{"id":13611,"date":"2015-10-15T19:12:00","date_gmt":"2015-10-16T02:12:00","guid":{"rendered":"https:\/\/library.consciencelaws.org\/?p=13611"},"modified":"2023-01-24T14:05:14","modified_gmt":"2023-01-24T22:05:14","slug":"a-study-of-the-first-year-of-the-end-of-life-clinic-for-physician-assisted-dying-in-the-netherlands","status":"publish","type":"post","link":"https:\/\/library.consciencelaws.org\/?p=13611","title":{"rendered":"A study of the first year of the end-of-life clinic for physician-assisted dying in the Netherlands"},"content":{"rendered":"\n<h4 class=\"wp-block-heading\">Marianne C Snijdewind, Dick L Willems, Luc Deliens, Bregje D Onwuteaka-Philipsen, Kenneth Chambaere<\/h4>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"alignleft size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"172\" height=\"230\" src=\"https:\/\/library.consciencelaws.org\/wp-content\/uploads\/2023\/01\/jamainternalmed.jpg\" alt=\"JAMA Internal Medicine\" class=\"wp-image-15217\"\/><figcaption class=\"wp-element-caption\">JAMA Internal Medicine<\/figcaption><\/figure>\n<\/div>\n\n\n<p><strong>Abstract<\/strong><br><strong>Importance:<\/strong> Right to Die NL, an organization in the Netherlands that advocates for the option of euthanasia, founded the End-of-Life Clinic in 2012 to provide euthanasia or physician-assisted suicide for patients who meet all legal requirements but whose regular physicians rejected their request. Many patients whose requests are rejected have less common situations, such as a psychiatric or psychological condition, dementia, or being tired of living. <\/p>\n\n\n\n<p><strong>Objective:<\/strong> To study outcomes of requests for euthanasia or physician-assisted suicide received by the clinic and factors associated with granting or rejecting requests. <\/p>\n\n\n\n<p><strong>Design:<\/strong> Analysis of application forms and registration files from March 1, 2012, to March 1, 2013, the clinic&#8217;s first year of operation, for 645 patients who applied to the clinic with a request for euthanasia or physician-assisted suicide and whose cases were concluded during the study period. Main Outcomes and <\/p>\n\n\n\n<p><strong>Measures:<\/strong> A request could be granted, rejected, or withdrawn or the patient could have died before a final decision was reached. We analyzed bivariate and multivariate associations with medical conditions, type of suffering, and sociodemographic variables. <\/p>\n\n\n\n<p><strong>Results:<\/strong> Of the 645 requests made by patients, 162 requests (25.1%) were granted, 300 requests (46.5%) were refused, 124 patients (19.2%) died before the request could be assessed, and 59 patients (9.1%) withdrew their requests. Patients with a somatic condition (113 of 344 [32.8%]) or with cognitive decline (21 of 56 [37.5%]) had the highest percentage of granted requests. Patients with a psychological condition had the smallest percentage of granted requests. Six (5.0%) of 121 requests from patients with a psychological condition were granted, as were 11 (27.5%) of 40 requests from patients who were tired of living. <\/p>\n\n\n\n<p><strong>Conclusions and Relevance<\/strong>: Physicians in the Netherlands have more reservations about less common reasons that patients request euthanasia and physician-assisted suicide, such as psychological conditions and being tired of living, than the medical staff working for the End-of-Life Clinic. The physicians and nurses employed by the clinic, however, often confirmed the assessment of the physician who previously cared for the patient; they rejected nearly half of the requests for euthanasia and physician-assisted suicide, possibly because the legal due care criteria had not been met.<\/p>\n\n\n\n<hr class=\"wp-block-separator has-alpha-channel-opacity\"\/>\n\n\n\n<p>Snijdewind MC, Willems DL, Deliens L, Onwuteaka-Philipsen BD, Chambaere K. <a href=\"https:\/\/jamanetwork.com\/journals\/jamainternalmedicine\/fullarticle\/2426428\">A study of the first year of the end-of-life clinic for physician-assisted dying in the Netherlands<\/a>. JAMA Internal Medicine. 2015 Oct;175(10):1633-1640. <\/p>\n","protected":false},"excerpt":{"rendered":"<p>Marianne C Snijdewind, Dick L Willems, Luc Deliens, Bregje D Onwuteaka-Philipsen, Kenneth Chambaere AbstractImportance: Right to Die NL, an organization in the Netherlands that advocates for the option of euthanasia, founded the End-of-Life Clinic in 2012 to provide euthanasia or physician-assisted suicide for patients who meet all legal requirements but whose regular physicians rejected their &hellip; <a href=\"https:\/\/library.consciencelaws.org\/?p=13611\" class=\"more-link\">Continue reading<span class=\"screen-reader-text\"> &#8220;A study of the first year of the end-of-life clinic for physician-assisted dying in the Netherlands&#8221;<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[12,14,2],"tags":[225,226,1475,389,390,228],"post_folder":[],"class_list":["post-13611","post","type-post","status-publish","format-standard","hentry","category-assisted-suicide","category-euthanasia","category-journal-article","tag-bregje-d-onwuteaka-philipsen","tag-dick-l-willems","tag-end-of-life-clinic","tag-kenneth-chambaere","tag-luc-deliens","tag-marianne-c-snijdewind"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\r\n<title>A study of the first year of the end-of-life clinic for physician-assisted dying in the Netherlands - Protection of Conscience Project Library<\/title>\r\n<meta name=\"description\" content=\"End-of-Life Clinic staff often confirmed previous physician 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