Physicians’ approach to end of life care: comparison of two tertiary care university hospitals in Lebanon

Autor: George Dabar, Imad Bou Akl, Mirella Sader
Jazyk: angličtina
Rok vydání: 2021
Předmět:
Zdroj: BMC Medical Education, Vol 21, Iss 1, Pp 1-9 (2021)
Druh dokumentu: article
ISSN: 1472-6920
DOI: 10.1186/s12909-021-03022-x
Popis: Abstract Background The care of terminally ill patients is fraught with ethical and medical dilemmas carried by healthcare professionals. The present study aims to explore the approaches of Lebanese attending physicians towards palliative care, end of life (EOL) care, and patient management in two tertiary care university hospitals with distinct medical culture. Methods Four hundred attending physicians from the American University of Beirut Medical Center (AUBMC) and Hotel Dieu de France (HDF) were recruited. Participants were Medical Doctors in direct contact with adult patients that could be subject to EOL situations providing relevant demographic, educational, religious as well as personal, medical or patient-centric data. Results The majority of physicians in both establishments were previously exposed to life-limiting decisions but remains uncomfortable with the decision to stop or limit resuscitation. However, physicians with an American training (AUBMC) were significantly more likely to exhibit readiness to initiate and discuss DNR with patients (p
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