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Israel Journal of Health Policy Research

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Open Access 01-12-2020 | Original research article

Assisted life termination and truth telling to terminally ill patients – a cross-sectional study of public opinions in Israel

Authors: Moran Bodas, Baruch Velan, Giora Kaplan, Arnona Ziv, Carmit Rubin, Kobi Peleg

Published in: Israel Journal of Health Policy Research | Issue 1/2020

Abstract

Background

End-of-life decisions are highly complex socio-normative and ethical phenomena. The goal of this study was to provide an assessment of public opinions in Israel concerning aspects of end-of-life decisions.

Methods

An online cross sectional study was performed in February 2020. The primary tool including items pertaining to death assistance and truth telling to patients. A sample of 515 participants representative of the adult Israeli population was obtained.

Results

The majority of participants (71%) supports telling the entire truth to patients even in harsh conditions. Support for truth telling decreases with affiliation to religion, with as little as 40% support among ultra-orthodox. People with vocational education are the least supportive of truth telling. Concerning doctor assisted death, almost half (49%) of the sample were supportive. Opposition is positively associated with religiosity, with 90% of ultra-orthodox and 58% of religious participants opposing doctor-assisted death, compared to only 18% among seculars. Non-Jews were 3.35 times (95%CI: 1.90, 5.91) more likely to oppose doctor assisted death than Jews (p < .0001). An Interrelationship analysis crossing between attitudes revealed that the largest group (39%) was comprised of participants who support both (“autonomists”).

Conclusions

Israelis are overwhelmingly supportive of truth telling to patients. In contrast, Israeli public opinions on doctor assisted death are divided. For both attitudes, religiousness plays a crucial role as a catalyst for conservatism and opposition to change. Almost a half of the public is also supportive of an autonomist approach that would allow patients to decide on ending their own lives.

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Title: Assisted life termination and truth telling to terminally ill patients – a cross-sectional study of public opinions in Israel
Authors: Moran Bodas
Baruch Velan
Giora Kaplan
Arnona Ziv
Carmit Rubin
Kobi Peleg
Publication date: 01-12-2020
Publisher: BioMed Central
Published in: Israel Journal of Health Policy Research / Issue 1/2020
Electronic ISSN: 2045-4015
DOI: https://doi.org/10.1186/s13584-020-00419-9

At a glance: The STEP trials

Springer Medicine

Assisted life termination and truth telling to terminally ill patients – a cross-sectional study of public opinions in Israel

Abstract

Background

Methods

Results

Conclusions

At a glance: The STEP trials

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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