我国老龄化背景下安宁疗护发展困境及对策研究
The Development Dilemma and Countermeasures of Hospice Care under the Aging Background of Our Country
摘要: 安宁疗护服务是一项旨在提高临终患者生命末期质量的缓和医疗。在目前我国老龄化社会趋势加剧、医疗资源分配不均的社会背景下,安宁疗护服务的存在和发展具有一定的现实意义。世界上如英国、美国等国家已经认可安宁疗护服务,并出台相关法律为其提供保障和支持。尽管我国已经出台了临终关怀服务体系,然而安宁疗护在我国的发展尚处于萌芽和起步阶段,其发展面临普及程度较低、资金投入不足、人才匮乏等问题和阻碍,需要解决。立法层面,我国也并未出台安宁疗护服务的专门性立法,难以得到法律的保障。基于对前述问题的分析和理解,本文第一章从安宁疗护服务体系在我国的发展现状作为切入点,第二章厘清目前其发展面临的困难和阻碍,最后提出对策,以期能够完善和优化我国安宁疗护服务体系,为其发展提供可能的方向。
Abstract: Hospice care is a palliative care service designed to improve the quality of terminally ill patients at the end of their lives. The existence and development of hospice care service is of practical significance under the social background of aging society and uneven distribution of medical resources. In the world, such as the United Kingdom, the United States and other countries have recognized hospice services, and introduced relevant laws to provide protection and support. Although the hospice care service system has been introduced in China, the development of hospice care in China is still in the embryonic and initial stage, and its development faces problems and obstacles such as low popularity, insufficient capital investment, and lack of talents, which need to be solved. At the legislative level, there is no special legislation on hospice service in our country, so it is difficult to get legal protection. Based on the analysis and understanding of the above-mentioned issues, the first chapter of this paper starts from the development status of the hospice service system in China, the second chapter clarifies the current difficulties and obstacles faced by its development, and finally puts forward countermeasures in order to improve and optimize the hospice service system in China and provide possible directions for its development.
文章引用:潘冉冉. 我国老龄化背景下安宁疗护发展困境及对策研究[J]. 老龄化研究, 2023, 10(4): 1661-1667. https://doi.org/10.12677/AR.2023.104221

参考文献

[1] 陆杰华, 杨茜茜. 我国推动生前预嘱入法的现状、挑战及其未来设想[J]. 人口与健康, 2022(9): 18-21.
[2] 袁梦玲, 龚莉娜, 程雪莹, 等. 老龄化背景下安宁疗护服务发展现状及对策分析[J]. 全科护理, 2023, 21(11): 1481-1485.
[3] 南京日报. 仅5%癌症患者能“有尊严”离去“安宁疗护”亟待规范推进[EB/OL].
https://news.sina.com.cn/o/2018-07-09/doc-ihezpzwu3197718.shtml, 2018-07-09.
[4] 王宏雁, 李卢新, 张明珠, 等. 临终关怀研究综述[J]. 健康研究, 2018, 38(4): 386-389+393.
[5] 张坤, 彭云云, 刘莉, 等. 社区老年慢性病人群安宁疗护需求现状及影响因素分析[J]. 中国护理管理, 2023, 23(9): 1306-1311.
[6] 田怀谷, 乔木, 汪文新. 生前预嘱选择缓和医疗的伦理法律问题探讨[J]. 医学与哲学, 2023, 44(6): 40-43+52.
[7] 谭寅虎, 梁妍, 邢慧敏, 等. 我国居家安宁疗护发展困境及对策[J]. 循证护理, 2023, 9(18): 3301-3304.
[8] 刘兰秋, 赵越. 日本居家安宁疗护服务体系构建经验及其对我国的启示[J]. 中国全科医学, 2022, 25(19): 2320-2324.
[9] 李蓝. 我国安宁疗护立法的必要性和可行性研究[D]: [硕士学位论文]. 南昌: 江西财经大学, 2020.
[10] 苏永刚, 马娉, 陈晓阳. 英国安宁疗护现状分析及对中国的启示[J]. 山东社会科学, 2012(2): 48-54.
[11] 尚爻, 焦光源, 李义庭. 安宁疗护人才队伍建设的调查与思考——以北京市为例[J]. 医学与哲学, 2022, 43(1): 48-52.
[12] 陈达辉, 符隆文, 陆草, 等. 深圳市居民安宁疗护接受意愿及其影响因素研究[J]. 现代预防医学, 2022, 49(16): 2956-2962.