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Table 2 Physician experience, attitude and barriers to EOL decisions, such as DNR, among practicing physicians in the American University of Beirut Medical Center (AUBMC) and Hotel Dieu de France (HDF) participating in the study

From: Physicians’ approach to end of life care: comparison of two tertiary care university hospitals in Lebanon

  AUBMC HDF p-value
Prior participation in DNR decision
 No
 Yes
15(15%)
85(85%)
8(11.9%)
59(88.1%)
0.574†
Attitude toward DNR decision
 - Ready for physician-initiated discussion with mentally competent patient. 68(68%) 23(34.3%) 0.000†
 - Ready for patient-initiated discussion with mentally competent patient 21(21%) 29(43.3%) 0.002†
 - Would discuss upon serious clinical deterioration without involving the patient 12(12%) 16(23.9%) 0.044†
 - Uncertain about what to do 5(5%) 6(9%) 0.313†
Criteria that preclude patient participation in decision
 - Not comfortable with the decision 19(36.5%) 19(33.3%) 0.157†
 - Lack of time on the part of the attending physician 4(7.7%) 7(12.3%) 0.100†
 - Respect the wishes of the family who refuse to involve the patient. 24(46.2%) 41(71.9%) 0.000†
 - Refusal to discuss prognosis with patient 7(13.5%) 6(10.5%) 0.644†
 - Refusal to inform the patient of his diagnosis 10(19.2%) 3(5.3%) 0.192†
 - Personal belief that the patient does not want to be engaged in these discussions 12(23.1%) 10(17.5%) 0.584†
 - Personal conviction that the discussion is traumatic and a source of anxiety for the patient 17(32.7%) 25(43.9%) 0.003†
 - Physician is better placed through the doctor-patient relationship to determine the course of treatment in the patient's best interest 18(34.6%) 18(31.6%) 0.172†
 - Certain personal characteristics of the patient (ethnicity, culture, religion, age, socioeconomic level 8(15.4%) 14(24.6%) 0.016†
Opinion of physician in charge
 Not important at all
 Somewhat important
 Important
 Very important
 Fundamental
2(2%)
7(7.1%)
22(22.4%)
39(39.8%)
28(28.6%)
1(1.5%)
3(4.5%)
10(15.2%)
29(43.9%)
23(34.8%)
0.177‡
Opinion of medical team (Physicians)
 Not important at all
 Somewhat important
 Important
 Very important
 Fundamental
0(0%)
16(16.2%)
28(28.3%)
35(35.4%)
20(20.2%)
1(1.5%)
2(3%)
15(22.4%)
30(44.8%)
19(28.4%)
0.018‡