Voluntary assisted dying in Queensland: doctors’ perceptions of its first year of operation
Laura Ley Greaves
A
Abstract
Voluntary assisted dying (VAD) became legal in Queensland in January 2023. This research examines the perceptions of doctors who have no in-principle objection to VAD, about the first year of VAD operation.
Semi-structured interviews were conducted with 27 doctors 1 year after VAD had been in operation.
Three themes were developed: VAD is largely accepted as an end-of-life option and there is a collaborative approach with palliative care; VAD is being delivered as a public medical service, providing high-quality, timely access; and despite provision as a public medical service, there are remaining system access issues.
The first year of VAD in Queensland has been generally positive, however, ongoing system access issues need to be addressed to ensure long-term sustainability of the service.
Keywords: doctors’ experience, euthanasia, health system, health workforce, implementation, medical aid in dying, voluntary assisted dying.
References
1 Northern Territory Government. Report into Voluntary Assisted Dying in the Northern Territory. July 2024. p. 130. Available at https://cmc.nt.gov.au/__data/assets/pdf_file/0018/1420722/vad-report-2024.pdf
2 QLD. Voluntary Assisted Dying Act. 2021. Available at https://www.legislation.qld.gov.au/view/html/asmade/act-2021-017
3 Waller K, Villar KD, Willmott L, White BP. Voluntary assisted dying in Australia: A comparative and critical analysis of state laws. UNSWLJ 2023; 46: 1421.
| Google Scholar |
4 Graves T. Voluntary assisted dying in Queensland, the first year. Emerg Med Australas 2024; 36(2): 326-8.
| Crossref | Google Scholar | PubMed |
5 White BP, Ward A, Feeney R, Ley Greaves L, Willmott L. Models of care for voluntary assisted dying: a qualitative study of Queensland’s approach in its first year of operation. Aust Health Rev 2024; 48: 693-9.
| Crossref | Google Scholar | PubMed |
6 Voluntary Assisted Dying Review Board QG. Voluntary Assisted Dying Review Board Annual Report 2023-2024. Queensland Government; 2024. p. 37. Available at https://www.health.qld.gov.au/__data/assets/pdf_file/0019/1362124/vad-annual-report-2023-24.pdf
7 Rutherford J, Willmott L, White BP. What the Doctor Would Prescribe: Physician Experiences of Providing Voluntary Assisted Dying in Australia. Omega 2021; 87: 1063-87.
| Crossref | Google Scholar | PubMed |
8 Sellars M, White BP, Yates P, Willmott L. Medical practitioners’ views and experiences of being involved in assisted dying in Victoria, Australia: A qualitative interview study among participating doctors. Soc Sci Med 2022; 292: 114568.
| Crossref | Google Scholar | PubMed |
9 Lamba GT, LaBrooy C, Lewis S, Olver I, Holmes A, Stewart C, et al. Voluntary assisted dying: impacts on health professionals. Aust Health Rev 2024; 48: 720-8.
| Crossref | Google Scholar | PubMed |
10 Snelling J, Young J, Beaumont S, Diesfeld K, White B, Willmott L, et al. Health care providers’ early experiences of assisted dying in Aotearoa New Zealand: an evolving clinical service. BMC Palliat Care 2023; 22(1): 101.
| Crossref | Google Scholar | PubMed |
11 Winters JP, Pickering N, Jaye C. Because it was new: Unexpected experiences of physician providers during Canada’s early years of legal medical assistance in dying. Health Policy 2021; 125(11): 1489-97.
| Crossref | Google Scholar | PubMed |
12 Ley Greaves L, Willmott L, Feeney R, White BP. Assisted dying: participation barriers and facilitators – qualitative interview study of doctors’ perceptions. BMJ Support Palliat Care 2024; spcare-2024-004985.
| Crossref | Google Scholar | PubMed |
14 Queensland Health VADU. Guidance for practitioners - Discussions about voluntary assisted dying over carriage service. Queensland Government; 2023. Available at https://www.health.qld.gov.au/__data/assets/pdf_file/0032/1196384/guidance-for-practitioners-discussions-about-vad-over-carriage-service.pdf
15 Ley Greaves L, Willmott L, Feeney R, White BP. Preparing for Voluntary Assisted Dying: A qualitative analysis of practitioners’ perceptions of voluntary assisted dying before the law begins in Queensland, Australia. Death Stud 2025; 1-15.
