Regulating voluntary assisted dying practice: A policy analysis from Victoria, Australia
Regulating voluntary assisted dying practice: A policy analysis from Victoria, Australia
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DOI：
10.1016/j.healthpol.2021.09.003
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发表时间：
2021-10-23
期刊：
影响因子：
3.3
通讯作者：
White, Ben P.
中科院分区：
文献类型：
--
作者：
Close, Eliana;Willmott, Lindy;White, Ben P.
背景资料：维多利亚州是澳大利亚第一个将自愿协助死亡合法化的州（其他地方称为医生协助自杀和安乐死）。维多利亚州的法律在经过18个月的实施期后于2019年生效，旨在促进政策制定和其他监管基础设施。目的：研究公开的政策文件，关于自愿协助死亡在维多利亚和他们寻求regulation.Methods的问题：政策确定使用组合的搜索策略，以捕捉文件，旨在广泛的利益相关者，包括卫生从业人员，患者和家庭。的政策进行了专题分析，使用的框架Method.Results：该研究确定了60个政策和5个主题：1）政策目的的概念; 2）VAD的支持程度; 3）指导过程; 4）导航良心拒服兵役;和5）概念化自愿协助死亡及其与其他方面的临终关怀的关系。除了详细的维多利亚州政府政策外，几乎没有关于自愿协助死亡的实际指导。相反，非政府政策往往侧重于定位有关VAD和进入process.Conclusion：该研究表明了计划的实施期的管辖区构思协助自愿死亡改革的价值，并强调了在决策的做法，是有争议的一些挑战。(c)2021爱思唯尔有限公司版权所有。
Background: Victoria is the first state in Australia to legalise voluntary assisted dying (elsewhere known as physician-assisted suicide and euthanasia). The Victorian law took effect in 2019 after an 18-month implementation period designed to facilitate policy development and other regulatory infrastructure. Objective: To study publicly available policy documents regarding voluntary assisted dying in Victoria and the issues they seek to regulate.Methods: Policies were identified using a combination of search strategies to capture documents aimed at a broad range of stakeholders including health practitioners, patients, and families. The policies were thematically analysed using the Framework Method.Results: The study identified 60 policies and five themes: 1) conceptions of policy purpose; 2) degree of support for VAD; 3) guidance about process; 4) navigating conscientious objection; and 5) conceptualising voluntary assisted dying and its relationship with other aspects of end-of-life care. Outside of the detailed Victorian Government policies, there was little practical guidance for voluntary assisted dying provision. Instead, the non-governmental policies tended to focus on positioning regarding VAD and entry into the process.Conclusion: The study demonstrates the value of a planned implementation period for jurisdictions con-templating voluntary assisted dying reform and highlights the challenges in policymaking for a practice that is contentious for some. (c) 2021 Elsevier B.V. All rights reserved.