武汉临终关怀模式研究

发布时间：2018-06-13 07:05

本文选题：临终关怀 + 本土化　；参考：《华中师范大学》2015年硕士论文

【摘要】：临终关怀由宗教衍生而来,其与生俱来的人道主义精神和对生命的尊重,使之成为人类社会最具人性化的进化成果之一。随着武汉市经济社会发展,老龄化程度加深,人口、家庭结构变动和市民疾病谱的变化,临终关怀逐渐成为社会的迫切需要,有广阔的发展前景。虽然临终关怀初引入武汉市时就受到了广泛的关注,社会各界对临终关怀都抱有极高的热情,但近几年临终关怀在我市的发展陷入瓶颈,目前我市临终关怀服务中,普遍存在着服务接受度不高,服务质量缺乏保障,资金缺口大,机构运作困难,服务与需求不匹配等现象。本文选择文献分析与深度访谈相结合的方法,介绍了临终关怀在武汉市的发展进程和现状,针对发展过程中存在的问题和服务对象的需求进行分析,发现武汉现有的临终关怀服务机构或是独立性受限,或是人员配备不齐,或是服务不够全面。因此,笔者在借鉴港台地区和国外成功经验的基础上,结合武汉市具体情况,提出了构建社区宁养院模式或有助于我市的临终关怀发展走出瓶颈。本文的研究发现是提出构建社区宁养院模式。从临终关怀的三个层次来看,作为一项服务,该模式采用专业团队合作服务形式,建立前期、中期和后期评估体系,为患者和家属构建社会支持系统,提高服务水平、保证服务质量；作为一门学科,该模式搭建了一个专业平台,促进相关学科和领域的交流与发展,并以此为中心宣传临终关怀理念,推广生死教育,普及宁养知识,推动临终关怀专业教育发展；作为一类机构,该模式引入市场机制,依靠充足的资金支持和完整的资本循环,运用科学的管理制度、灵活的运作模式、规范的行业标准,实现机构自身的良性循环和可持续发展,极大的弥补了本地现有模式的不足。通过对临终关怀模式的研究,能从理论上丰富现有的服务模式,总结出更多宝贵的发展经验,为实务中完善临终关怀服务体系、发展临终关怀专业化教育提供参考性建议。
[Abstract]:Hospice is derived from religion, and its inherent humanitarianism and respect for life make it one of the most humanized evolutionary achievements in human society. With the development of economy and society, the deepening of aging, the change of population, family structure and disease spectrum, hospice care has become the urgent need of the society and has a broad development prospect. Although the hospice was widely paid attention to when it was introduced into Wuhan at the beginning, all circles of the society have a high enthusiasm for the hospice, but in recent years, the development of hospice in our city has been in a bottleneck. At present, the hospice service in our city, There are many problems, such as low service acceptance, lack of guarantee of service quality, large fund gap, difficult operation of institutions, mismatch between service and demand, and so on. This paper chooses the method of combining literature analysis with in-depth interview, introduces the development process and present situation of hospice care in Wuhan, and analyzes the problems existing in the process of development and the needs of service objects. It is found that the existing hospice care institutions in Wuhan are either limited in their independence, inadequately staffed or inadequately served. Therefore, based on the successful experiences of Hong Kong and Taiwan and foreign countries, the author puts forward the idea of constructing the mode of community nursing home or helping the development of hospice out of the bottleneck. The research findings of this paper is to build a community rather hospital model. From the three levels of hospice care, as a service, this model adopts the form of professional team cooperation service, establishes pre-, medium-term and post-evaluation system, constructs social support system for patients and family members, and improves the service level. As a discipline, the model has set up a professional platform to promote the exchange and development of related disciplines and fields, and to promote the concept of hospice care, to promote education on life and death, and to popularize the knowledge of hospice care. To promote the development of hospice care education; as a class of institutions, this model introduces market mechanisms, relies on adequate financial support and a complete capital cycle, uses scientific management systems, flexible operating models, and standardized industry standards, Realize the virtuous circle and sustainable development of the organization itself, make up the deficiency of the local existing mode greatly. Through the research on the mode of hospice care, it can enrich the existing service mode theoretically, sum up more valuable development experience, and provide reference suggestions for perfecting the service system of hospice care and developing specialized education of hospice care in practice.
【学位授予单位】：华中师范大学
【学位级别】：硕士
【学位授予年份】：2015
【分类号】：R48

【参考文献】