| Crossref | Google Scholar | PubMed |
16 Booth S, Eleftheriou P, Moody C. Implementing voluntary assisted dying in a major public health service. Med J Aust 2021; 214(8): 343-6.
| Crossref | Google Scholar | PubMed |
17 Fujioka JK, Mirza RM, Klinger CA, McDonald LP. Medical assistance in dying: implications for health systems from a scoping review of the literature. J Health Serv Res Policy 2019; 24(3): 207-16.
| Crossref | Google Scholar | PubMed |
18 Frolic A, Oliphant A. Introducing Medical Assistance in Dying in Canada: Lessons on Pragmatic Ethics and the Implementation of a Morally Contested Practice. HEC Forum 2022; 34(4): 307-19.
| Crossref | Google Scholar | PubMed |
19 Auret K, Pikora TJ, Briand BC. Still safe; still respectful: a mixed methods study exploring the early experiences of a rural community hospice in providing voluntary assisted dying. BMC Palliat Care 2025; 24(1): 78.
| Crossref | Google Scholar | PubMed |
20 Bergman TD, Pasman HRW, Onwuteaka-Philipsen BD. Complexities in consultations in case of euthanasia or physician-assisted suicide: a survey among SCEN physicians. BMC Fam Pract 2020; 21(1): 6.
| Crossref | Google Scholar | PubMed |
21 Van Wesemael Y, Cohen J, Onwuteaka-Philipsen BD, Bilsen J, Distelmans W, Deliens L. Role and Involvement of Life End Information Forum Physicians in Euthanasia and Other End-of-Life Care Decisions in Flanders, Belgium. Health Serv Res 2009; 44(6): 2180-92.
| Crossref | Google Scholar | PubMed |
22 Dierickx S, Deliens L, Cohen J, Chambaere K. Involvement of palliative care in euthanasia practice in a context of legalized euthanasia: A population-based mortality follow-back study. Palliat Med 2018; 32(1): 114-22.
| Crossref | Google Scholar | PubMed |
23 Villar KD, Close E, Hews R, White BP. Voluntary assisted dying and the legality of using a telephone or internet service: The impact of Commonwealth ‘carriage service’ offences. Monash Uni Law Rev 2021; 47(1): 125.
| Google Scholar |
24 White BP, Jeanneret R, Close E, Willmott L. Access to voluntary assisted dying in Victoria: a qualitative study of family caregivers’ perceptions of barriers and facilitators. Med J Aust 2023; 219: 211-7.
| Crossref | Google Scholar | PubMed |
25 Willmott L, White BP, Sellars M, Yates PM. Participating doctors’ perspectives on the regulation of voluntary assisted dying in Victoria: a qualitative study. Med J Aust 2021; 215(3): 125-9.
| Crossref | Google Scholar | PubMed |
26 Haining CM, Willmott L, White BP. Accessing voluntary assisted dying in regional Western Australia: early reflections from key stakeholders. RRH; 2023. Available at https://www.rrh.org.au/journal/article/8024 [cited 21 February 2025].
27 Crumley ET, Kelly S, Young J, Phinney N, McCarthy J, Gubitz G. How is the medical assistance in dying (MAID) process carried out in Nova Scotia, Canada? A qualitative process model flowchart study. BMJ Open 2021; 11(7): e048698.
| Crossref | Google Scholar | PubMed |
28 Beuthin R, Bruce A, Hopwood MC, Robertson WD, Bertoni K. Rediscovering the art of medicine, rewards, and risks: Physicians’ experience of providing medical assistance in dying in Canada. SAGE Open Med 2020; 8: 2050312120913452.
| Crossref | Google Scholar | PubMed |
29 Durant KL, Kortes-Miller K. Physician snapshot: the forming landscape of MAiD in northwestern Ontario. Palliat Care Soc Pract 2020; 14: 2632352420932927.
| Crossref | Google Scholar | PubMed |