Physicians' willingness to grant requests for assistance in dying for children: a study of hypothetical cases

A.M. Vrakking, A. van der Heide, C.W. Looman, J.J.M. van Delden, B.D. Philipsen, P.J. van der Maas, G. van der Wal

    Research output: Contribution to JournalArticleAcademicpeer-review

    Abstract

    OBJECTIVE: To study the willingness of Dutch physicians to use potentially life-shortening or lethal drugs for severely ill children. STUDY DESIGN: We asked 63 pediatricians about their approach to 10 hypothetical cases of children with cancer. The age of the child (15, 11, or 6 years), the child's (explicit) request, and the opinion of the parents varied. Two hypothetical cases were also presented to 125 general practitioners and 208 clinical specialists. RESULTS: Most pediatricians were willing to increase morphine in all cases. A total of 48% to 60% of pediatricians were willing to use lethal drugs in children at the child's request, when the parents agreed; when parents requested ending of life of their unconscious child, 37% to 42% of pediatricians were willing; 13% to 28% of pediatricians were willing when parents did not agree with their child's request. General practitioners and clinical specialists were as willing as pediatricians to use lethal drugs at the child's request, but less willing to grant a request of parents for their unconscious child. CONCLUSIONS: Many Dutch pediatricians are willing to use potentially life-shortening or lethal drugs for children. The legal limit of 12 years, as the age under which voluntary euthanasia is forbidden, is not fully supported by Dutch physicians
    Original languageEnglish
    Pages (from-to)611-617
    JournalJournal of Pediatrics
    Volume146
    Issue number5
    DOIs
    Publication statusPublished - 2005

    Fingerprint

    Dive into the research topics of 'Physicians' willingness to grant requests for assistance in dying for children: a study of hypothetical cases'. Together they form a unique fingerprint.

    Cite this