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 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.
['Isaac|Sami|S|0000-0002-9870-6129', 'McLachlan|Andrew|A|', 'Chaar|Betty|B|0000-0001-8757-9403']
D001291:Attitude of Health Personnel D001315:Australia D011307:Drug Prescriptions D004994:Ethics, Pharmacy D005260:Female D006282:Health Personnel D006801:Humans D007407:Interviews as Topic D008297:Male D010595:Pharmacists D010819:Physician's Role D012067:Religion D012941:Social Responsibility D017236:Suicide, Assisted
pharmacists euthanasia medical aid in dying physician assisted death physician assisted suicide voluntary euthanasia