Religion and healthcare in the European Union : policy issues and trends
92 p. ; 24 cm. ; Libro Electrónico ; The impact of religious doctrine on the law, policy and practice of healthcare is becoming increasingly significant for a whole range of issues – from euthanasia to fertility treatment; from belief-based exemption from performing abortion for doctors to the medication and dietary needs of religious patients; from organ donation to contraception; from circumcision to suicide. The relationship between religion and healthcare has a long history of evoking tension and debate in Europe. While developments in medical technologies and techniques question the religious beliefs of policy-makers, practitioners and patients across the European Union, research into the legal and policy responses by EU member states on such issues remains underdeveloped. The challenge of health policy, which is common across the European Union, is to balance fundamental human rights such as the right to equality, the right to health and the right to freedom of religion while adhering to secular principles. This report aims to map out the major issues at stake and to initiate a broader discussion on how the religious needs of the community, religious doctrine and religious practices across the European Union affect public health policy. ; Preface: The 'Religion and Democracy in Europe' initiative 7 About the authors 8 Introduction 9 Background 9 Purpose and conceptual framework 10 Terms, scope, methodology and structure 13 Summary of recommended main policy questions for further development 16 1 The legal and policy context in the European Union 17 1.1 European Union law 17 1.2 National law and policy 18 2 The influence of religion on national healthcare policy development 21 2.1 Conflict of duty in health‑service provision 22 2.1.1 Does national healthcare policy permit belief‑based exemption? 23 2.1.2 Scope and limits of belief‑based exemption in healthcare 23 2.1.3 Safeguards 27 2.2 Euthanasia 27 2.2.1 Active euthanasia 29 2.2.2 Passive euthanasia 30 2.2.3 Conflict of duty and safeguards related to euthanasia 32 2.3 Belief‑based patient decisions 34 2.3.1 Organ transplant and donation 34 2.3.2 Refusal of medical treatment 36 2.4 Emerging policy trends and outstanding policy questions 413 Healthcare policy and religious diversity 43 3.1 Healthcare policy and accommodating religious needs in hospitals 45 3.1.1 Religious assistance and faith space 45 3.1.2 Medication and dietary needs 47 3.1.3 The sex of the health practitioner and hospital clothing 48 3.1.4 After‑death issues: post‑mortem and burial 49 3.2 Healthcare policy and accommodating religion outside hospitals 50 3.2.1 Training of healthcare professionals 50 3.2.2 Substance abuse 52 3.3 Emerging policy trends and outstanding policy questions 53 4 Religion and sexual and reproductive healthcare 56 4.1 Contraception, HIV/AIDS and other sexually transmitted diseases 56 4.1.1 The influence of religion on contraception policy 57 4.1.2 The influence of religion on HIV/AIDS education and prevention policies 58 4.1.3 The4.1.3 The influence of religion on other STD policy 60 4.2 Abortion and sterilization 61 4.2.1 Some religious positions on abortion 61 4.2.2 National policy positions 62 4.2.3 Safeguards when abortion is denied 63 4.2.4 Sterilization 65 4.3 Fertility treatment and reproductive techniques 65 4.4 Circumcision 68 4.5 Female genital mutilation 70 4.6 Emerging policy trends and outstanding policy questions 71 5 Religion and mental healthcare 73 5.1 The European policy context and the influence of religious institutions 74 5.2 The influence of religion on mental illness 77 5.2.1 Diagnosis of mental illness 77 5.2.2 Treatment of mental illness 78 5.3 Emerging policy trends and outstanding policy questions 82 Conclusion 84 Appendix A Roundtable participants 86 Appendix B Belief‑based exemption from healthcare provision 87 Appendix C National policy on euthanasia in some EU states 88 Appendix D National policy on abortion in some EU states 89
