Cargando…

Access Isn’t Enough: Evaluating the Quality of a Hospital Medical Assistance in Dying Program

Following an initial study of the needs of healthcare providers (HCP) regarding the introduction of Medical Assistance in Dying (MAiD), and the subsequent development of an assisted dying program, this study sought to determine the efficacy and impact of MAiD services following the first two years o...

Descripción completa

Detalles Bibliográficos
Autores principales: Frolic, Andrea, Swinton, Marilyn, Oliphant, Allyson, Murray, Leslie, Miller, Paul
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Netherlands 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9671975/
https://www.ncbi.nlm.nih.gov/pubmed/36018528
http://dx.doi.org/10.1007/s10730-022-09486-8
_version_ 1784832657806327808
author Frolic, Andrea
Swinton, Marilyn
Oliphant, Allyson
Murray, Leslie
Miller, Paul
author_facet Frolic, Andrea
Swinton, Marilyn
Oliphant, Allyson
Murray, Leslie
Miller, Paul
author_sort Frolic, Andrea
collection PubMed
description Following an initial study of the needs of healthcare providers (HCP) regarding the introduction of Medical Assistance in Dying (MAiD), and the subsequent development of an assisted dying program, this study sought to determine the efficacy and impact of MAiD services following the first two years of implementation. The first of three aims of this research was to understand if the needs, concerns and hopes of stakeholders related to patient requests for MAiD were addressed appropriately. Assessing how HCPs and families perceived the quality of MAiD services, and determining if the program successfully accommodated the diverse needs and perspectives of HCPs, rounded out this quality evaluation. This research implemented a mixed-methods design incorporative of an online survey with Likert scale and open-ended questions, as well as focus groups and interviews with staff and physicians, and interviews with MAiD-involved family members. There were 356 online surveys, as well as 39 participants in six focus groups with HCP, as well as fourteen interviews with MAiD-involved family members. Participants indicated that high-quality MAiD care could only be provided with enabling resources such as policies and guidelines to ensure safe, evidence-based, standardized care, as well as a specialized, trained MAiD team. Both focus group and survey data from HCPs suggest the infrastructure developed by the hospital was effective in delivering high-quality MAiD care that supports the diverse needs of various stakeholders. This study may serve as a model for evaluating the impact and quality of services when novel and ethically-contentious clinical practices are introduced to healthcare organizations.
format Online
Article
Text
id pubmed-9671975
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher Springer Netherlands
record_format MEDLINE/PubMed
spelling pubmed-96719752022-11-19 Access Isn’t Enough: Evaluating the Quality of a Hospital Medical Assistance in Dying Program Frolic, Andrea Swinton, Marilyn Oliphant, Allyson Murray, Leslie Miller, Paul HEC Forum Article Following an initial study of the needs of healthcare providers (HCP) regarding the introduction of Medical Assistance in Dying (MAiD), and the subsequent development of an assisted dying program, this study sought to determine the efficacy and impact of MAiD services following the first two years of implementation. The first of three aims of this research was to understand if the needs, concerns and hopes of stakeholders related to patient requests for MAiD were addressed appropriately. Assessing how HCPs and families perceived the quality of MAiD services, and determining if the program successfully accommodated the diverse needs and perspectives of HCPs, rounded out this quality evaluation. This research implemented a mixed-methods design incorporative of an online survey with Likert scale and open-ended questions, as well as focus groups and interviews with staff and physicians, and interviews with MAiD-involved family members. There were 356 online surveys, as well as 39 participants in six focus groups with HCP, as well as fourteen interviews with MAiD-involved family members. Participants indicated that high-quality MAiD care could only be provided with enabling resources such as policies and guidelines to ensure safe, evidence-based, standardized care, as well as a specialized, trained MAiD team. Both focus group and survey data from HCPs suggest the infrastructure developed by the hospital was effective in delivering high-quality MAiD care that supports the diverse needs of various stakeholders. This study may serve as a model for evaluating the impact and quality of services when novel and ethically-contentious clinical practices are introduced to healthcare organizations. Springer Netherlands 2022-08-26 2022 /pmc/articles/PMC9671975/ /pubmed/36018528 http://dx.doi.org/10.1007/s10730-022-09486-8 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Article
Frolic, Andrea
Swinton, Marilyn
Oliphant, Allyson
Murray, Leslie
Miller, Paul
Access Isn’t Enough: Evaluating the Quality of a Hospital Medical Assistance in Dying Program
title Access Isn’t Enough: Evaluating the Quality of a Hospital Medical Assistance in Dying Program
title_full Access Isn’t Enough: Evaluating the Quality of a Hospital Medical Assistance in Dying Program
title_fullStr Access Isn’t Enough: Evaluating the Quality of a Hospital Medical Assistance in Dying Program
title_full_unstemmed Access Isn’t Enough: Evaluating the Quality of a Hospital Medical Assistance in Dying Program
title_short Access Isn’t Enough: Evaluating the Quality of a Hospital Medical Assistance in Dying Program
title_sort access isn’t enough: evaluating the quality of a hospital medical assistance in dying program
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9671975/
https://www.ncbi.nlm.nih.gov/pubmed/36018528
http://dx.doi.org/10.1007/s10730-022-09486-8
work_keys_str_mv AT frolicandrea accessisntenoughevaluatingthequalityofahospitalmedicalassistanceindyingprogram
AT swintonmarilyn accessisntenoughevaluatingthequalityofahospitalmedicalassistanceindyingprogram
AT oliphantallyson accessisntenoughevaluatingthequalityofahospitalmedicalassistanceindyingprogram
AT murrayleslie accessisntenoughevaluatingthequalityofahospitalmedicalassistanceindyingprogram
AT millerpaul accessisntenoughevaluatingthequalityofahospitalmedicalassistanceindyingprogram