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Status of palliative care education in Mainland China: A systematic review

Published online by Cambridge University Press:  25 August 2020

Antonia M. Willemsen Open the ORCID record for Antonia M. Willemsen [Opens in a new window] ,
Stephen Mason ,
Silja Zhang  and
Frank Elsner
Antonia M. Willemsen*
Affiliation:
Faculty of Medicine, Department of Palliative Care, RWTH Aachen University, Aachen, Germany
Stephen Mason
Affiliation:
Palliative Care Institute Liverpool, University of Liverpool, Liverpool, UK
Silja Zhang
Affiliation:
Tongji Hospital, Huazhong University of Science and Technology, Wuhan, China
Frank Elsner
Affiliation:
Faculty of Medicine, Department of Palliative Care, RWTH Aachen University, Aachen, Germany
*
Author for correspondence: Antonia M. Willemsen, Department of Palliative Care, Universitätsklinikum RWTH Aachen, Pauwelsstraße 30, Aachen52074, Germany. E-mail: antonia.willemsen@rwth-aachen.de
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Abstract

Objective

China is home to one-fifth of the world's population. In the setting of a growing and aging population as well as the designation of palliative care access as a human right in 2013, the implementation of palliative care in China gains special importance. Palliative care education is an important precondition to ensure a nationwide access to palliative care. This systematic review details the status of under- and postgraduate palliative care education in China, examining both the students’ and physicians’ perception, knowledge, and skills in palliative care, and the available educational interventions and programs.

Method

Four databases were searched in September 2018, using considered search terms. Titles, abstracts, and, if necessary, full texts were scanned to identify publications matching the inclusion criteria.

Results

Nine publications were included. They revealed six findings: palliative care education is lacking in both under- and postgraduate medical education, only a few programs exist. Palliative care as a concept is well known, detailed knowledge, and practical skills are less developed. Chinese physicians consider palliative care an important field to be developed in cancer care, yet the majority of healthcare professionals are not willing to work in palliative care services. Communication should be a main emphasis in palliative care education, especially in undergraduate training. Finally, there is no highly qualified research on under- or postgraduate palliative care education in Mainland China.

Significance of results

These findings suggest that palliative care education in China is in demand and should be systematically integrated into medical education. Further research on the topic is urgently needed.

Keywords

ChinaEducationGlobal healthPalliative care
Type
Review Article
Information
Palliative & Supportive Care , Volume 19 , Issue 2 , April 2021 , pp. 235 - 245
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Copyright
Copyright © The Author(s), 2020. Published by Cambridge University Press

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