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The Intersection of Indigenous Peoples in Canada and Medical Assistance in Dying: A Scoping Review of the Current Literature.

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Τίτλος: The Intersection of Indigenous Peoples in Canada and Medical Assistance in Dying: A Scoping Review of the Current Literature.
Συγγραφείς: Rosen NP; Faculty of Health Sciences, McMaster University, Hamilton, Ontario, Canada., Bae G; Faculty of Medicine, University of British Columbia, Vancouver, Canada., Farrugia P; Department of Surgery, McMaster University, Hamilton, Ontario, Canada., Banfield L; Health Sciences Library, McMaster University, Hamilton, Ontario, Canada.
Πηγή: Journal of palliative medicine [J Palliat Med] 2026 Aug; Vol. 29 (8), pp. 1153-1168. Date of Electronic Publication: 2025 Sep 19.
Τύπος έκδοσης: Journal Article; Scoping Review
Γλώσσα: English
Στοιχεία περιοδικού: Publisher: Mary Ann Liebert, Inc Country of Publication: United States NLM ID: 9808462 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1557-7740 (Electronic) Linking ISSN: 15577740 NLM ISO Abbreviation: J Palliat Med Subsets: MEDLINE
Imprint Name(s): Original Publication: Larchmont, NY : Mary Ann Liebert, Inc., c1998-
Ιατρικοί όροι (MeSH): Indigenous Canadians*/psychology , Health Services, Indigenous* , Suicide, Assisted* , Terminal Care*, Humans ; Canada
Περίληψη: Introduction: Medical assistance in dying (MAID) was legalized in Canada in 2016, creating a significant shift in end-of-life care. However, Indigenous populations face unique challenges with MAID due to historical mistreatment, cultural differences, and systemic barriers within the health care system.
Objectives: By means of this scoping review, we identify the critical gap in understanding Indigenous experiences with MAID. We also seek to identify barriers and facilitators to providing culturally appropriate care and to incorporate Indigenous perspectives into MAID policies and practices.
Results: We identified key themes, including the need for cultural sensitivity and safety, the importance of community and family involvement, communication barriers, and policy and legislative considerations.
Future Directions: From our findings, we highlight the necessity of engaging Indigenous communities in developing MAID services to ensure they are culturally appropriate and respectful. Addressing these needs is essential to providing respectful end-of-life care for Indigenous peoples in Canada. We also highlight significant gaps in the literature and the urgent need for further research to ensure that MAID services are culturally appropriate and aligned with Indigenous values and needs.
Definition: In this article, the term "Indigenous peoples" refers to the original peoples of North America and their descendants. The Canadian Constitution recognizes three distinct groups of Indigenous peoples: First Nations, Inuit, and Métis.
Competing Interests: Author Disclosure StatementN.P.R. and G.B., the primary researchers conducting this scoping review, are not Indigenous and acknowledge our positions as settlers on this land. We recognize the importance of this context in our work and have taken careful measures to approach this research with cultural sensitivity and respect. We are deeply committed to ensuring that the voices and perspectives of Indigenous peoples are accurately represented and honored in our findings.The authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
Contributed Indexing: Keywords: Canada; Indigenous people; end-of-life care; health care; medical assistance in dying; physician-assisted death
Entry Date(s): Date Created: 20250919 Date Completed: 20260730 Latest Revision: 20260804
Update Code: 20260804
DOI: 10.1177/10966218251372355
PMID: 40971264
Βάση Δεδομένων: MEDLINE
FullText Text:
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  Data: The Intersection of Indigenous Peoples in Canada and Medical Assistance in Dying: A Scoping Review of the Current Literature.
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  Data: <searchLink fieldCode="AU" term="%22Rosen+NP%22">Rosen NP</searchLink>; Faculty of Health Sciences, McMaster University, Hamilton, Ontario, Canada.<br /><searchLink fieldCode="AU" term="%22Bae+G%22">Bae G</searchLink>; Faculty of Medicine, University of British Columbia, Vancouver, Canada.<br /><searchLink fieldCode="AU" term="%22Farrugia+P%22">Farrugia P</searchLink>; Department of Surgery, McMaster University, Hamilton, Ontario, Canada.<br /><searchLink fieldCode="AU" term="%22Banfield+L%22">Banfield L</searchLink>; Health Sciences Library, McMaster University, Hamilton, Ontario, Canada.
