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医生会开什么药:澳大利亚医生提供自愿协助死亡的经历。

What the Doctor Would Prescribe: Physician Experiences of Providing Voluntary Assisted Dying in Australia.

机构信息

Australian Centre for Health Law Research, Faculty of Law, Queensland University of Technology, Brisbane, Australia.

出版信息

Omega (Westport). 2023 Sep;87(4):1063-1087. doi: 10.1177/00302228211033109. Epub 2021 Jul 20.

Abstract

BACKGROUND

Like many countries where voluntary assisted dying (VAD) is legal, eligible doctors in Victoria, Australia, have sole legal authority to provide it. Doctors' attitudes towards legalised VAD have direct bearing on their willingness to participate in VAD and consequently, on whether permissive laws can effectively facilitate access to VAD. The study aimed to explore how some Victorian doctors are perceiving and experiencing the provision of legalised VAD under a recently commenced law.

METHODS

Semi-structured interviews with 25 Victorian doctors with no in-principle objection to legalised VAD were conducted between July 2019-February 2020. Interviews were recorded, transcribed, and analysed using thematic analysis. Ethical approval from the relevant institution was obtained.

RESULTS

Doctors perceive or experience VAD to fundamentally challenge traditional medical practice. Barriers to access to VAD derive from applicant, communication, and doctor-related factors. Doctors' willingness to participate in VAD is situation specific.

摘要

背景

与许多自愿协助死亡(VAD)合法化的国家一样,澳大利亚维多利亚州符合条件的医生拥有提供 VAD 的唯一合法权力。医生对合法化 VAD 的态度直接影响他们参与 VAD 的意愿,进而影响是否允许法律有效地促进 VAD 的获取。本研究旨在探讨一些维多利亚州医生如何在最近开始实施的法律下感知和体验合法化 VAD 的提供。

方法

2019 年 7 月至 2020 年 2 月期间,对 25 名对合法化 VAD 无原则反对的维多利亚州医生进行了半结构化访谈。采访进行了录音、转录,并使用主题分析进行了分析。从相关机构获得了伦理批准。

结果

医生认为 VAD 从根本上挑战了传统的医疗实践。获取 VAD 的障碍源于申请人、沟通和医生相关因素。医生参与 VAD 的意愿是具体情况而定的。

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