Medicine, Vol. 60, No. 9, 2005, p. 1961-1974.

Research output: Contribution to JournalArticleAcademicpeer-review

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AB - In the context of an European collaborative research project (EURELD), a study on attitudes towards medical end-of-life decisions was conducted among physicians in Belgium, Denmark, Italy, the Netherlands, Sweden and Switzerland. Australia also joined the consortium. A written questionnaire with structured questions was sent to practising physicians from specialties frequently involved in the care of dying patients. 10,139 questionnaires were studied. Response rate was equal to or larger than 50% in all countries except Italy (39%). Apart from general agreement with respect to the alleviation of pain and symptoms with possible life-shortening effect, there was large variation in support - between and within countries - for medical decision that may result in the hastening of death. A principal component factor analysis found that 58% of the variance of the responses is explained by four factors. 'Country' explained the largest part of the variation of the standardized factor scores. © 2004 Elsevier Ltd. All rights reserved.

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Miccinesi G, Fischer S, Paci E, Philipsen BD, Cartwright C, van der Heide A et al. Physicians' attitudes towards end-of-life decisions: a comparison between seven countries. Social Science and Medicine. 2005;60(9):1961-1974. https://doi.org/10.1016/j.socscimed.2004.08.061