编者按：临终时的"尊严"一直是安宁疗护理念所追求的个体重要目标。不过，在实践中，尤其是在制度仍不完善且缺乏动力的 宏观环境中，我国安宁疗护中的临终尊严通常只能够在"妥协"与非正式的"调和"中展露出不完全的状态，临终者们仍然身处尊 严与哀痛的中间地带。人口学和老龄学专家陆杰华等人的新著《直面临终时刻：医院安宁疗护中的妥协与调和》以社会学的方 法展开了深入医院安宁疗护科室与病房的田野调查与研究分析，发现现阶段我国医院安宁疗护的实践面临着战略、政策、机 构、资源、团队、观念等一系列问题。相信能让读者真切体会到临终者的个体生命体验的同时，也能给完善相关制度提供启 发。 陆杰华、戚政烨 / 文 当前，中国正在经历前所未有的长寿时代，老龄化速度加快、高龄人口比例增大与平均预期寿命持续延长是其显著特征。衰老 在某种意义上是个体不断接近和到达死亡的过程，死亡是人类老化过程中面临的问题根源。无论是身体机能退化、心理恐慌还 是社会歧视，都来源于最直击人心的死亡话题，因此临终阶段的照护和服务几乎是老龄社会面临的最大挑战。 根据国家卫健委公布的数据，2018年我国居民平均预期寿命为77岁，但平均健康预期寿命仅有68.7岁，意味着平均 ...

归元缓和联合发起人、主任、秘书长 杨洁 华夏时报（www.chinatimes.net.cn）记者 文梅 北京报道 18岁的时候，杨洁遭遇了亲人意外死亡，她花了十年时间疗愈自己。亲人故去十周年时，她写了一封长信，签下 自己的名字，跟亲人做真正的告别——"十年了，我想把你放下，让我自己能够好好地开始新的生活。" 近年来，安宁疗护得到了社会各界和政府部门的关注。北京市政府、卫健委对安宁疗护的支持力度都在加大， 2024年底，国家卫健委颁布相关政策，明确安宁疗护可以自主设定区域内的收费标准。杨洁说，收费标准放开， 医疗机构参与安宁疗护的积极性会更好，动力也会更强。此外，北京市要求到2025年所有的三甲医院都应设立医 务社工，这对安宁疗护这一细分领域来说绝对是好事。 不过杨洁认为，总体来看，居家服务还是一个比较大的空白。"家是我们最安全的地方，是不可替代的，居家服务 如果能够做得更好、更完善、更充分，其实能实现更多人的心愿。同时也给我们医疗体系节约很大的成本，对全 社会来说都是获益的。" 《华夏时报》记者问："从一个金融行业精英到公益人，走到现在，您会怎么形容公益对您生命的影响？" "公益是改善这个社会非常有力的一个 ...

Core Insights - The annual college entrance examination has concluded, and over 13 million candidates will soon choose their majors, with increasing interest in the elderly care industry due to its high employment rates and future growth potential [1] - The National Health Commission predicts that China will enter a severe aging phase around 2035, indicating a growing demand for professionals in elderly care [1] Group 1: Industry Potential - The elderly care market in China has significant potential, with a projected increase in demand for related professionals over the next decade [1] - Currently, there are only 2 million elderly care workers in China, while the actual demand is estimated to be as high as 30 million [17] Group 2: Professional Experiences - Students in elderly care programs report a stark contrast between their expectations and the realities of the job, including physical and emotional challenges [6][15] - Many students initially face stigma or embarrassment about choosing elderly care as a profession, with a significant number considering changing their majors [15] Group 3: Educational Structure - The elderly care curriculum includes practical courses on elderly health assessment, emergency care, and communication skills, but many instructors lack specific backgrounds in elderly care [13][36] - Newer programs are evolving to meet the demands of the industry, such as the shift towards "Smart Health and Elderly Care Services and Management" [19] Group 4: Job Market and Opportunities - The job market for elderly care professionals is expanding, with various roles beyond caregiving, including management and research positions [36][33] - There is a growing recognition of the need for diverse skill sets in elderly care, including therapeutic recreation and social work [20][22] Group 5: Societal Perceptions - There is a societal stigma associated with elderly care roles, often viewed as low-status jobs, which can deter potential candidates [17] - The industry faces challenges in changing public perceptions and increasing the appeal of elderly care professions to younger generations [19][45]