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作 者:孔丽娜[1] 王云岭[2] 孙洪岩[3] KONG Li-na;WANG Yun-ling;SUN Hong-yan(Office of Medical Insurance Administration,Qilu Hospital of Shandong University,Jinan 250012,China)
机构地区:[1]山东大学齐鲁医院医疗保险管理办公室,山东济南250012 [2]山东大学基础医学院,山东济南250012 [3]山东大学齐鲁医院影像科,山东济南250012
出 处:《医学与哲学》2021年第20期43-46,55,共5页Medicine and Philosophy
基 金:2019年国家社会科学基金一般项目(19BSH187)。
摘 要:在中国人口老龄化背景下,老年人的尊严死亡问题成为日渐重要的社会议题。修白的《天年》描述了某些中国养老院中老年人的死亡缺乏尊严的状况。对中国老年人来说,尊严死亡之所以难以实现,有三个原因:一是中国老年人,尤其是农村老年人,晚年生活缺乏充分经济支撑和生活照料;二是普通公众多持拒斥死亡的观念,现代医学则视死亡为敌人;三是中国安宁疗护发展水平仍然较低。解决之道是进行三个条件的建设,基本条件:确保老年人老有所养;观念条件:普及生死教育和尊严死亡的理念;建制条件:加强安宁疗护机构建设。In the context of China's aging population,a dignified death of the elderly has become an increasingly important social issue.Xiu Bai's Tian Nian describes the lack of dignity in the deaths of elderly people in some Chinese nursing homes.There are three major reasons of difficulties in dignified death for the elderly in China.First,the elderly in China,especially in rural areas,are not reasonably taken care of in life and in financial support.Second,most of the public object the idea of death,while modern medicine even regards death as its enemy.Third,hospice care is not fully developed in China.The solution is to establish three conditions:basic condition,conceptual condition and institutional condition,respectively they will ensure the elderly are well cared for in their old age;will popularize the education of life and death,and the idea of death with dignity;and will strengthen the construction of hospice care institutions.
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