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Commonalities and differences in legal euthanasia and physician-assisted suicide in three countries : a population-level comparison

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Abstract
Objectives To describe and compare euthanasia and physician-assisted suicide (EAS) practice in Flanders, Belgium (BE), the Netherlands (NL) and Switzerland (CH). Methods Mortality follow-back surveys among attending physicians of a random sample of death certificates. Results We studied 349 EAS deaths in BE (4.6% of all deaths), 851 in NL (4.6% of all deaths) and 65 in CH (1.4% of all deaths). People who died by EAS were mostly aged 65 or older (BE: 81%, NL: 77% and CH: 71%) and were mostly diagnosed with cancer (BE: 57% and NL: 66%). Home was the most common place of death in NL (79%), while in BE and CH, more variation was found regarding to place of death. The decision to perform EAS was more frequently discussed with a colleague physician in BE (93%) and NL (90%) than in CH (60%). Conclusions EAS practice characteristics vary considerably in the studied countries with legal EAS. In addition to the legal context, cultural factors as well as the manner in which legislation is implemented play a role in how EAS legislation translates into practice.
Keywords
Public Health, Environmental and Occupational Health, Health(social science), Euthanasia, Physician-assisted suicide, End-of-life decision-making, Belgium, The Netherlands, Switzerland, OF-LIFE PRACTICES, EUROPEAN COUNTRIES, END, NETHERLANDS, BELGIUM, DEATH, CARE, SWITZERLAND, ATTITUDES, CANCER

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MLA
Dierickx, Sigrid, et al. “Commonalities and Differences in Legal Euthanasia and Physician-Assisted Suicide in Three Countries : A Population-Level Comparison.” INTERNATIONAL JOURNAL OF PUBLIC HEALTH, vol. 65, no. 1, 2020, pp. 65–73, doi:10.1007/s00038-019-01281-6.
APA
Dierickx, S., Onwuteaka-Philipsen, B., Penders, Y., Cohen, J., van der Heide, A., Puhan, M. A., … Chambaere, K. (2020). Commonalities and differences in legal euthanasia and physician-assisted suicide in three countries : a population-level comparison. INTERNATIONAL JOURNAL OF PUBLIC HEALTH, 65(1), 65–73. https://doi.org/10.1007/s00038-019-01281-6
Chicago author-date
Dierickx, Sigrid, Bregje Onwuteaka-Philipsen, Yolanda Penders, Joachim Cohen, Agnes van der Heide, Milo A Puhan, Sarah Ziegler, Georg Bosshard, Luc Deliens, and Kenneth Chambaere. 2020. “Commonalities and Differences in Legal Euthanasia and Physician-Assisted Suicide in Three Countries : A Population-Level Comparison.” INTERNATIONAL JOURNAL OF PUBLIC HEALTH 65 (1): 65–73. https://doi.org/10.1007/s00038-019-01281-6.
Chicago author-date (all authors)
Dierickx, Sigrid, Bregje Onwuteaka-Philipsen, Yolanda Penders, Joachim Cohen, Agnes van der Heide, Milo A Puhan, Sarah Ziegler, Georg Bosshard, Luc Deliens, and Kenneth Chambaere. 2020. “Commonalities and Differences in Legal Euthanasia and Physician-Assisted Suicide in Three Countries : A Population-Level Comparison.” INTERNATIONAL JOURNAL OF PUBLIC HEALTH 65 (1): 65–73. doi:10.1007/s00038-019-01281-6.
Vancouver
1.
Dierickx S, Onwuteaka-Philipsen B, Penders Y, Cohen J, van der Heide A, Puhan MA, et al. Commonalities and differences in legal euthanasia and physician-assisted suicide in three countries : a population-level comparison. INTERNATIONAL JOURNAL OF PUBLIC HEALTH. 2020;65(1):65–73.
IEEE
[1]
S. Dierickx et al., “Commonalities and differences in legal euthanasia and physician-assisted suicide in three countries : a population-level comparison,” INTERNATIONAL JOURNAL OF PUBLIC HEALTH, vol. 65, no. 1, pp. 65–73, 2020.
@article{8626204,
  abstract     = {Objectives To describe and compare euthanasia and physician-assisted suicide (EAS) practice in Flanders, Belgium (BE), the Netherlands (NL) and Switzerland (CH). Methods Mortality follow-back surveys among attending physicians of a random sample of death certificates. Results We studied 349 EAS deaths in BE (4.6% of all deaths), 851 in NL (4.6% of all deaths) and 65 in CH (1.4% of all deaths). People who died by EAS were mostly aged 65 or older (BE: 81%, NL: 77% and CH: 71%) and were mostly diagnosed with cancer (BE: 57% and NL: 66%). Home was the most common place of death in NL (79%), while in BE and CH, more variation was found regarding to place of death. The decision to perform EAS was more frequently discussed with a colleague physician in BE (93%) and NL (90%) than in CH (60%). Conclusions EAS practice characteristics vary considerably in the studied countries with legal EAS. In addition to the legal context, cultural factors as well as the manner in which legislation is implemented play a role in how EAS legislation translates into practice.},
  author       = {Dierickx, Sigrid and Onwuteaka-Philipsen, Bregje and Penders, Yolanda and Cohen, Joachim and van der Heide, Agnes and Puhan, Milo A and Ziegler, Sarah and Bosshard, Georg and Deliens, Luc and Chambaere, Kenneth},
  issn         = {1661-8556},
  journal      = {INTERNATIONAL JOURNAL OF PUBLIC HEALTH},
  keywords     = {Public Health,Environmental and Occupational Health,Health(social science),Euthanasia,Physician-assisted suicide,End-of-life decision-making,Belgium,The Netherlands,Switzerland,OF-LIFE PRACTICES,EUROPEAN COUNTRIES,END,NETHERLANDS,BELGIUM,DEATH,CARE,SWITZERLAND,ATTITUDES,CANCER},
  language     = {eng},
  number       = {1},
  pages        = {65--73},
  title        = {Commonalities and differences in legal euthanasia and physician-assisted suicide in three countries : a population-level comparison},
  url          = {http://dx.doi.org/10.1007/s00038-019-01281-6},
  volume       = {65},
  year         = {2020},
}

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