辅助自杀法实施后奥地利临终关怀机构和姑息治疗机构的声明:对网络出版物的定性研究。

IF 1.9 4区 医学 Q2 MEDICINE, GENERAL & INTERNAL
Wiener Klinische Wochenschrift Pub Date : 2024-07-01 Epub Date: 2023-03-09 DOI:10.1007/s00508-023-02157-9
Anna Kitta, Franziska Ecker, Elisabeth Lucia Zeilinger, Lea Kum, Feroniki Adamidis, Eva Katharina Masel
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引用次数: 0

摘要

背景:自 2022 年 1 月起,在奥地利,协助自杀 (AS) 在某些条件下是合法的。其中一个条件是与两名医生进行翔实的磋商,其中一名医生必须具备姑息治疗的资质。有自杀意向的患者可以向姑息治疗机构咨询。本研究旨在评估奥地利姑息治疗机构网站上关于强直性脊柱炎的声明的可用性和性质:在这项定性研究中,使用 "自杀"、"协助 "和 "安乐死 "这三个搜索关键词,分别于 2022 年 2 月和 2022 年 8 月对奥地利所有姑息治疗机构(43 家)和奥地利所有住院临终关怀机构(14 家)的网站进行了一次搜索,以查找可能存在的关于强直性脊柱炎的声明。随后使用主题分析和 NVivo 软件对结果进行了评估:在 11 个机构(19%)的网站上发现了包含对 "协助自杀 "立场的声明或文本。研究结果涵盖了三大主题:1)划分:否认参与和对 AS 的判断;2)职责:处理请求和描述护理对象群体;3)解释:经验、价值观、担忧和需求:这项研究的结果表明,在奥地利,希望接受 AS 治疗的人可能会把互联网作为第一信息来源,但他们在很大程度上找不到相关信息。没有一家姑息治疗或临终关怀机构在网上声明支持 AS。大部分机构都没有表明对 AS 的立场,而基督教机构则主要持勉强的态度。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Statements of Austrian hospices and palliative care units after the implementation of the law on assisted suicide : A qualitative study of web-based publications.

Background: Since January 2022, assisted suicide (AS) in Austria is legal under certain conditions. One of these conditions is informative consultations with two physicians, one of whom must be qualified in palliative medicine. Patients who are thinking about AS can approach palliative care institutions. This study aims to assess the availability and nature of Austrian palliative care institutions' web-based statements about AS.

Methods: In this qualitative study, the websites of all Austrian palliative care units (n = 43) and all Austrian inpatient hospices (n = 14) were searched for possible statements on AS once in February 2022 and once in August 2022 using the three search terms "suicide", "assisted", and "euthanasia". The findings were subsequently evaluated using thematic analysis and NVivo software.

Results: Statements or texts that included positions on AS were found on the websites of 11 institutions (19%). The results covered three main themes 1) demarcation: denial of involvement and judgment about AS, 2) duty: handling of requests and describing the target group of care recipients, and 3) explanation: experience, values, concerns, and demands.

Conclusion: The results of this study indicate that people in Austria who wish to have AS and who may use the internet as their first source of information largely find no relevant information. There is no online statement of a palliative care or hospice institution that endorses AS. Positions on AS are mostly lacking, while reluctant attitudes of Christian institutions are predominant.

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来源期刊
Wiener Klinische Wochenschrift
Wiener Klinische Wochenschrift 医学-医学:内科
CiteScore
4.70
自引率
3.80%
发文量
110
审稿时长
4-8 weeks
期刊介绍: The Wiener klinische Wochenschrift - The Central European Journal of Medicine - is an international scientific medical journal covering the entire spectrum of clinical medicine and related areas such as ethics in medicine, public health and the history of medicine. In addition to original articles, the Journal features editorials and leading articles on newly emerging topics, review articles, case reports and a broad range of special articles. Experimental material will be considered for publication if it is directly relevant to clinical medicine. The number of international contributions has been steadily increasing. Consequently, the international reputation of the journal has grown in the past several years. Founded in 1888, the Wiener klinische Wochenschrift - The Central European Journal of Medicine - is certainly one of the most prestigious medical journals in the world and takes pride in having been the first publisher of landmarks in medicine.
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