Medical Assistance in Dying in Quebec: A Continuum Between Teams' Accountability and Interdisciplinary Support Groups' Assumption of Responsibility.
coordination
medical assistance in dying
pragmatic ethics
support structures
values
Journal
International journal of public health
ISSN: 1661-8564
Titre abrégé: Int J Public Health
Pays: Switzerland
ID NLM: 101304551
Informations de publication
Date de publication:
2024
2024
Historique:
received:
19
04
2024
accepted:
20
08
2024
medline:
13
9
2024
pubmed:
13
9
2024
entrez:
13
9
2024
Statut:
epublish
Résumé
In the province of Quebec, Canada, interdisciplinary support groups (ISGs) are mandated to support those who are involved in the clinical, administrative, legal and ethical aspects of medical assistance in dying (MAiD). This article presents the results of a mixed-method, multi-phase study carried out in 2021 on ISGs with the aim to describe current ISG practices, critically analyze them and make recommendations on promising practices for provincial implementation. Semi-structured interviews (42) and focus groups (7) with coordinators of 24 ISGs were used to identify promising practices and confirm their utility with participants. We have distributed the ISGs along what we coined an "ISG continuum." Between teams' accountability (decentralization) and ISGs' assumption of responsibility for MAiD requests (centralization), a middle ground approach, focused on the value of support, should be favored. The structuring of ISGs and their practices is intimately linked to their values. Harmonization of ISGs and their practices, while considering their specific values and contexts, can contribute to the equity and quality of services intended for those who request MAiD and those who support them.
Identifiants
pubmed: 39267773
doi: 10.3389/ijph.2024.1607407
pii: 1607407
pmc: PMC11390442
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
1607407Informations de copyright
Copyright © 2024 Perron, Racine and Bouthillier.
Déclaration de conflit d'intérêts
The authors declare that they do not have any conflicts of interest.
Références
Can J Aging. 2019 Sep;38(3):397-406
pubmed: 31046853
Palliat Care Soc Pract. 2020 Aug 13;14:2632352420932927
pubmed: 32924011
BMC Med Res Methodol. 2013 Sep 18;13:117
pubmed: 24047204
Health Policy. 2004 Sep;69(3):365-73
pubmed: 15276315
BMC Health Serv Res. 2009 Dec 04;9:220
pubmed: 19961568
Am J Bioeth. 2008 Apr;8(4):24-31
pubmed: 18576248
Theor Med Bioeth. 2019 Aug;40(4):253-278
pubmed: 31587142
Healthc Manage Forum. 2023 May;36(3):142-148
pubmed: 36454719
Tijdschr Psychiatr. 2021;63(10):711-716
pubmed: 34757609
Health Serv Res. 2009 Dec;44(6):2180-92
pubmed: 19780854
BMC Palliat Care. 2021 Dec 8;20(1):185
pubmed: 34876104
Ann Palliat Med. 2021 Mar;10(3):3586-3593
pubmed: 32787380