The role and involvement of the specialized health service "LEIF physicians" in end-of-life decision making in Belgium.

Yanna Van Wesemael, Joachim Cohen (Redacteur), Bregje Onwuteaka-Philipsen (Redacteur), Johan Bilsen (Redacteur), Luc Deliens (Redacteur)

Onderzoeksoutput: Meeting abstract (Book)

Samenvatting

Aim
In 2003, after the euthanasia law was passed, LifeEnd Information Forum (LEIF) was founded in Belgium to train physicians to consult, advice, and inform about end-of-life care decisions and euthanasia. So far, evaluation of this supporting health service is lacking. This study describes number and content of requests LEIF-physicians receive in a one-year period, including palliative care related issues.
Methods
All 128 active LEIF-physician were sent a questionnaire asking about demographics, training in end-of-life care, and consultation and information requests from May 2007-May 2008.
Results
Response percentage was 75%. 73% of respondents were GP, 26% were part of a palliative care team, 41% followed postgraduate studies in palliative care, and 72% had some form of additional palliative care training.
In one year they received 2518 requests for information by patients mostly about living wills (n=656), the legal procedure of euthanasia (n=623), palliative care (n=533), and 1491 requests by physicians, of which 37% (n=545) was about the legal procedure or practical performance of euthanasia.
Respondents were contacted 550 times for consultation with attending physician and patient regarding a specific end-of-life decision. Of these cases 65% ensued from a patient request for physician-assisted death, and for 57% (n=311) an actual consultation as a second physician as prescribed by the euthanasia law was made. All due care criteria were judged to be met in 284 cases (91% of actual consultations); 219 of these cases (77%) ended in euthanasia.
Conclusion
LEIF-physicians are more often consulted by patients than by physicians. In these, patients address a broad spectrum of end of life issues, including on palliative care. Physicians mainly contact LEIF-physicians for concrete information about euthanasia and for actual consultation as second physicians in cases of patients requesting euthanasia in order to reach a well-considered decision. Funding: IWT-Flanders
Originele taal-2English
TitelAbstracts of the 11th Congress of the European Association for Palliative Care
UitgeverijHayward Medical Communications
Pagina's157-157
Aantal pagina's226
StatusPublished - 7 mei 2009
Evenement11th Congress of the European Association for Palliative Care - Vienna, Austria
Duur: 7 mei 200910 mei 2009

Conference

Conference11th Congress of the European Association for Palliative Care
Verkorte titelEAPC
LandAustria
StadVienna
Periode7/05/0910/05/09

Vingerafdruk

Duik in de onderzoeksthema's van 'The role and involvement of the specialized health service "LEIF physicians" in end-of-life decision making in Belgium.'. Samen vormen ze een unieke vingerafdruk.

Citeer dit