Pharmacist experiences and perspectives with Oregon's Death with Dignity Act

Area of Science:

• Pharmacy Practice
• End-of-Life Care
• Medical Ethics

Background:

• Medical aid-in-dying (AID) is becoming more accessible in the U.S.
• Pharmacists play a crucial role in medication use but their involvement in AID remains under-examined.

Purpose of the Study:

• To explore the attitudes and experiences of pharmacists regarding medical AID.
• To understand their professional interactions with Oregon's Death with Dignity Act (DWDA).

Main Methods:

• Qualitative analysis of Oregon-licensed pharmacists.
• Data collected via semistructured focus groups.
• Analysis using immersion-crystallization methods.

Main Results:

• 16 pharmacists participated; 14 agreed to engage with the DWDA process, 2 declined.
• Identified logistical challenges impacting AID assistance.
• Described counseling content and considerations for DWDA prescriptions.
• Discussed how personal values influenced decisions regarding AID requests.

Conclusions:

• Pharmacists' roles in AID primarily involve dispensing and counseling, presenting unique challenges.
• Participation decisions are often linked to supporting patient autonomy.
• Further research is needed on diverse perspectives, especially from those declining participation.
• Educational materials and resources are necessary to support pharmacists in handling AID requests.