Preparing for voluntary assisted dying: A qualitative analysis of practitioners' perceptions of voluntary assisted dying before the law begins in Queensland, Australia.

Abstract

Legalization of voluntary assisted dying (VAD), is increasingly being considered in many countries worldwide. Some regimes have a designated implementation period, after the law has passed but before it comes into force, to develop processes and systems required for VAD to be integrated within existing healthcare. This study is the first qualitative analysis of semi-structured interviews with 31 medical practitioners holding no in-principle objection to VAD, who may go on to provide VAD, during an implementation phase. It looks to understand perspectives on implementation and expectations of participating in VAD. Thematic analysis conceptualized four major themes: a new practice with many unknowns, perspectives on implementation, practicalities of the law, and clinical considerations. Findings highlight appropriate consideration is needed during the implementation phase to prepare the workforce in a sustainable way. Involvement of palliative care physicians in education and support for those involved in all end-of-life care would also be beneficial.