Abstract
ObjectivesMedical assistance in dying (MAiD) is legal in an increasing number of countries, but there are concerns that its availability may compromise access to palliative care. We assessed public interest in MAiD, palliative care, both, or neither, and examined characteristics associated with this interest.MethodsWe surveyed a representative sample of the adult Canadian public, accessed through a panel from May to June 2019. Weighted generalised multinomial logistic regression analyses were used to determine characteristics associated with interest in referral to palliative care, MAiD, or both, in the event of diagnosis with a serious illness.ResultsOf 1362 participants who had heard of palliative care, 611 (44.8% weighted (95% CI 42.1% to 47.5%)) would be interested in both MAiD and palliative care, 322 (23.9% (95% CI 21.5% to 26.2%)) palliative care alone, 171 (12.3% (95% CI 10.5% to 14.1%)) MAiD alone and 258 (19.0% (95% CI 16.9% to 21.2%)) neither. In weighted multinomial logistic regression analyses, interest in both MAiD and palliative care (compared with neither) was associated with better knowledge of the definition of palliative care, older age, female gender, higher education and less religiosity; interest in palliative care alone was associated with better knowledge of the definition of palliative care, older age, female gender and being married/common law; interest in MAiD alone was associated with less religiosity (all p<0.05).ConclusionsThere is substantial public interest in potential referral to both MAiD and palliative care. Simultaneous availability of palliative care should be ensured in jurisdictions where MAiD is legal, and education about palliative care should be a public health priority.
Funder
Canadian Institutes of Health Research
Ontario Ministry of Health and Long-Term Care
Ontario Medical Association
Subject
Medical–Surgical Nursing,Oncology (nursing),General Medicine,Medicine (miscellaneous)
Reference40 articles.
1. World Health Organization . Palliative care; 2021 [Accessed 03 Feb 2021].
2. The Lancet Commission on palliative care and pain Relief—findings, recommendations, and future directions;Knaul;Lancet Glob Health,2018
3. Assisted dying around the world: a status quaestionis
4. Medical assistance in dying. Ministry of health and long-term care, 2021. Available: https://www.health.gov.on.ca/en/pro/programs/maid/ [Accessed 03 Jan 2022].
5. Second annual report on medical assistance in dying in Canada, 2020. Health Canada. Available: https://www.canada.ca/en/health-canada/services/medical-assistance-dying/annual-report-2020.html [Accessed 03 Jan 2022].
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