Pharmacists' Attitudes towards Medically Assisted Dying.

Area of Science:

• Pharmacology and Pharmacy Practice
• Bioethics
• End-of-Life Care Research

Background:

• The End of Life Choice Act 2019 (EOLC) in New Zealand permits medically assisted dying (MAiD).
• Understanding healthcare professionals' perspectives is crucial for effective implementation of end-of-life care legislation.

Purpose of the Study:

• To investigate pharmacists' attitudes towards MAiD under the EOLC.
• To assess pharmacists' willingness to provide MAiD services.
• To identify factors influencing pharmacists' decisions regarding MAiD.

Main Methods:

• An anonymous online survey was distributed to registered New Zealand pharmacists.
• The survey collected data on demographics, awareness, knowledge, support, attitudes, and willingness to participate in MAiD.
• 335 responses were received, with 289 valid for analysis.

Main Results:

• 58% of pharmacists supported legally assisted medical dying, while 29% opposed it and 13% were unsure.
• Key perceived benefits included legislative support, patient autonomy, ending suffering, and preserving dignity.
• Primary concerns involved legal issues, personal bias, palliation, stigmatization, and patient vulnerability.

Conclusions:

• Pharmacists' decisions on supporting and participating in MAiD are complex and influenced by multiple factors.
• Religion emerged as a significant factor influencing opposition to the EOLC and willingness to participate.
• Standardized guidance is needed to ensure appropriate management of assisted dying queries and address access issues.