Analyzing the current situation and influencing factors of rural doctors’ intervention in hospice care services in Guangxi
Bibliographic Data
| ID | 22085998 |
|---|---|
| Authors | Shuang Liang (0000-0002-2529-9788, Guangxi University), Shuxiu Liang (0000-0001-6341-1673, Guangxi University of Chinese Medicine), Lang Jiang (Guangxi University), Zhao Li (0000-0002-6450-9549, Xiamen University, corresponding author), Zhaoxin Li (0000-0002-8299-1076, Xiamen University) |
| Year | 2026 |
| Volume | 13 |
| Pages | 1740030-1740030 |
| Publication date | 2026-01-14 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Frontiers in Public Health (JOURNAL) |
| Journal identifiers | ISSN: 2296-2565 • E-ISSN: 2296-2565 |
| Publisher | Frontiers Media SA (PUBLISHER • CH) |
| DOI | 10.3389/fpubh.2025.1740030 |
| PMID | 41613081 |
| OpenAlex | W7123756545 |
| Language | EN |
| References cited | 22 |
Introduction This study aimed to assess the current status and identify the key determinants of hospice care involvement among rural doctors in Guangxi, China, using Self-Determination Theory (SDT) as a framework. Methods A cross-sectional survey was conducted among 368 rural doctors from August to September 2024, with 312 valid responses (84.8% response rate). Data were collected using an online questionnaire assessing hospice care knowledge, willingness to provide care, and SDT-related psychological needs (autonomy, competence, and relatedness). Chi-square tests and ordinal logistic regression were used for analysis. Results Respondents demonstrated moderate knowledge of hospice care (8.9% comprehensive) but relatively high willingness (21.7% highly willing). The primary services provided included psychological support (75.0%) and companionship (59.6%). Multivariate analysis revealed that higher knowledge levels were positively associated with greater willingness to participate in research. Paradoxically, lower educational attainment (high school/associate degree vs. bachelor’s degree) was a significantly positive predictor of willingness (OR = 3.07, p = 0.002; OR = 2.88, p = 0.002). Other key determinants aligned with SDT—professional identity (relatedness) and manageable workload (autonomy)—were positive motivators, whereas perceived unfair medical liability risk and excessive workload were significant barriers. Discussion Rural doctors in Guangxi showed a promising willingness to engage in hospice care, but their involvement was significantly constrained by systemic and motivational factors beyond mere knowledge. Interventions grounded in the SDT—such as enhancing competence through targeted training, ensuring autonomy via workload management and legal safeguards, and fostering relatedness through professional support—are essential for leveraging this willingness and improving end-of-life care in rural China
Autonomy · Hospice care · Psychological intervention · Workload · Healthcare professionals’ stress and burnout · Motivation and Self-Concept in Sports · Palliative Care and End-of-Life Issues
Improving rural doctors’ professional competence
Comparison of patient perceived primary care quality in public clinics, public hospitals and private clinics in rural China
The influence of personality, alexithymia and work engagement on burnout among village doctors in China
Analysis of the characteristics, efficiency, and influencing factors of third-party mediation mechanisms for resolving medical disputes in public hospitals in China
Frommelt Attitudes Toward Care of the Dying Scale Form B
| Citation velocity | historical |
|---|---|
| Highly cited | No |