Older Dutch People's Self‐Reported Advance Euthanasia Directive Completion Before and After the Enactment of the Euthanasia Law: A Time Trend Study (1998–2011)

Evans, Natalie; Pasman, H. Roeline W.; Deeg, Dorly J. H.; Onwuteaka‐Philipsen, Bregje D.

doi:10.1111/jgs.13697

Cited by 4 publications

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“…Time trends analyses showed that the percentages of people with a positive attitude towards euthanasia and an end-of-life pill increased between 2001 and 2008 (from 58 to 70 % and from 31 to 45 %, respectively) [164]. The prevalence of possession of an euthanasia directive in LASA respondents was relatively stable around 6 % between 1998 and 2011 [165]. …”

Section: Major Findingsmentioning

confidence: 99%

The Longitudinal Aging Study Amsterdam: cohort update 2016 and major findings

et al. 2016

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The Longitudinal Aging Study Amsterdam (LASA) is an ongoing longitudinal study of older adults in the Netherlands, which started in 1992. LASA is focused on the determinants, trajectories and consequences of physical, cognitive, emotional and social functioning. The study is based on a nationally representative sample of older adults aged 55 years and over. The findings of the LASA study have been reported in over 450 publications so far (see www.lasa-vu.nl). In this article we describe the background and the design of the LASA study, and provide an update of the methods. In addition, we provide a summary of the major findings from the period 2011-2015.

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Section: Major Findingsmentioning

confidence: 99%

The Longitudinal Aging Study Amsterdam: cohort update 2016 and major findings

et al. 2016

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“…In the Netherlands, advance directives for euthanasia (ADEs) are the most popular advance directives; approximately 6% of older adults has an ADE. 1,2 In ADEs, people describe an advance desire for euthanasia and the circumstances under which they would want euthanasia. Most people discuss their ADE with their family physician at the time of writing.…”

Section: Objectivesmentioning

confidence: 99%

“…In advance directives, people describe their future preferences for end‐of‐life care. In the Netherlands, advance directives for euthanasia (ADEs) are the most popular advance directives; approximately 6% of older adults has an ADE . In ADEs, people describe an advance desire for euthanasia and the circumstances under which they would want euthanasia.…”

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confidence: 99%

From Advance Euthanasia Directive to Euthanasia: Stable Preference in Older People?

Bolt

Pasman

Deeg

2016

J American Geriatrics Society

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Euthanasia requests in dementia cases; what are experiences and needs of Dutch physicians? A qualitative interview study

et al. 2019

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Background In the Netherlands, in 2002, euthanasia became a legitimate medical act, only allowed when the due care criteria and procedural requirements are met. Legally, an Advanced Euthanasia Directive (AED) can replace direct communication if a patient can no longer express his own wishes. In the past decade, an exponential number of persons with dementia (PWDs) share a euthanasia request with their physician. The impact this on physicians, and the consequent support needs, remained unknown. Our objective was to gain more insight into the experiences and needs of Dutch general practitioners and elderly care physicians when handling a euthanasia request from a person with dementia (PWD). Methods We performed a qualitative interview study. Participants were recruited via purposive sampling. The interviews were transcribed verbatim, and analyzed using the conventional thematic content analysis. Results Eleven general practitioners (GPs) and elderly care physicians with a variety of experience and different attitudes towards euthanasia for PWD were included. Euthanasia requests appeared to have a major impact on physicians. Difficulties they experienced were related to timing, workload, pressure from and expectations of relatives, society’s negative view of dementia in combination with the ‘right to die’ view, the interpretation of the law and AEDs, ethical considerations, and communication with PWD and relatives. To deal with these difficulties, participants need support from colleagues and other professionals. Although elderly care physicians appreciated moral deliberation and support by chaplains, this was hardly mentioned by GPs. Conclusions Euthanasia requests in dementia seem to place an ethically and emotionally heavy burden on Dutch GPs and elderly care physicians. The awareness of, and access to, existing and new support mechanisms needs further exploration.

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Older Dutch People's Self‐Reported Advance Euthanasia Directive Completion Before and After the Enactment of the Euthanasia Law: A Time Trend Study (1998–2011)

Cited by 4 publications

References 10 publications

The Longitudinal Aging Study Amsterdam: cohort update 2016 and major findings

The Longitudinal Aging Study Amsterdam: cohort update 2016 and major findings

From Advance Euthanasia Directive to Euthanasia: Stable Preference in Older People?

Euthanasia requests in dementia cases; what are experiences and needs of Dutch physicians? A qualitative interview study

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