Participating doctors' perspectives on the regulation of voluntary assisted dying in Victoria: a qualitative study.

Objectives: To investigate the perspectives of doctors involved with voluntary assisted dying in Victoria regarding the Voluntary Assisted Dying Act 2017 (Vic) and its operation.Design, Setting, Participants: Qualitative study; semi-structured interviews with 32 doctors who had participated in the v...

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Publicado en:Medical Journal of Australia Vol. 215; no. 3; pp. 125 - 130
Autores principales: Willmott, Lindy, White, Ben P, Sellars, Marcus, Yates, Patsy M
Formato: Journal Article
Publicado: Wiley-Blackwell Aug2021
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Aug2021
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        atl: Participating doctors' perspectives on the regulation of voluntary assisted dying in Victoria: a qualitative study.
      aug:
        au:
          Willmott, Lindy
          White, Ben P
          Sellars, Marcus
          Yates, Patsy M
        affil: Australian Centre for Health Law Research, Queensland University of Technology, Brisbane QLD
      sug:
        subj:
          Physicians Psychosocial Factors
          Physician-Patient Relations Ethical Issues
          Health Personnel Ethical Issues
          Suicide, Assisted Legislation and Jurisprudence
          Eligibility Determination Legislation and Jurisprudence
          Aged
          Physicians Statistics and Numerical Data
          Middle Age
          Health Resource Utilization
          Victoria
          Attitude of Health Personnel
          Interviews
          Female
          Qualitative Studies
          Pharmacy Service Economics
          Adult
          Male
          Eligibility Determination Ethical Issues
          Pharmacists Ethical Issues
          Aged: 65+ years
          Middle Aged: 45-64 years
          Adult: 19-44 years
          Female
          Male
      ab: Objectives: To investigate the perspectives of doctors involved with voluntary assisted dying in Victoria regarding the Voluntary Assisted Dying Act 2017 (Vic) and its operation.Design, Setting, Participants: Qualitative study; semi-structured interviews with 32 doctors who had participated in the voluntary assisted dying system during its first year of operation (commenced 19 June 2019). Doctors were interviewed during April-July 2020.Results: Three major themes related to problems during the first year of operation of the Act were identified: the statutory prohibition of health professionals initiating discussions with their patients about voluntary assisted dying; the Department of Health and Human Services guidance requirement that all doctor-patient, doctor-pharmacist, and pharmacist-patient interactions be face-to-face; and aspects of implementation, including problems with the voluntary assisted dying online portal, obtaining documentary evidence to establish eligibility, and inadequate resourcing of the Statewide Pharmacy Service.Conclusions: Doctors reported only limited concerns about the Victorian voluntary assisted dying legislation, but have had some problems with its operation, including implications for the accessibility of voluntary assisted dying to eligible patients. While legislative change may resolve some of these concerns, most can be ameliorated by improving the processes and systems.
      pubtype: Academic Journal
      doctype: Journal Article
      ougenre: Article
    language: English
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