Disparities in public awareness, practitioner availability, and institutional support contribute to differential rates of MAiD utilization: a natural experiment comparing California and Canada.
Even though California and Canada both legalised medical aid in dying (MAiD) in 2016 and have similarly sized populations, only 853 medically assisted deaths occurred in California versus 13,241 in Canada in 2022, the most recently reported year. Ten testable hypotheses were proposed to explain this...
| Publicado en: | Mortality Vol. 30; no. 1; pp. 252 - 273 |
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| Autores principales: | , |
| Formato: | Artículo |
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Taylor & Francis Ltd
Feb2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=182340766&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 182340766 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 13576275 MIY jtl: Mortality issn: 13576275 maglogo: Y pubinfo: dt: Feb2025 vid: 30 iid: 1 pid: 377 pub: Taylor & Francis Ltd artinfo: ui: 182340766 10.1080/13576275.2024.2328627 ppf: 252 ppct: 21 formats: fmt: – @attributes: type: T db: hlh ui: 182340766 – @attributes: type: P db: hlh ui: 182340766 tig: atl: Disparities in public awareness, practitioner availability, and institutional support contribute to differential rates of MAiD utilization: a natural experiment comparing California and Canada. aug: au: Byram, Adrian C. Reiner, Peter B. affil: Board of Directors, End of Life Choices California, Walnut Creek, CA, USA Department of Psychiatry, University of British Columbia, Vancouver, BC Canada su: California Canada Assisted suicide Health services accessibility Health literacy Palliative treatment Public opinion Psychological adaptation Confidence Social support Hospice care Patient autonomy Research funding Descriptive statistics Comparative studies sug: subj: Assisted suicide Health services accessibility Health literacy Palliative treatment Public opinion Psychological adaptation Confidence Social support Hospice care California Canada Home Health Care Services Nursing Care Facilities (Skilled Nursing Facilities) Other Individual and Family Services Patient autonomy Research funding Descriptive statistics Comparative studies keyword: autonomy medical aid-in-dying Medical assistance in dying autonomy medical aid-in-dying Medical assistance in dying ab: Even though California and Canada both legalised medical aid in dying (MAiD) in 2016 and have similarly sized populations, only 853 medically assisted deaths occurred in California versus 13,241 in Canada in 2022, the most recently reported year. Ten testable hypotheses were proposed to explain this 15-fold differential in MAiD utilisation. A demographically representative online survey of adults 60 and older in both jurisdictions (N = 556) revealed no differences in moral acceptance of MAiD or willingness to use it. However, only 25% of Californian participants were aware that MAiD was legally available versus 67% of Canadian participants. Evidence in the public domain revealed that there were 6.0 times more MAiD practitioners per capita in Canada than in California, and there was far greater support for MAiD by Canadian healthcare institutions. The evidence did not support hypotheses presuming more restrictive laws in California or greater access to palliative care/hospice. While other reasons may contribute to the difference in MAiD utilisation, limited public awareness, fewer MAiD practitioners per capita, and sparse support by healthcare institutions may significantly reduce California residents' ability to exercise their autonomy when making end of life choices. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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