武漢臨終關懷模式研究
發(fā)布時間:2018-06-13 07:05
本文選題:臨終關懷 + 本土化; 參考:《華中師范大學》2015年碩士論文
【摘要】:臨終關懷由宗教衍生而來,其與生俱來的人道主義精神和對生命的尊重,使之成為人類社會最具人性化的進化成果之一。隨著武漢市經(jīng)濟社會發(fā)展,老齡化程度加深,人口、家庭結構變動和市民疾病譜的變化,臨終關懷逐漸成為社會的迫切需要,有廣闊的發(fā)展前景。雖然臨終關懷初引入武漢市時就受到了廣泛的關注,社會各界對臨終關懷都抱有極高的熱情,但近幾年臨終關懷在我市的發(fā)展陷入瓶頸,目前我市臨終關懷服務中,普遍存在著服務接受度不高,服務質量缺乏保障,資金缺口大,機構運作困難,服務與需求不匹配等現(xiàn)象。本文選擇文獻分析與深度訪談相結合的方法,介紹了臨終關懷在武漢市的發(fā)展進程和現(xiàn)狀,針對發(fā)展過程中存在的問題和服務對象的需求進行分析,發(fā)現(xiàn)武漢現(xiàn)有的臨終關懷服務機構或是獨立性受限,或是人員配備不齊,或是服務不夠全面。因此,筆者在借鑒港臺地區(qū)和國外成功經(jīng)驗的基礎上,結合武漢市具體情況,提出了構建社區(qū)寧養(yǎng)院模式或有助于我市的臨終關懷發(fā)展走出瓶頸。本文的研究發(fā)現(xiàn)是提出構建社區(qū)寧養(yǎng)院模式。從臨終關懷的三個層次來看,作為一項服務,該模式采用專業(yè)團隊合作服務形式,建立前期、中期和后期評估體系,為患者和家屬構建社會支持系統(tǒng),提高服務水平、保證服務質量;作為一門學科,該模式搭建了一個專業(yè)平臺,促進相關學科和領域的交流與發(fā)展,并以此為中心宣傳臨終關懷理念,推廣生死教育,普及寧養(yǎng)知識,推動臨終關懷專業(yè)教育發(fā)展;作為一類機構,該模式引入市場機制,依靠充足的資金支持和完整的資本循環(huán),運用科學的管理制度、靈活的運作模式、規(guī)范的行業(yè)標準,實現(xiàn)機構自身的良性循環(huán)和可持續(xù)發(fā)展,極大的彌補了本地現(xiàn)有模式的不足。通過對臨終關懷模式的研究,能從理論上豐富現(xiàn)有的服務模式,總結出更多寶貴的發(fā)展經(jīng)驗,為實務中完善臨終關懷服務體系、發(fā)展臨終關懷專業(yè)化教育提供參考性建議。
[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.
【學位授予單位】:華中師范大學
【學位級別】:碩士
【學位授予年份】:2015
【分類號】:R48
【參考文獻】
相關期刊論文 前2條
1 王東海;劉達;劉同薌;;淺議我國臨終關懷事業(yè)的發(fā)展現(xiàn)狀及存在問題[J];科技信息;2009年21期
2 崔檬;王玉梅;;臨終關懷改善晚期癌痛患者生活質量的研究[J];中國衛(wèi)生統(tǒng)計;2013年06期
,本文編號:2013167
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