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Finnish doctors and the realisation of patient autonomy in the context of end of life decision making

Abstract

Patient autonomy is a fundamental principle in end of life decision making. However, its realisation may take a variety of forms. Discourse analysis was conducted in a qualitative interview study of 19 physicians. The physicians made use of three different discourses, each of which contained a specific understanding of patient autonomy and a physician’s proper activities in the context of end of life decision making.

  • advance care planning
  • doctor–patient relationship
  • end of life decision making
  • patient autonomy

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