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International Journal of Public Health and Preventive Medicine, 2023, 4(1); doi: 10.38007/IJPHPM.2023.040104.

Lack of Death Education in Chinese Medical Students and Countermeasures


Qijun Long, Meichun Yang, Jinyan Lan and Edreck D. Estioko

Corresponding Author:
Edreck D. Estioko

Philippine Heart Center, Quezon 0850, Philippine


Medical students would face a large number of life and death patients in the future medical practice. Death education plays an important role in cultivating medical students' humanistic care and professional quality. However, there are some problems in the death education of Chinese medical students. This study investigated the knowledge reserve, attitude and practice of death education of medical students in different grades in China by means of questionnaire, and put forward corresponding countermeasures. It is found that Chinese medical students have less knowledge and practical experience in death education, and there are misunderstandings about hospice care and pain relief, as well as fear and taboo about death. This lack not only affects the professional quality and clinical practice ability of medical students, but also has a negative impact on the quality of life of patients. In order to improve the level of death education of Chinese medical students, this study puts forward several countermeasures, including strengthening the setting of death education curriculum, improving the teaching quality of teachers, carrying out practical education and multi-disciplinary cooperation. Finally, the experimental results showed that after receiving death education, the fear of death of medical students gradually decreased with the passage of time, and the fear level dropped from 5.3 to 3.0. These measures help to improve the level of death education and clinical practice ability of medical students, and improve the quality and effect of medical services.


Medical Education, Death Education, Relationship between Life and Death, Questionnaire Survey

Cite This Paper

Qijun Long, Meichun Yang, Jinyan Lan and Edreck D. Estioko. Lack of Death Education in Chinese Medical Students and Countermeasures. International Journal of Public Health and Preventive Medicine (2023), Vol. 4, Issue 1: 27-36. https://doi.org/10.38007/IJPHPM.2023.040104.


[1]Raccichini M, Biancalani G, Franchini L, et al. Death education and photovoice at school: A workshop with italian high school students. Death Studies, 2023, 47(3): 279-286.

[2]Dadfar M, Lester D. The effectiveness of 8A model death education on the reduction of death depression: A preliminary study. Nursing open, 2020, 7(1): 294-298.

[3]Wang Y, Tang S, Hu X, et al. Gender differences in attitudes toward death among Chinese college students and the implications for death education courses. OMEGA-Journal of Death and Dying, 2022, 85(1): 59-74.

[4]Jiang Q. Psychological support and demand for death education among Chinese college students during the COVID‐19 pandemic: The mediating role of neutral death attitude. Nursing Open, 2023, 10(1): 172-181.

[5]Chen W, Ma H, Wang X, et al. Effects of a death education intervention for older people with chronic disease and family caregivers: A quasi-experimental study. Asian Nursing Research, 2020, 14(4): 257-266.

[6]Tajiri T, Matoba S, Kuwabara M, et al. Death education for future physicians. Geriatrics & gerontology international, 2020, 20(1): 5-6.

[7]Shim S. The existential meaning of death and reconsidering death education through the perspectives of Kierkegaard and Heidegger. Educational Philosophy and Theory, 2020, 52(9): 973-985.

[8]Liu M, Chi I. Engaging Chinese older adults in death education and advance planning: clinical practice implications. Journal of Ethnic & Cultural Diversity in Social Work, 2023, 32(3): 124-129.

[9]McAfee C A, Jordan T R, Cegelka D, et al. COVID-19 brings a new urgency for advance care planning: Implications of death education. Death Studies, 2022, 46(1): 91-96.

[10]Kim H, Park S. Effects of Death Education Programs among Korean Aged in the Convergence Era: A Systematic Review and Meta-Analysis. Journal of Convergence for Information Technology, 2022, 12(5): 71-82.

[11]Zorotovich J, Cohen A L. Death Education among Social Science College Students: The Good, the Bad, and the Unchanged. Journal of Ageing and Longevity, 2022, 2(4): 266-276.

[12]de la Herran Gascon A, Herrero P R, Gonzalez J J C, et al. Do adolescents want death to be included in their education?. Social psychology of education, 2021, 24(3): 857-876.

[13]de la Herran Gascon A, Perez-Bonet G, Sanchez-Huete J C. What do teachers think of death education?. Death Studies, 2020, 46(6): 1518-1528.

[14]de la Herran Gascon A, Herrero P R, Serrano Manzano B F. Do parents want death to be included in their children’s education?. Journal of Family Studies, 2022, 28(4): 1320-1337.

[15]Gocmen Baykara Z, Keles S, Demir Karabulut S, et al. The effect of professional education on medical and nursing students’ attitudes toward death. Death Studies, 2022, 46(7): 1728-1740.

[16]Palimar V, Gupta C. Medical students' perception on ethics and communication module: How to deal with death?. Journal of Medical Society, 2022, 36(1): 18-21.

[17]Park S Y, Kim C T. Comparison Study on Views of Life and Death and Spiritual Well-being of Medical and Non-Medical University Students. The Journal of the Korea Contents Association, 2020, 20(11): 501-510.

[18]de la Herran Gascon A, Rodriguez Herrero P, Peralta I R, et al. The Pedagogy of death and special needs education. A phenomenological study. European Journal of Special Needs Education, 2022, 37(5): 747-760.

[19]Testoni I, Palazzo L, Ronconi L, et al. The hospice as a learning space: a death education intervention with a group of adolescents. BMC palliative care, 2021, 20(1): 1-11.

[20]Testoni I, Biancalani G, Ronconi L, et al. Let’s start with the end: Bibliodrama in an Italian death education course on managing fear of death, fantasy-proneness, and alexithymia with a mixed-method analysis. OMEGA-Journal of Death and Dying, 2021, 83(4): 729-759.