ABSTRACT
This data descriptor presents the Subnational Corruption Database (SCD), which provides data on corruption in 1,473 subnational areas of 178 countries. The SCD includes a comprehensive overall corruption index, the Subnational Corruption Index (SCI), and its two components: the Subnational Grand Corruption Index (SGCI) and Subnational Petty Corruption Index (SPCI). The SCD is constructed by combining data of 807 surveys held in the period 1995-2022 and includes the corruption experiences and perceptions of 1,326,656 respondents along 19 separate dimensions. The data are available for multiple years, allowing longitudinal analyses. At the national level, the SCI correlates strongly with established corruption indices, like the Transparency International Corruption Perceptions Index (CPI) and the World Bank Control of Corruption Index (CCI). We create subnational estimates of the CPI and CCI by superimposing the subnational variation of the SCI around the national averages of these indices. The presentation of subnational data in the SCD and the separation between grand and petty corruption significantly broaden the global knowledge base in the field of corruption.
ABSTRACT
BACKGROUND: In the Netherlands, in 2002, euthanasia became a legitimate medical act, only allowed when the due care criteria and procedural requirements are met. Legally, an Advanced Euthanasia Directive (AED) can replace direct communication if a patient can no longer express his own wishes. In the past decade, an exponential number of persons with dementia (PWDs) share a euthanasia request with their physician. The impact this on physicians, and the consequent support needs, remained unknown. Our objective was to gain more insight into the experiences and needs of Dutch general practitioners and elderly care physicians when handling a euthanasia request from a person with dementia (PWD). METHODS: We performed a qualitative interview study. Participants were recruited via purposive sampling. The interviews were transcribed verbatim, and analyzed using the conventional thematic content analysis. RESULTS: Eleven general practitioners (GPs) and elderly care physicians with a variety of experience and different attitudes towards euthanasia for PWD were included. Euthanasia requests appeared to have a major impact on physicians. Difficulties they experienced were related to timing, workload, pressure from and expectations of relatives, society's negative view of dementia in combination with the 'right to die' view, the interpretation of the law and AEDs, ethical considerations, and communication with PWD and relatives. To deal with these difficulties, participants need support from colleagues and other professionals. Although elderly care physicians appreciated moral deliberation and support by chaplains, this was hardly mentioned by GPs. CONCLUSIONS: Euthanasia requests in dementia seem to place an ethically and emotionally heavy burden on Dutch GPs and elderly care physicians. The awareness of, and access to, existing and new support mechanisms needs further exploration.
