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MAiD to Last: Creating a Care Ecology for Sustainable Medical Assistance in Dying Services
This paper depicts a case study of an organizational strategy for the promotion of ethical practice when introducing a new, high-risk, ethically-charged medical practice like Medical Assistance in Dying (MAiD). We describe the development of an interprofessional program that enables the delivery of...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Springer Netherlands
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9465134/ https://www.ncbi.nlm.nih.gov/pubmed/36094775 http://dx.doi.org/10.1007/s10730-022-09487-7 |
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author | Frolic, Andrea Miller, Paul Harper, Will Oliphant, Allyson |
author_facet | Frolic, Andrea Miller, Paul Harper, Will Oliphant, Allyson |
author_sort | Frolic, Andrea |
collection | PubMed |
description | This paper depicts a case study of an organizational strategy for the promotion of ethical practice when introducing a new, high-risk, ethically-charged medical practice like Medical Assistance in Dying (MAiD). We describe the development of an interprofessional program that enables the delivery of high-quality, whole-person MAiD care that is values-based and sustainable. A “care ecology” strategy recognizes the interconnected web of relationships and structures necessary to support a quality experience of MAiD for patients, families, and clinicians. This program exemplifies a care ecology approach that addresses common barriers to entry to MAiD practice, and also meets the needs of a variety of stakeholders through the creation of patient and family resources, team supports, standards of practice, professional development opportunities, organizational infrastructure, and community partnerships. We also describe how a thriving care ecology evolves to remain resilient, and to enable integration as the needs of the organization, team and program change over time. The design and development of this program may be adapted to other jurisdictions and organizations where MAiD is introduced, or where new patient populations become eligible for MAiD. This care ecology model may also be applicable to the creation of sustainable programs that provide other morally controversial or novel clinical services. |
format | Online Article Text |
id | pubmed-9465134 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Springer Netherlands |
record_format | MEDLINE/PubMed |
spelling | pubmed-94651342022-09-12 MAiD to Last: Creating a Care Ecology for Sustainable Medical Assistance in Dying Services Frolic, Andrea Miller, Paul Harper, Will Oliphant, Allyson HEC Forum Article This paper depicts a case study of an organizational strategy for the promotion of ethical practice when introducing a new, high-risk, ethically-charged medical practice like Medical Assistance in Dying (MAiD). We describe the development of an interprofessional program that enables the delivery of high-quality, whole-person MAiD care that is values-based and sustainable. A “care ecology” strategy recognizes the interconnected web of relationships and structures necessary to support a quality experience of MAiD for patients, families, and clinicians. This program exemplifies a care ecology approach that addresses common barriers to entry to MAiD practice, and also meets the needs of a variety of stakeholders through the creation of patient and family resources, team supports, standards of practice, professional development opportunities, organizational infrastructure, and community partnerships. We also describe how a thriving care ecology evolves to remain resilient, and to enable integration as the needs of the organization, team and program change over time. The design and development of this program may be adapted to other jurisdictions and organizations where MAiD is introduced, or where new patient populations become eligible for MAiD. This care ecology model may also be applicable to the creation of sustainable programs that provide other morally controversial or novel clinical services. Springer Netherlands 2022-09-12 2022 /pmc/articles/PMC9465134/ /pubmed/36094775 http://dx.doi.org/10.1007/s10730-022-09487-7 Text en © The Author(s), under exclusive licence to Springer Nature B.V. 2022 This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic. |
spellingShingle | Article Frolic, Andrea Miller, Paul Harper, Will Oliphant, Allyson MAiD to Last: Creating a Care Ecology for Sustainable Medical Assistance in Dying Services |
title | MAiD to Last: Creating a Care Ecology for Sustainable Medical Assistance in Dying Services |
title_full | MAiD to Last: Creating a Care Ecology for Sustainable Medical Assistance in Dying Services |
title_fullStr | MAiD to Last: Creating a Care Ecology for Sustainable Medical Assistance in Dying Services |
title_full_unstemmed | MAiD to Last: Creating a Care Ecology for Sustainable Medical Assistance in Dying Services |
title_short | MAiD to Last: Creating a Care Ecology for Sustainable Medical Assistance in Dying Services |
title_sort | maid to last: creating a care ecology for sustainable medical assistance in dying services |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9465134/ https://www.ncbi.nlm.nih.gov/pubmed/36094775 http://dx.doi.org/10.1007/s10730-022-09487-7 |
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