The DOI matches its Crossref record; 11 of the 11 references it cites were found in a registry or an index.
MAiD to Last: Creating a Care Ecology for Sustainable Medical Assistance in Dying Services
Open accessAbstract
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.
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“participants identified support needs for both patients and families during and following the MAiD MI-SUMC assessment, including, in alignment with prior studies on MAiD for conditions other than mental illness [26, 58, 59], instrumental supports with end-of-life planning, and bereavement supports for families [60].”
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Cites
A qualitative study of physicians’ conscientious objections to medical aid in dying
Bouthillier, M.-É., & Opatrny, L. (2019) · Palliative Medicine · doi:10.1177/0269216319861921 · Cited by 74
Oliphant, A., & Frolic, A. N. (2020) · Journal of Medical Ethics · doi:10.1136/medethics-2019-105758 · Cited by 37
Self-citationDouble-edged MAiD death family legacy: a qualitative descriptive study
Frolic, A. N., Swinton, M., Murray, L., & Oliphant, A. (2024) · BMJ Supportive & Palliative Care · doi:10.1136/bmjspcare-2020-002648 · Cited by 28
Self-citationFrolic, A. N., & Oliphant, A. (2022) · HEC Forum · doi:10.1007/s10730-022-09495-7 · Cited by 28
Self-citationFrom Prohibition to Permission: The Winding Road of Medical Assistance in Dying in Canada
Downie, J. (2022) · HEC Forum · doi:10.1007/s10730-022-09488-6 · Cited by 23
Simpson‐Tirone, M., Jansen, S., & Swinton, M. E. (2022) · HEC Forum · doi:10.1007/s10730-022-09489-5 · Cited by 22
Frolic, A. N., & Miller, P. Q. (2022) · HEC Forum · doi:10.1007/s10730-022-09485-9 · Cited by 18
Self-citationRutherford, J. (2020) · Journal of Medical Ethics · doi:10.1136/medethics-2020-106702 · Cited by 17
Access Isn’t Enough: Evaluating the Quality of a Hospital Medical Assistance in Dying Program
Frolic, A. N., Swinton, M. E., Oliphant, A., et al. (2022) · HEC Forum · doi:10.1007/s10730-022-09486-8 · Cited by 13
Self-citationBouthillier, M.-É., Perron, C., Roigt, D., et al. (2022) · HEC Forum · doi:10.1007/s10730-022-09484-w · Cited by 11
Research works printed but not linked: 2
- Jennings, B. (2017). Ecological care. Minding Nature, 10(2), 11.
- Tikasz, D., & Frolic, A. (2018). The cost of caring, the rewards of resilience: Creating an organizational culture of compassion and wellbeing. Hamilton Health Sciences Corp. Retrieved August 2, 2022, from https://www.hamiltonhealthsciences.ca/wp-content/uploads/2020/05/CREATE-Resilience-Model.pdf
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Stergiopoulos, V., Bastidas-Bilbao, H., Gupta, M., Buchman, D. Z., Stewart, D. E., Rajji, T., Simpson, A. I. F., van Kesteren, M. R., Cappe, V., Castle, D., et al. (2024) · BMC Psychiatry · doi:10.1186/s12888-024-05541-5 · Cited by 5
Metadata
- Authors
- Frolic, A., Miller, P., Harper, W., & Oliphant, A.
- Affiliations
- McMaster University Medical Centre (CA)
- Hamilton Health Sciences (CA)
- Corresponding author
- Frolic, Andrea
- Venue
- HEC Forum
- Published
- 2022-09-12
- Volume
- 34
- Issue
- 4
- Pages
- 409-428
- ISSN
- 0956-2737 (ISSN-L)
- 1572-8498
- PMC
- PMC9465134
- OpenAlex
- W4295232509
- Cited by
- 22
- References
- 11
- Citations by year
- 2026: 4 · 2025: 9 · 2024: 4 · 2023: 1 · 2022: 4
- FWCI
- 3.97
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- HEC Forum (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Canadian Foundation for Healthcare Improvement
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative and Oncologic Care
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative Care and End-of-Life Issues
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Ethics and bioethics in healthcare
- Keywords
- medical assistance in dying, interprofessional collaboration, ethical practice, organizational strategy, sustainable health services, patient and family support, professional development, standards of practice, community partnerships, organizational resilience
- MeSH terms
- Canada, Humans, Medical Assistance, Morals, Palliative Care, Suicide, Assisted
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