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  • 16 - Advance Directives in Saudi Arabia: An Islamic Approach and Practical Implications

  • from Part III - Non-regulated Jurisdictions
  • Edited by Daisy Cheung, The University of Hong Kong, Michael Dunn, National University of Singapore
  • Book:
    Advance Directives Across Asia
    Published online:
    02 February 2023
    Print publication:
    09 February 2023, pp 293-309
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  • Summary

    Making sense of advance directives, and the regulatory frameworks governing healthcare more generally, in Saudi Arabia requires a careful understanding of the traditional Islamic religious legal framework of Shari’ah. There is much uncertainty about how to interpret Islamic legal principles in making use of advance directives and in providing end-of-life care in Saudi Arabia. In this chapter, we aim to offer clarity on how well-established principles, and Islamic statements of permissible and impermissible behaviour, should be reasoned through to provide an underpinning governance framework for healthcare practices at the end of life. We also review published evidence on the practical application of advance directives in Saudi Arabia and examine the social and cultural factors that may explain the limited uptake of advance directives, We conclude with two suggestions for establishing an appropriate role for advance directives in future – one concerning the need for legal clarity and the other concerning how to bring about improvements in professional knowledge and understanding.