Role and involvement of life end information forum physicians in euthanasia and other end-of-life care decisions in Flanders, Belgium

Health Serv Res. 2009 Dec;44(6):2180-92. doi: 10.1111/j.1475-6773.2009.01042.x. Epub 2009 Sep 24.

Abstract

Objective: To describe role and involvement of Life End Information Forum (LEIF) physicians in end-of-life care decisions and euthanasia in Flanders.

Study design: All 132 LEIF physicians in Belgium received a questionnaire inquiring about their activities in the past year, and their end-of-life care training and experience.

Principal findings: Response rate was 75 percent. Most respondents followed substantive training in end-of-life care. In 1 year, LEIF physicians were contacted 612 times for consultations in end-of-life decisions, of which 355 concerned euthanasia requests eventually resulting in 221 euthanasia cases. LEIF physicians also gave information about various end-of-life issues (including palliative care) to patients and colleagues.

Conclusions: LEIF physicians provide a forum for information and advice for physicians and patients. A similar health service providing support to physicians for all end-of-life decisions could also be beneficial for countries without a euthanasia law.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Attitude to Death
  • Belgium
  • Decision Making*
  • Euthanasia*
  • Group Processes
  • Humans
  • Middle Aged
  • Physician's Role*
  • Physicians / psychology*
  • Referral and Consultation
  • Surveys and Questionnaires
  • Terminally Ill*