RESUMO
OBJECTIVE: To determine whether physicians within a state-level professional association who disagree about the ethics of physician-assisted suicide (PAS) also disagree about organized professional engagement in public discussions regarding PAS. DESIGN: Anonymous mail questionnaire. PARTICIPANTS: Connecticut members of the American College of Physicians-American Society of Internal Medicine as of February 1999. MEASUREMENTS: Attitudes toward the legalization of PAS and organized participation in public discussions about PAS, and demographic and religious characteristics. MAIN RESULTS: The mean age of 677 respondents was 51 years and 20% were women. The legalization of PAS was favored by 28% of respondents, and opposed by 53%, but 84% favored organized participation in appropriate public discussions regarding PAS. Differences in religious affiliation were strongly associated with disagreements about PAS: physicians with Jewish affiliation or no affiliation were more likely to favor legalizing PAS than those with Catholic or other Christian affiliations (45%, 38%, 14%, and 19%, respectively, P < .001). Religious affiliation was not associated with differences in attitude toward organized participation in public discussions about PAS. Statistically significant differences in attitude toward public participation were found between some subgroups according to differing attitudes toward PAS, but in each case at least 80% of physicians still supported participation. CONCLUSIONS: Internists in this state-level organization widely supported organized participation in public discussions regarding PAS despite disagreements about its legalization, and support for organized participation was not affected by differences in religious affiliation nor substantially attenuated by differences in attitudes toward PAS.