Assisted dying in practice: Australian lessons for the Terminally Ill Adults (End of Life) Bill.

IF 2 4区医学 Q3 HEALTH CARE SCIENCES & SERVICES

BMJ Supportive & Palliative Care Pub Date : 2025-05-27 DOI:10.1136/spcare-2025-005606

Alex Hughes

引用次数: 0

Abstract

This editorial draws on clinical experience with Voluntary Assisted Dying (VAD) in Western Australia to critically examine the Terminally Ill Adults (End of Life) Bill. It compares the legislative approaches and examines the three key eligibility criteria: Terminal Illness (clause 2), Capacity (clause 3), and Coercion (clause 7). Concerns include prognostic accuracy, assessment setting, and structural coercion. Recommendations include independent life expectancy evaluations, outpatient based assessments, and early mandatory palliative care and social work involvement. Transparency about societal risks are emphasised, and the editorial draws on the UK governments recently published Impact Assessments.

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协助死亡的实践：澳大利亚临终成人（生命终结）法案的教训。

这篇社论借鉴了西澳大利亚州自愿协助死亡（VAD）的临床经验，以严格审查绝症成人（生命终结）法案。它比较了立法途径，并审查了三个关键的资格标准：绝症（第2条），能力（第3条）和强迫（第7条）。关注包括预测准确性、评估设置和结构强制。建议包括独立的预期寿命评估、门诊评估、早期强制性姑息治疗和社会工作参与。社论强调了社会风险的透明度，并引用了英国政府最近发布的影响评估。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

BMJ Supportive & Palliative Care Medicine-Medicine (miscellaneous)

CiteScore

4.60

自引率

7.40%

发文量

170

期刊介绍： Published quarterly in print and continuously online, BMJ Supportive & Palliative Care aims to connect many disciplines and specialties throughout the world by providing high quality, clinically relevant research, reviews, comment, information and news of international importance. We hold an inclusive view of supportive and palliative care research and we are able to call on expertise to critique the whole range of methodologies within the subject, including those working in transitional research, clinical trials, epidemiology, behavioural sciences, ethics and health service research. Articles with relevance to clinical practice and clinical service development will be considered for publication. In an international context, many different categories of clinician and healthcare workers do clinical work associated with palliative medicine, specialist or generalist palliative care, supportive care, psychosocial-oncology and end of life care. We wish to engage many specialties, not only those traditionally associated with supportive and palliative care. We hope to extend the readership to doctors, nurses, other healthcare workers and researchers in medical and surgical specialties, including but not limited to cardiology, gastroenterology, geriatrics, neurology, oncology, paediatrics, primary care, psychiatry, psychology, renal medicine, respiratory medicine.