Medical and midwifery students’ views on the use of conscientious objection in abortion care, following legal reform in Chile: a cross-sectional study
| Autor: | Lidia Casas, Sara P. Correa, Alejandra Ramm, M. Antonia Biggs, C. Finley Baba |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2020 |
| Předmět: |
medicine.medical_specialty
Health (social science) Cross-sectional study Attitude of Health Personnel media_common.quotation_subject education Specialty Abortion 0603 philosophy ethics and religion Midwifery Gee 03 medical and health sciences 0302 clinical medicine Obstetrics and gynaecology Pregnancy medicine Humans Chile Students Conscience media_common lcsh:R723-726 030219 obstetrics & reproductive medicine Obstetrics business.industry Health Policy Conscientious objector Abortion Induced Refusal to Treat 06 humanities and the arts Issues ethics and legal aspects Cross-Sectional Studies Philosophy of medicine Female 060301 applied ethics Psychology business lcsh:Medical philosophy. Medical ethics Research Article |
| Zdroj: | BMC Medical Ethics, Vol 21, Iss 1, Pp 1-11 (2020) BMC Medical Ethics |
| ISSN: | 1472-6939 |
| DOI: | 10.1186/s12910-020-00484-4 |
| Popis: | Background In August 2017, Chile lifted its complete ban on abortion by permitting abortion in three limited circumstances: 1) to save a woman’s life, 2) lethal fetal anomaly, and 3) rape. The new law allows regulated use of conscientious objection (CO) in abortion care, including allowing institutions to register as objectors. This study assesses medical and midwifery students’ support for CO, following legal reform. Methods From October 2017 to May 2018, we surveyed medical and midwifery students from seven universities located in Santiago, Chile. Universities included 4 secular (2 public and 2 private) and 3 private religiously-affiliated universities; all offering medical degrees with a specialization in obstetrics and gynecology (ob-gyn) and five offering midwifery degrees. We used generalized estimating equations (GEE) to identify characteristics associated with student support for CO, intentions to use CO to refuse to care for someone seeking abortion, and support for CO at the institutional level. Results 333 of the 413 eligible students who opened the survey, completed the questions on conscientious objection; 26% were seeking medical degrees with an ob-gyn specialty, 25% were seeking midwifery degrees, and 49% were seeking medical degrees and had not yet decided their specialty. While nearly all endorse requirements for conscientious objecting clinicians to inform (92%) and refer (91%) abortion-seeking patients, a minority (18%) would personally use conscientious objection to avoid caring for a patient seeking abortion (12% secular and 39% religious university students). About half of religious-university students (52%) and one-fifth of secular-university (20%) students support objections at the institutional level. Conclusions Most students support the regulated use of CO which preserves patients’ access to abortion care. Religious-university student views on the use of conscientious objection in abortion care are discordant with those of their institutions which currently support institutional-level objections. |
| Databáze: | OpenAIRE |
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