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  Data: <searchLink fieldCode="JN" term="%229808462%22">Journal of palliative medicine</searchLink> [J Palliat Med] 2026 Aug; Vol. 29 (8), pp. 1153-1168. <i>Date of Electronic Publication: </i>2025 Sep 19.
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  Data: Journal Article; Scoping Review
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  Data: English
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  Data: <i>Publisher: </i><searchLink fieldCode="PB" term="%22Mary+Ann+Liebert%2C+Inc%22">Mary Ann Liebert, Inc </searchLink><i>Country of Publication: </i>United States <i>NLM ID: </i>9808462 <i>Publication Model: </i>Print-Electronic <i>Cited Medium: </i>Internet <i>ISSN: </i>1557-7740 (Electronic) <i>Linking ISSN: </i><searchLink fieldCode="IS" term="%2215577740%22">15577740 </searchLink><i>NLM ISO Abbreviation: </i>J Palliat Med <i>Subsets: </i>MEDLINE
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  Data: <i>Original Publication</i>: Larchmont, NY : Mary Ann Liebert, Inc., c1998-
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  Data: <searchLink fieldCode="MM" term="%22Indigenous+Canadians%22">Indigenous Canadians*</searchLink>/<searchLink fieldCode="MM" term="%22Indigenous+Canadians+psychology%22">psychology</searchLink> <br /><searchLink fieldCode="MM" term="%22Health+Services%2C+Indigenous%22">Health Services, Indigenous*</searchLink> <br /><searchLink fieldCode="MM" term="%22Suicide%2C+Assisted%22">Suicide, Assisted*</searchLink> <br /><searchLink fieldCode="MM" term="%22Terminal+Care%22">Terminal Care*</searchLink><br /><searchLink fieldCode="MH" term="%22Humans%22">Humans</searchLink> ; <searchLink fieldCode="MH" term="%22Canada%22">Canada</searchLink>
– Name: Abstract
  Label: Abstract
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  Data: Introduction: Medical assistance in dying (MAID) was legalized in Canada in 2016, creating a significant shift in end-of-life care. However, Indigenous populations face unique challenges with MAID due to historical mistreatment, cultural differences, and systemic barriers within the health care system.<br />Objectives: By means of this scoping review, we identify the critical gap in understanding Indigenous experiences with MAID. We also seek to identify barriers and facilitators to providing culturally appropriate care and to incorporate Indigenous perspectives into MAID policies and practices.<br />Results: We identified key themes, including the need for cultural sensitivity and safety, the importance of community and family involvement, communication barriers, and policy and legislative considerations.<br />Future Directions: From our findings, we highlight the necessity of engaging Indigenous communities in developing MAID services to ensure they are culturally appropriate and respectful. Addressing these needs is essential to providing respectful end-of-life care for Indigenous peoples in Canada. We also highlight significant gaps in the literature and the urgent need for further research to ensure that MAID services are culturally appropriate and aligned with Indigenous values and needs.<br />Definition: In this article, the term "Indigenous peoples" refers to the original peoples of North America and their descendants. The Canadian Constitution recognizes three distinct groups of Indigenous peoples: First Nations, Inuit, and Métis.
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  Label: Competing Interests
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  Data: Author Disclosure StatementN.P.R. and G.B., the primary researchers conducting this scoping review, are not Indigenous and acknowledge our positions as settlers on this land. We recognize the importance of this context in our work and have taken careful measures to approach this research with cultural sensitivity and respect. We are deeply committed to ensuring that the voices and perspectives of Indigenous peoples are accurately represented and honored in our findings.The authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
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  Data: <i>Keywords: </i>Canada; Indigenous people; end-of-life care; health care; medical assistance in dying; physician-assisted death
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  Data: <i>Date Created: </i>20250919 <i>Date Completed: </i>20260730 <i>Latest Revision: </i>20260804
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PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=cmedm&AN=40971264
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              Text: 2026 Aug
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