Statements of Austrian hospices and palliative care units after the implementation of the law on assisted suicide : A qualitative study of web-based publications.
Autonomy
Health communication
Information science
Physician-assisted suicide
Religion and medicine
Journal
Wiener klinische Wochenschrift
ISSN: 1613-7671
Titre abrégé: Wien Klin Wochenschr
Pays: Austria
ID NLM: 21620870R
Informations de publication
Date de publication:
09 Mar 2023
09 Mar 2023
Historique:
received:
29
12
2022
accepted:
27
01
2023
entrez:
9
3
2023
pubmed:
10
3
2023
medline:
10
3
2023
Statut:
aheadofprint
Résumé
Since January 2022, assisted suicide (AS) in Austria is legal under certain conditions. One of these conditions is informative consultations with two physicians, one of whom must be qualified in palliative medicine. Patients who are thinking about AS can approach palliative care institutions. This study aims to assess the availability and nature of Austrian palliative care institutions' web-based statements about AS. In this qualitative study, the websites of all Austrian palliative care units (n = 43) and all Austrian inpatient hospices (n = 14) were searched for possible statements on AS once in February 2022 and once in August 2022 using the three search terms "suicide", "assisted", and "euthanasia". The findings were subsequently evaluated using thematic analysis and NVivo software. Statements or texts that included positions on AS were found on the websites of 11 institutions (19%). The results covered three main themes 1) demarcation: denial of involvement and judgment about AS, 2) duty: handling of requests and describing the target group of care recipients, and 3) explanation: experience, values, concerns, and demands. The results of this study indicate that people in Austria who wish to have AS and who may use the internet as their first source of information largely find no relevant information. There is no online statement of a palliative care or hospice institution that endorses AS. Positions on AS are mostly lacking, while reluctant attitudes of Christian institutions are predominant.
Sections du résumé
BACKGROUND
BACKGROUND
Since January 2022, assisted suicide (AS) in Austria is legal under certain conditions. One of these conditions is informative consultations with two physicians, one of whom must be qualified in palliative medicine. Patients who are thinking about AS can approach palliative care institutions. This study aims to assess the availability and nature of Austrian palliative care institutions' web-based statements about AS.
METHODS
METHODS
In this qualitative study, the websites of all Austrian palliative care units (n = 43) and all Austrian inpatient hospices (n = 14) were searched for possible statements on AS once in February 2022 and once in August 2022 using the three search terms "suicide", "assisted", and "euthanasia". The findings were subsequently evaluated using thematic analysis and NVivo software.
RESULTS
RESULTS
Statements or texts that included positions on AS were found on the websites of 11 institutions (19%). The results covered three main themes 1) demarcation: denial of involvement and judgment about AS, 2) duty: handling of requests and describing the target group of care recipients, and 3) explanation: experience, values, concerns, and demands.
CONCLUSION
CONCLUSIONS
The results of this study indicate that people in Austria who wish to have AS and who may use the internet as their first source of information largely find no relevant information. There is no online statement of a palliative care or hospice institution that endorses AS. Positions on AS are mostly lacking, while reluctant attitudes of Christian institutions are predominant.
Identifiants
pubmed: 36894787
doi: 10.1007/s00508-023-02157-9
pii: 10.1007/s00508-023-02157-9
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Informations de copyright
© 2023. The Author(s).
Références
Halmich M. Sterbeverfügungsgesetz StVfG. Kompakte Gesetzeskommentierung. Wien: Educa; 2022.
Hospiz Österreich. Einrichtungsübersicht. 2022. https://www.hospiz.at/einrichtungsuebersicht/ . Accessed 27 Nov 2022.
Braun V, Clarke V. Using thematic analysis in psychology. Qual Res Psychol. 2006;3:77–101.
doi: 10.1191/1478088706qp063oa
Braun V, Clarke V. What can ‘thematic analysis’ offer health and wellbeing researchers? Int J Qual Stud Health Well-being. 2014;9:9–10.
doi: 10.3402/qhw.v9.26152
Braun V, Clarke V. Successful qualitative research: a practical guide for beginners. Los Angeles: SAGE; 2013.
