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Australian pharmacists’ perspectives on physician-assisted suicide (PAS): thematic analysis of semistructured interviews

OBJECTIVES: This study aimed to investigate Australian pharmacists’ views about their role in physician-assisted suicide (PAS), their ethical and legal concerns and overall thoughts about PAS in pharmacy. DESIGN: Semistructured interviews of pharmacists incorporating a previously validated vignette...

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Autores principales: Isaac, Sami, McLachlan, Andrew, Chaar, Betty
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BMJ Publishing Group 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6830588/
https://www.ncbi.nlm.nih.gov/pubmed/31666261
http://dx.doi.org/10.1136/bmjopen-2018-028868
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author Isaac, Sami
McLachlan, Andrew
Chaar, Betty
author_facet Isaac, Sami
McLachlan, Andrew
Chaar, Betty
author_sort Isaac, Sami
collection PubMed
description OBJECTIVES: This study aimed to investigate Australian pharmacists’ views about their role in physician-assisted suicide (PAS), their ethical and legal concerns and overall thoughts about PAS in pharmacy. DESIGN: Semistructured interviews of pharmacists incorporating a previously validated vignette and thematic analysis. SETTING: Australia (face to face or phone call). PARTICIPANTS: 40 Australian Health Practitioner Regulation Agency registered pharmacists, majority women (65%) with varied experiences in community, hospital, industry, academia, government and other fields. RESULTS: Emergent themes from the interviews were: legal and logistical framework, ethical framework, training and guidance and healthcare budget. More than half the participants supported the role of pharmacists in the supply of medicines for PAS, while less than half were either against or unsure of the legislation of PAS in Australia. Shared concerns included transparency of prescribing practices and identification of authorised physicians involved in PAS, which were consistent with existing literature. Religious faith, emotion and professional autonomy were key indicators for the implementation of conscientious objection to the supply of medicines in PAS. Re-evaluation of current guidelines, pharmacist training and government reimbursement was also of significance from participants’ perspectives. CONCLUSION: This study revealed current concerns of practising pharmacists in Australia, including previously undocumented perspectives on the pharmacoeconomic impact of and barriers relating to PAS. The need for training of all healthcare professionals involved, the provision of clear guidelines, including regulation around storage, administration and disposal of medicines dispensed for PAS and the updating of current therapeutic guidelines around end-of-life care were all issues delineated by this study. These findings highlighted the need for current and future policies to account for all stakeholders involved in PAS, not solely prescribers.
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spelling pubmed-68305882019-11-20 Australian pharmacists’ perspectives on physician-assisted suicide (PAS): thematic analysis of semistructured interviews Isaac, Sami McLachlan, Andrew Chaar, Betty BMJ Open Ethics OBJECTIVES: This study aimed to investigate Australian pharmacists’ views about their role in physician-assisted suicide (PAS), their ethical and legal concerns and overall thoughts about PAS in pharmacy. DESIGN: Semistructured interviews of pharmacists incorporating a previously validated vignette and thematic analysis. SETTING: Australia (face to face or phone call). PARTICIPANTS: 40 Australian Health Practitioner Regulation Agency registered pharmacists, majority women (65%) with varied experiences in community, hospital, industry, academia, government and other fields. RESULTS: Emergent themes from the interviews were: legal and logistical framework, ethical framework, training and guidance and healthcare budget. More than half the participants supported the role of pharmacists in the supply of medicines for PAS, while less than half were either against or unsure of the legislation of PAS in Australia. Shared concerns included transparency of prescribing practices and identification of authorised physicians involved in PAS, which were consistent with existing literature. Religious faith, emotion and professional autonomy were key indicators for the implementation of conscientious objection to the supply of medicines in PAS. Re-evaluation of current guidelines, pharmacist training and government reimbursement was also of significance from participants’ perspectives. CONCLUSION: This study revealed current concerns of practising pharmacists in Australia, including previously undocumented perspectives on the pharmacoeconomic impact of and barriers relating to PAS. The need for training of all healthcare professionals involved, the provision of clear guidelines, including regulation around storage, administration and disposal of medicines dispensed for PAS and the updating of current therapeutic guidelines around end-of-life care were all issues delineated by this study. These findings highlighted the need for current and future policies to account for all stakeholders involved in PAS, not solely prescribers. BMJ Publishing Group 2019-10-30 /pmc/articles/PMC6830588/ /pubmed/31666261 http://dx.doi.org/10.1136/bmjopen-2018-028868 Text en © Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.
spellingShingle Ethics
Isaac, Sami
McLachlan, Andrew
Chaar, Betty
Australian pharmacists’ perspectives on physician-assisted suicide (PAS): thematic analysis of semistructured interviews
title Australian pharmacists’ perspectives on physician-assisted suicide (PAS): thematic analysis of semistructured interviews
title_full Australian pharmacists’ perspectives on physician-assisted suicide (PAS): thematic analysis of semistructured interviews
title_fullStr Australian pharmacists’ perspectives on physician-assisted suicide (PAS): thematic analysis of semistructured interviews
title_full_unstemmed Australian pharmacists’ perspectives on physician-assisted suicide (PAS): thematic analysis of semistructured interviews
title_short Australian pharmacists’ perspectives on physician-assisted suicide (PAS): thematic analysis of semistructured interviews
title_sort australian pharmacists’ perspectives on physician-assisted suicide (pas): thematic analysis of semistructured interviews
topic Ethics
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6830588/
https://www.ncbi.nlm.nih.gov/pubmed/31666261
http://dx.doi.org/10.1136/bmjopen-2018-028868
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