我国临终关怀准入标准界定的质性研究

目的了解临终关怀实施者、管理者及研究者对临终关怀准入的看法，界定我国临终关怀准入标准。方法采用焦点小组访谈法进行访谈，采用主题分析法整理分析资料。结果提炼出的主题有以预后为基础的准入为主，结合考虑以需求为基础的准入；增加限定条件“对临床根治治疗不获益”；可以考虑缩短准入患者预计生存期的时间；临终关怀准入应先从肿瘤患者入手；可将准入标准的评价指标细化；专业临终关怀机构可作为其他服务的中转站。结论应参考以预后为基础的准入，制定我国临终关怀准入标准。今后随着临终关怀机构的发展扩大，此标准可进一步修订。

The qualitative research of the referral criteria of hospice care

Objective To know the practitioners, managers and researchers' ideas on referral of hospice care. Methods Focus group discussion was used to collect the data, and the thematic analysis was employed to do the data analysis. Results Six themes including prognosis based referral criteria combining need based referral criteria, no response to the curative treatment, shortening the period of prognostic survival time,focus on cancer patient, detailing the evaluation index, taking specialist palliative care service as the transfer point were found. Conclusions The referral criteria should be made on the basis of prognosis. With the development of hospice care, it could be revised further.