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Physician attitudes to voluntary assisted dying: A scoping review

journal contribution
posted on 16.02.2022, 03:17 by Jodhi RutherfordJodhi Rutherford, Lindy Willmott, Ben P White
Background Voluntary assisted dying (VAD) became legal in the Australian state of Victoria on 19 June 2019 and will be legal in Western Australia from 2021. Other Australian states are progressing similar law reform processes. In Australia and internationally, doctors are central to the operation of all legal VAD regimes. It is broadly accepted that doctors, as a profession, are less in favour of VAD law reform than the rest of the community. To date, there has been little analysis of the factors that motivate doctors' support or opposition to legalised VAD in Australia. Aim To review all studies reporting the attitudes of Australian doctors regarding the legalisation of VAD, including their willingness to participate in it, and to observe and record common themes in existing attitudinal data. Design Scoping review and thematic analysis of qualitative and quantitative data. Data sources CINAHL, Embase, Scopus, PubMed and Informit were searched from inception to June 2019. Results 26 publications detailing 19 studies were identified. Thematic analysis of quantitative and qualitative findings was performed. Three overarching themes emerged. 'Attitudes towards regulation' encompassed doctors' orientation towards legalisation, the shortcomings of binary categories of support or opposition and doctors' concerns about additional regulation of their professional practices. 'Professional and personal impact of legalisation' described tensions between palliative care and VAD, and the emotional and social impact of being providers of VAD. 'Practical considerations regarding access' considered doctors' concerns about eligibility criteria and their willingness to provide VAD. Conclusion A detailed understanding of medical perspectives about VAD would facilitate the design of legislative models that take better account of doctors' concerns. This may facilitate their greater participation in VAD and help address potential access issues arising from availability of willing doctors.

History

Volume

11

Issue

2

Start Page

200

End Page

208

Number of Pages

9

eISSN

2045-4368

ISSN

2045-435X

Publisher

BMJ

Language

en

Peer Reviewed

Yes

Open Access

No

Acceptance Date

18/05/2020

External Author Affiliations

Queensland University of Technology

Era Eligible

Yes

Medium

Print-Electronic

Journal

BMJ Supportive and Palliative Care