关键词: 临终关怀医疗, 准入标准, 认知, 质性研究, 安宁疗护

Abstract: Background　The number of deaths in China is about 960-990 million a year，of which only a small number receive hospice care services.The referral criteria of hospice care can help healthcare providers identify patients who should be transferred to hospice care，so that end-stage patients can receive hospice care in time.However，up to now，the criteria and methods have not been established to determine patients' entry into hospice care.Objective　To investigate hospice care providers' perspectives on the admission criteria for hospice care，providing a reference for the development of admission criteria for hospice care in China.Methods　In-depth face-to-face interviews were conducted with a purposive sample of 21 hospice care providers from 3 tertiary grade A hospitals during the period between April and May 2018.Discussions were audiotaped and transcribed into a text within 24 hours after the interviews.And Colaizzi method was used to analyze the data.Results　Following the analysis of the interview data，three themes were extracted，including（1） The eligibility for hospice care admission was different among the providers.（2） Condition，psychoemotional status，and informed consent of patients and their families were considered generally as the essential dimensions of the hospice care admission criteria.（3） As no unified admission criteria and ways for hospice care have been developed in China，such admission is usually determined based on patients' disease progression，subjective feelings，and basic conditions，and clinicians' experience.The rationality and scientificalness of this practice，as well as its needs of further improvement，were approved by most of the hospice care providers.Conclusion　The routine admission criteria for hospice care used clinically should be improved further on the basis of retaining the original scientific and reasonable content.For improvement，further studies can use Delphi method.Moreover，mature admission criteria in foreign countries can be referred to develop the domestic admission criteria after being screened and culturally adapted.

Key words: Hospice care, Referral criteria, Cognition, Qualitative study, Hospice care