Diversity and Integration: Exploring the Role of Religion in End-of-Life Care in Rural Gansu Province, China

Abstract

In the face of death, different ethnic groups have unique coping ways. The physical care and spiritual care for the dying can demonstrate the diversity and particularity of ethnic cultural thought. Taking two villages in the interlaced residential areas inhabited by Han, Tibetan, and Hui ethnic groups in Linxia and Wuwei of Gansu Province as examples, this paper focuses on the presentation and significance of multi-ethnic cultural integration in the process of end-of-life care, with a focus on spiritual care. One main point of this paper is that, although hospice care in the modern medical sense is not really implemented in the vast rural areas of China, local end-of-life care, based on the village medical system and religious rituals, equally plays an important role. This is mainly manifested through the implementation of the Narcotics Card System and the widespread spiritual care. The second main point of this paper is that the form of end-of-life care, which embodies the integration of ethnic cultures, contains a certain degree of nursing functions, while taking into account the spiritual care needed by the dying and the grief consolation needed by the bereaved family. Considering the lack of spiritual care and bereavement management in China’s medical space, the religious approaches to end-of-life care, as delineated in this study, could serve as a source of inspiration for the country’s efforts to integrate hospice services into its healthcare system. In short, compared with Western forms of hospice care, in which modern medicine constitutes the main body, China’s local end-of-life care is more reflected in the diversity and integration of spiritual care for the dying.