在西澳大利亚地区获得自愿辅助死亡:主要利益相关者的早期反思
Casey M Haining1, Lindy Willmott2, Ben P White3
1Australian Centre for Health Law Research, Faculty of Business and Law, Queensland University of Technology, Brisbane, Qld 4000, Australia casey.haining@qut.edu.au.
Rural and remote health
|October 26, 2023
概括
西澳大利亚的自愿辅助死亡 (VAD) 法律在改善区域接入方面表现有前途,尽管与远程和当地支持相关的挑战仍然存在,对偏远地区的患者来说.
科学领域:
- 医疗法律和伦理学
- 公共卫生政策 公共卫生政策
- 医疗保健获取研究 医疗保健获取研究
背景情况:
- 澳大利亚司法管辖区越来越多地颁布了自愿协助死亡 (VAD) 法律.
- 国际证据表明,在区域和偏远人口的VAD获取方面存在严重的不平等.
- 关于澳大利亚地区VAD接入的实证研究仍然有限.
研究的目的:
- 评估旨在减轻西澳大利亚VAD法律中的区域获取不平等的倡议的有效性.
- 探索西澳大利亚地区VAD提供和访问的更广泛的景观.
- 收集关键利益相关者关于他们早期经验和反思的见解.
主要方法:
- 进行了27次半结构面试,与四个主要利益相关方组的29名参与者进行了面试.
- 利益相关方包括患者/家属,卫生从业人员,监管机构/VAD人员和卫生组织代表.
- 在采访成绩单上使用了感应性主题分析.
主要成果:
- 出现了四个主要主题:区域接入支持计划的关键作用,当地医疗保健提供者的必要性,远程医疗在VAD交付中的实用性,以及地理距离的普遍影响.
- 区域接入支持计划被确定为解决接入障碍的关键举措.
- 远程医疗证明了克服VAD服务地理局限性的潜力.
结论:
- 西澳大利亚实施的区域倡议在解决VAD获取不平等问题方面显得非常有效.
- 尽管取得了成功,但在为地区人口提供和获得VAD服务方面仍然存在重大挑战.
- 需要不断评估和调整 VAD 服务交付模式,以确保所有地理区域均获取.
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