Neuro-oncology clinicians' perspectives on factors affecting brain cancer patients' access to medical assistance in dying: A qualitative study. Issue 3 (16th March 2023)

• Record Type: Journal Article
• Authors: Variath, Caroline; Climans, Seth A.; Edelstein, Kim; Bell, Jennifer A. H.
• Is Part Of: Death studies. Volume 47:Issue 3(2023)
• Page Start: 296
• Page End: 306
• Publication Date: 2023-03-16
• Subjects: Death -- Psychological aspects -- Periodicals; Terminal care -- Periodicals; Death -- Moral and ethical aspects -- Periodicals; 306.9
• DOI: 10.1080/07481187.2022.2063456
• Languages: English
• ISSNs: 0748-1187

Abstract

Abstract: In most jurisdictions where medical assistance in dying (MAiD) is legal, patients must have decision-making capacity. Brain cancer often damages the cognitive networks required to maintain decision-making capacity. Using qualitative methodology guided by a relational ethics conceptual framework, this study explored neuro-oncology clinicians' perspectives on access to and eligibility for MAiD for patients diagnosed with brain cancer. We interviewed 24 neuro-oncology clinicians from 6 countries. Participants described the unique challenges facing brain cancer patients, potentially resulting in their inequitable access to MAiD. The findings highlight the importance of early end-of-life conversations, advance care planning, and access to end-of-life treatment options.