Document Detail


Advance directives and the promotion of autonomy: a comparative Australian statutory analysis.
MedLine Citation:
PMID:  20329457     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Legislation governing advance directives has been enacted in six Australian jurisdictions. As evidenced by parliamentary debates, the goal of enacting legislation was to enshrine the common law and to remove any doubt about whether a competent individual was entitled to complete an advance directive that refused life-sustaining medical treatment. The common law cases contain many judicial pronouncements about the importance of the principle of autonomy in shaping the law in this field. It should therefore follow that the principle of autonomy would also be promoted by the legislation. This article argues that the statutory regimes have, for the most part, eroded rather than promoted the principle of autonomy. While some of the statutory regulation can be justified as seeking to promote autonomous decision-making of a competent person, many of the restrictions about when an advance directive refusing treatment can be entered into or operate, or be disregarded by medical professionals, have effectively undermined an individual's ability to ensure that her or his refusal of medical treatment at the end of life is followed.
Authors:
Lindy Willmott
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Publication Detail:
Type:  Journal Article; Legal Cases    
Journal Detail:
Title:  Journal of law and medicine     Volume:  17     ISSN:  1320-159X     ISO Abbreviation:  J Law Med     Publication Date:  2010 Feb 
Date Detail:
Created Date:  2010-03-24     Completed Date:  2010-05-04     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9431853     Medline TA:  J Law Med     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  556-81     Citation Subset:  IM    
Affiliation:
Health Law Research Program, Faculty of Law, Queensland University of Technology. GPO Box 2434, Brisbane, Queensland 4001, Australia. l.willmott@qut.edu.au
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MeSH Terms
Descriptor/Qualifier:
Advance Directives / legislation & jurisprudence*
Australia
Humans
Personal Autonomy*
Treatment Refusal / legislation & jurisprudence

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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