Would physician-assisted suicide jeopardize trust in the medical services? An empirical study of attitudes among the general public in Sweden

Abstract

Aim: To investigate the attitudes among the Swedish population towards physician-assisted suicide, with special regard to the possible effects on trust in the medical services of physician-assisted suicide being allowed. Design: A postal questionnaire about physician-assisted suicide under certain conditions and its possible influence on trust in the medical services was distributed to 1206 randomly selected individuals living in the county of Stockholm. Two reminders were distributed, followed by a short version of the questionnaire containing only the question about the attitude towards physician-assisted suicide. Results: The total response rate was 51%, a short-version reminder adding another 7%. Of all participants, 73% were in favour of physician-assisted suicide, 12% were against, and 15% were undecided. They believed that their trust in the medical services would increase (38%) or not be influenced at all (45%) if physician-assisted suicide were to be allowed. However, 75% of those who were against physician-assisted suicide believed that their trust would decrease. As compared to those reporting high trust in medical services (n = 492), those with low trust (n = 97) stated that their trust would increase, 36% (confidence interval (CI) = 35—37%) vs. 49% (95% CI = 39—59%). Thirty-three per cent (95% CI = 28—38%) of the younger respondents (<50 years), and 43% (95% CI = 37—49%) of the older respondents believed that their trust would increase. Conclusions: We found no evidence for the assumption that trust in the medical services would be unambiguously jeopardized if physician-assisted suicide were to be legalized. Only among the minority who opposed physician-assisted suicide did a majority of respondents report that their trust would decrease.

Keywords

Physician-assisted suicide public attitudes trust

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References

Ponthus J. Luxembourg parliament adopts euthanasia law. 2008. Available at: http://in.reuters.com/article/worldNews/idINIndia-32054520080220 .

Burkhardt S. , La Harpe R. , Harding TW , Sobel J. Euthanasia and assisted suicide: comparison of legal aspects in Switzerland and other countries . Med Sci Law 2006; 46:287-94.

Rietjens JA , van der Heide A. , Onwuteaka-Philipsen BD , van der Maas PJ , van der Wal G. A comparison of attitudes towards end-of-life decisions: survey among the Dutch general public and physicians. Soc Sci Med 2005; 61:1723-32.

Dyer C. UK House of Lords rejects physician assisted suicide. BMJ 2006;332:1169.

Nys H. Physician assisted suicide in Belgian law. Eur J Health Law 2005;12:39-41.

Lindblad A. , Löfmark R. , Lynöe N. Physician-assisted suicide - a survey of attitudes among Swedish physicians. Scand J Public Health 2008;36:720-7.

Van der Schee E. , Groenewegen PP , Friele RD

Public trust in health care: a performance indicator?

J Health Organ Manag 2006;20:468-76.

Materstvedt LJ , Kaasa S. Euthanasia and physician-assisted suicide in Scandinavia - with a conceptual suggestion regarding international research in relation to the phenomena. Palliat Med 2002;16:17-32.

Statistiska, c. 2008. Available at: http://www.scb.se/

10.

Hall M. , Trachtenberg F. , Dugan E. The impact on patient trust of legalising physician aid in dying. J Med Ethics 2005;31:693-7.

11.

O'Neill C. , Feenan D. , Hughes C. , McAlister DA Physician and family assisted suicide: results from a study of public attitudes in Britain . Soc Sci Med 2003;57:721-31.

12.

Pasterfield D. , Wilkinson C. , Finlay IG , Neal RD , Hulbert NJ GPs' views on changing the law on physician-assisted suicide and euthanasia, and willingness to prescribe or inject lethal drugs: a survey from Wales. Br J Gen Pract 2006;56:450-2.

13.

Ryynanen OP , Myllykangas M. , Viren M. , Heino H. Attitudes towards euthanasia among physicians, nurses and the general public in Finland. Public Health 2002;116:322-31.

14.

Kmietowicz Z. Doctors favour legalising assisted suicide for dying patients. BMJ 2004;329:939.

15.

van der Heide A. , Onwuteaka-Philipsen BD , Rurup ML , Buiting HM , van Delden JJ , Hanssen-de Wolf JE , et al. End-of-life practices in the Netherlands under the Euthanasia Act. N Engl J Med 2007;356:1957-65.