First of all, the development of this undertaking has adapted to the current situation of China's aging population. Now China has entered an aging society. A considerable number of elderly people are terminally ill, unable to take care of themselves, and about 80% rely on their families to take care of them. In addition, the number of childless families is increasing, and family members are facing great difficulties. Many dying old people ask for hospice care. For the terminally ill elderly, traditional and institutionalized forms of medical care may not be the most effective way to help them and provide care. Hospice care is an important way to save costs and solve the difficulties of family care for endangered patients.
Secondly, the development of this cause is conducive to highlighting the humanistic spirit of medical institutions in China. Hospice care not only changed the phenomenon that terminally ill patients were turned away from the hospital, or just prolonged their painful life in the hospital without real care and care, and medical staff ignored the pain of patients' families, but also made terminally ill patients leave the world with dignity and peace in a caring and comfortable environment, and comforted their families. These not only reflect medical humanism, but also reflect the development of humanistic spirit medical technology with care, respect and people-oriented.
Third, it is conducive to the coordinated development of health undertakings. The development of medical technology makes it possible to delay death, but it will increase the pain of dying patients, increase the economic and psychological burden of patients' families and waste a lot of health resources. China is a developing country. The development of medical and health services in urban and rural areas and regions is unbalanced, the allocation of resources is unreasonable, public health and rural and community medical and health services are relatively weak, and the serious shortage of health resources is difficult to change in the short term. In this context, the allocation of health resources should adhere to the principle of rationality and justice, and judge the life value and quality of individual life on the basis of respecting human life, personality and dignity, and decide the input of health resources accordingly. Hospice care aims at improving patients' quality of life before dying, and adopts life care, psychological counseling and palliative treatment for dying patients, aiming at alleviating patients' pain and eliminating patients' and their families' anxiety and fear of death, which will undoubtedly help to save health resources, and also make limited health resources invest in the most needed and urgent areas of health development in China, and promote the coordinated development of health undertakings.
But it is precisely because the cause of hospice care in China has just started, so whether in theory or in practice, this cause is still in a state of crossing the river by feeling the stones. In the specific implementation and development process, there are still many unsatisfactory places. The specific reasons are as follows:
First, traditional ideas are lacking. Hospice care should discuss death with patients and their families and how to deal with death. However, in our traditional concept, even people who have no meaning and value are unwilling to end their lives prematurely. At the same time, influenced by traditional filial piety, it is obvious that China's traditional concept of death did not provide the corresponding conceptual basis for hospice care.
Second, lack of social support. At present, hospice care is still a new undertaking in China. On the one hand, the government's investment in hospice care is extremely limited, on the other hand, the support of the whole society is insufficient, the corresponding insurance plans and charitable donations are few, and the funds of hospice care institutions are seriously lacking, which leads to the emergence of problems such as small number of hospice care institutions, few employees and low quality.
Third, there is a lack of institutional guarantee. The attitude of the government and medical insurance institutions towards hospice care determines the development of hospice care and how to establish and operate hospice care institutions. What are the conditions for the establishment of hospice care institutions? The treatment norms and service standards of hospice care institutions will also determine the actual effect of this hospice care. However, at present, China has not formulated corresponding policies, measures, laws and regulations in this regard, and hospice care lacks institutional guarantee, and hospice care needs "institutional care" more.
Therefore, in order to make our hospice care work better, we must improve it in the following aspects:
First, to carry out death education, we must carry out various forms of popular death education under the guidance of dialectical materialism and historical materialism. For example, schools and other educational institutions can be used to carry out scientific education on death; Medical institutions can also be used to educate patients and their families about the concept of death. At the same time, the news media can be used to publicize the scientific concept of death and the scientific culture of death, and widely update people's ideas. At the same time, it is necessary to strengthen the death education for the medical industry and medical staff, so that medical institutions and medical staff can actively pay attention to the development of hospice care and seriously treat the needs of dying patients.
Second, diversify publicity and improve the social support system. Hospice care is a socialized systematic project and a part of social security system, which needs the care and support of all walks of life. In view of the current lack of understanding of hospice care in all walks of life, we should first increase the publicity of this cause through various channels such as government propaganda and media propaganda, increase the capital investment in hospice care, and win social support to the greatest extent.
The third is to establish a hospice care security system. First of all, through legislation, clear the competent department of hospice care and its supervision and management responsibilities, clear the investment subject, and ensure the funding source of hospice care. Secondly, it is necessary to formulate special health laws and regulations (including specific rules and regulations), and make clear provisions on the definition of hospice care objects, the setting standards of hospice care hospitals or wards, the technical standards and operating procedures of hospice care, the qualifications, responsibilities and ethical requirements of employees, the management of facilities, equipment, drugs and funds of hospice care institutions, and the charging standards. Only in this way can we ensure that patients who really need hospice care get practical and comprehensive hospice care.