Euthanasia in advanced dementia; the view of the general practitioners in the Netherlands on a vignette case along the juridical and ethical dispute

Abstract Background In the Netherlands, euthanasia has been regulated by law since 2002. In the past decade, a growing number of persons with dementia requested for euthanasia, and more requests were granted. A euthanasia request from a patient with advanced dementia (PWAD) can have a major impact o...

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Autores principales:	Jaap Schuurmans, Chantalle Crol, Boudewijn Chabot, Marcel Olde Rikkert, Yvonne Engels
Formato:	article
Lenguaje:	EN
Publicado:	BMC 2021
Materias:	Euthanasia Dementia General practitioners Support Burden Jurisdiction Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/ac4843d13a5d4d4198ce0d1a2663b760
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spelling	oai:doaj.org-article:ac4843d13a5d4d4198ce0d1a2663b7602021-11-21T12:32:40ZEuthanasia in advanced dementia; the view of the general practitioners in the Netherlands on a vignette case along the juridical and ethical dispute10.1186/s12875-021-01580-z1471-2296https://doaj.org/article/ac4843d13a5d4d4198ce0d1a2663b7602021-11-01T00:00:00Zhttps://doi.org/10.1186/s12875-021-01580-zhttps://doaj.org/toc/1471-2296Abstract Background In the Netherlands, euthanasia has been regulated by law since 2002. In the past decade, a growing number of persons with dementia requested for euthanasia, and more requests were granted. A euthanasia request from a patient with advanced dementia (PWAD) can have a major impact on a general practitioner (GP). We aimed to get insights in the views of Dutch GPs on euthanasia concerning this patient group. Methods A postal survey was sent to 894 Dutch GPs. Questions were asked about a case vignette about a PWAD who was not able to confirm previous wishes anymore. Quantitative data were analyzed with descriptive statistics. Results Of the 894 GPs approached, 422 (47.3%) completed the survey. One hundred seventy-eight GPs (42.2%) did not agree with the statement that an Advance Euthanasia Directive (AED) can replace an oral request if communication with the patient concerned has become impossible. About half of the respondents (209; 49.5%) did not agree that the family can initiate a euthanasia trajectory, 95 GPs (22.5%) would accept such a family initiative and 110 GPs (26.1%) would under certain conditions. Discussion In case of a PWAD, when confirming previous wishes is not possible anymore, about half of the Dutch GPs would not accept an AED to replace verbal or non-verbal conformation nor consider performing euthanasia; a minority would. Our study shows that, probably due to the public debate and changed professional guidelines, conflicting views have arisen among Dutch GPs about interpretation of moral, ethical values considering AED and PWADs.Jaap SchuurmansChantalle CrolBoudewijn ChabotMarcel Olde RikkertYvonne EngelsBMCarticleEuthanasiaDementiaGeneral practitionersSupportBurdenJurisdictionMedicine (General)R5-920ENBMC Family Practice, Vol 22, Iss 1, Pp 1-7 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Euthanasia Dementia General practitioners Support Burden Jurisdiction Medicine (General) R5-920
spellingShingle	Euthanasia Dementia General practitioners Support Burden Jurisdiction Medicine (General) R5-920 Jaap Schuurmans Chantalle Crol Boudewijn Chabot Marcel Olde Rikkert Yvonne Engels Euthanasia in advanced dementia; the view of the general practitioners in the Netherlands on a vignette case along the juridical and ethical dispute
description	Abstract Background In the Netherlands, euthanasia has been regulated by law since 2002. In the past decade, a growing number of persons with dementia requested for euthanasia, and more requests were granted. A euthanasia request from a patient with advanced dementia (PWAD) can have a major impact on a general practitioner (GP). We aimed to get insights in the views of Dutch GPs on euthanasia concerning this patient group. Methods A postal survey was sent to 894 Dutch GPs. Questions were asked about a case vignette about a PWAD who was not able to confirm previous wishes anymore. Quantitative data were analyzed with descriptive statistics. Results Of the 894 GPs approached, 422 (47.3%) completed the survey. One hundred seventy-eight GPs (42.2%) did not agree with the statement that an Advance Euthanasia Directive (AED) can replace an oral request if communication with the patient concerned has become impossible. About half of the respondents (209; 49.5%) did not agree that the family can initiate a euthanasia trajectory, 95 GPs (22.5%) would accept such a family initiative and 110 GPs (26.1%) would under certain conditions. Discussion In case of a PWAD, when confirming previous wishes is not possible anymore, about half of the Dutch GPs would not accept an AED to replace verbal or non-verbal conformation nor consider performing euthanasia; a minority would. Our study shows that, probably due to the public debate and changed professional guidelines, conflicting views have arisen among Dutch GPs about interpretation of moral, ethical values considering AED and PWADs.
format	article
author	Jaap Schuurmans Chantalle Crol Boudewijn Chabot Marcel Olde Rikkert Yvonne Engels
author_facet	Jaap Schuurmans Chantalle Crol Boudewijn Chabot Marcel Olde Rikkert Yvonne Engels
author_sort	Jaap Schuurmans
title	Euthanasia in advanced dementia; the view of the general practitioners in the Netherlands on a vignette case along the juridical and ethical dispute
title_short	Euthanasia in advanced dementia; the view of the general practitioners in the Netherlands on a vignette case along the juridical and ethical dispute
title_full	Euthanasia in advanced dementia; the view of the general practitioners in the Netherlands on a vignette case along the juridical and ethical dispute
title_fullStr	Euthanasia in advanced dementia; the view of the general practitioners in the Netherlands on a vignette case along the juridical and ethical dispute
title_full_unstemmed	Euthanasia in advanced dementia; the view of the general practitioners in the Netherlands on a vignette case along the juridical and ethical dispute
title_sort	euthanasia in advanced dementia; the view of the general practitioners in the netherlands on a vignette case along the juridical and ethical dispute
publisher	BMC
publishDate	2021
url	https://doaj.org/article/ac4843d13a5d4d4198ce0d1a2663b760
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Euthanasia in advanced dementia; the view of the general practitioners in the Netherlands on a vignette case along the juridical and ethical dispute

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