Braun V, Clarke V. One size fits all? What counts as quality practice in (reflexive) thematic analysis? Qual Res Psychol. 2021;18(3):328–52. https://doi.org/10.1080/14780887.2020.1769238 .
doi: 10.1080/14780887.2020.1769238
Marini MC, Neuenschwander H, Stiefel F. Attitudes toward euthanasia and physician assisted suicide: a survey among medical students, oncology clinicians, and palliative care specialists. Palliat Support Care. 2006;4(3):251–5. https://doi.org/10.1017/s1478951506060329 .
doi: 10.1017/s1478951506060329
pubmed: 17066966
Meier DE, Emmons CA, Wallenstein S, et al. A national survey of physician-assisted suicide and euthanasia in the United States. Surv Anesthesiol. 1999;43(2):71–2. https://doi.org/10.1097/00132586-199904000-00012 .
doi: 10.1097/00132586-199904000-00012
Grassi L, Magnani K, Ercolani M. Attitudes toward euthanasia and physician-assisted suicide among Italian primary care physicians. J Pain Symptom Manage. 1999;17(3):188–96. https://doi.org/10.1016/S0885-3924(98)00155-9 .
doi: 10.1016/S0885-3924(98)00155-9
pubmed: 10098362
Portenoy RK, Coyle N, Kash KM, et al. Determinants of the willingness to endorse assisted suicide: a survey of physicians, nurses, and social workers. Psychosomatics. 1997;38(3):277–87. https://doi.org/10.1016/S0033-3182(97)71465-8 .
doi: 10.1016/S0033-3182(97)71465-8
pubmed: 9136257
Bachmann JG, Alcser K, Doukas D, et al. Attitudes of michigan physicians and the public toward legalizing physician-assisted suicide and voluntary euthanasia. N Engl J Med. 1996;334(5):303–9. https://doi.org/10.1056/nejm199602013340506 .
doi: 10.1056/nejm199602013340506
Ganzini L, Harvath TA, Jackson A, et al. Experiences of Oregon nurses and social workers with hospice patients who requested assistance with suicide. N Engl J Med. 2002;347(8):582–8.
doi: 10.1056/NEJMsa020562
pubmed: 12192019
BMA. Survey on physician-assisted dying. 2021. https://www.bma.org.uk/media/3367/bma-physician-assisted-dying-survey-report-oct-2020.pdf . Accessed 27 Nov 2022.
Clark D, Baur N, Clelland D, et al. Mapping levels of palliative care development in 198 countries: the situation in 2017. J Pain Symptom Manage. 2020;59(4):794–807. https://doi.org/10.1016/j.jpainsymman.2019.11.009 .
doi: 10.1016/j.jpainsymman.2019.11.009
pubmed: 31760142
pmcid: 7105817
WHO. Palliative care. 2010. https://www.who.int/europe/news-room/fact-sheets/item/palliative-care . Accessed 5 Dec 2022.
Mathews JJ, Hausner D, Avery J, et al. Impact of medical assistance in dying on palliative care: a qualitative study. Palliat Med. 2021;35(2):447–54. https://doi.org/10.1177/0269216320968517 .
doi: 10.1177/0269216320968517
pubmed: 33126842
OPG. Stellungnahme des Vorstandes der Österreichische Palliativgesellschaft (OPG) zur Gesetzesvorlage „Bundesgesetz über die Errichtung von Sterbeverfügungen (Sterbeverfügungsgesetz-StVfG). 2021. https://www.palliativ.at/index.php?eID=tx_securedownloads&p=1390&u=0&g=0&t=1670190969&hash=6a1e91d20ddd7e2ea08082c04500384fb216f3a7&file=/fileadmin/redakteur/Stellungnahmen/OPG.Stellungnahme.HosPalG.201121.pdf . Accessed 27 Nov 2022.