| With the advancement of science and technology and the progress of human civilization,higher demands have been placed on life quality and fulfillment,and people have gradually realized the fact that death is an inevitable natural process which could only be simply accepted.Thus,more people are willing to accept the kind of "death" which could come in a calm and soothing manner.Hospice Care,which is a vital measure aimed for a higher life quality on one’s deathbed,would definitely play a constructive role in providing a soothing treatment before one’s death in the future.Therefore,it is of vital importance to give some insight into residents’ awareness of Hospice Care and to what degree they are willing to support it,which would promote the popularization of Hospice Care in China in the future.【Objective】The thesis is intended to assess the degree of awareness of rights of privacy,right to know,right of informed consent,right of self-determination,right of diagnosis and treatment of doctors among medical staff and the general public in Changchun City,to analyze the current situation and existing problems of the advancement of Hospice Care in Changchun City,and to perform in-depth analysis on the acceptance of Hospice Care of the above two groups.In response to the mentioned problems,relevant measures and suggestions are proposed from the perspective of law based on the empirical research method,the thesis is expected to assist the implementation of Hospice Care afterwards as well as laying a theoretical basis for the formulation and improvement of relevant policies.【Methods】Data collection adopts a combination of stratified sampling and convenience sampling on two questionnaires,with 857 samples collected from the first questionnaire and 905 from the second one,totaling 1762 citizens surveyed in Changchun City.The content of survey included the basic situation and cognitive status of the respondents.The basic situation refers to the socio-demographic characteristics(gender,age,education,etc.)and occupational characteristics(institutional categories,occupations,etc.)of the respondents.Cognitive status survey covers respondent’s cognition of Hospice Care from the following three dimension,including the cognition of Hospice Care(have you ever heard about it,how did you know,have you learned it before,etc.),the cognition of the related rights(rights of privacy,right to know,right of informed consent,right of self-determination,right of diagnosis and treatment of doctors)and whether there is a definite support for Hospice Care(approval,disapproval,up to the decision of family,never thought about it,etc.).The database was established by EpiData3.1 software,and SPSS20.0 software was adopted for data analysis.The categorical variable data is indicated by the composition ratio and percentage.Univariate analysis was performed via chi-square test,and multivariate analysis adopts binary logistic regression analysis.【Results】1.The proportion of medical staff who has been taught Hospice Care lessons is 39.0%,which is relatively low;the cognition of Hospice Care remains at a relatively low level among general publics,and the proportion of respondents who have heard of Hospice Care is 49.8%;the level of Hospice Care in Changchun is not high and its coverage is limited,and only 9.2% of respondents indicate that their relatives and friends have received Hospice Care services;however,the demand of medical staff for special Hospice Care wards is much urgent,84.2% of them said that the separate hospice wards should be set up.2.For medical staff,the priority goes to patient’s right of self-determination(35.2%),and then the right of life and health(22.5%)in the process of Hospice Care;11.7% of them believe that only a small number of patients are willing to share all of their privacy of diseases with doctors;But most proportion(67.9%)of medical staff are able to respect the patients’ rights of self-determination.3.For the general public,they revealed the same results to the above group,with the right of self-determination taking up the most proportion(38.5%)and the right of life and health followed(26.9%).The proportion that who believe patients are willing to share all of their privacy about diseases with doctors is higher than that of the medical staff,showing the result with 38.1%.4.There is a statistically significance in studying the different attitudes towards whether patients shall acknowledge the diagnosis and treatment plans and relevant risks among medical staff who hold different views about the right to learn the truth(P<0.001).Ditto for the social mass.5.Whether the medical staff have an explicit supportive claim for Hospice Care is affected by the titles of doctors(P<0.05).In contrast,whether the general public have an explicit supportive claim for Hospice Care depends on four factors,including average monthly income,whether it is necessary to learn about Hospice Care,which right are considered to be the most important for dying patients,and whether doctors’ plans shall obtain consent from patients and their relatives(P<0.05).【Conclusion】1.There are less opportunities for medical staffs to learn about Hospice Care to attend training in the surveyed areas.2.Among the surveyed people,there are less number have highly acknowledgment of Hospice Care,and indicating a narrow scope of Hospice Care services.3.Hospice Care is highly supported by surveyed medical staffs,but medical staffs and residents with different characteristics show significant differences in their attitudes towards the support willingness and related rights for Hospice Care.4.The factor that is affecting the medical staff’s willingness to support Hospice Care lies in doctors’ emergency power.Factors affecting the public’s willingness to support Hospice Care are the average monthly income,whether it is necessary to learn about Hospice Care,which rights are considered to be the most important by dying patients,and whether doctors’ plans shall obtain consent from patients and their families. |
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