Abstract This article is part of a larger study dedicated to the place of death and dying. The focus of this article is on the “medicalized death” of older people who died in hospitals in Israel and the United States and is based on the experiences of four family members who cared for them at the end of their lives. In-depth interviews were conducted with each participant, and narrative analysis methods were utilized to identify themes in the data. In the findings section, participant accounts are presented as individual monologues, each followed by the authors’ theoretical commentary. Despite the fact that the process of dying in a hospital is often depicted in the media as being fraught with excessive and aggressive procedures, the cases described in this article suggest there is marked ambiguity and contradiction experienced by caregivers and patients regarding the hospital setting for the process of dying. In some cases, the hospital was perceived as a preferred place for dying because it often reduced caregiver strain. However, participants also remarked on many undesirable aspects about hospital deaths, including dying in the company of strangers; the lack of empathy from physicians; existential dilemmas about the withdrawal of treatment; and several more.

中文翻译：

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“医学化死亡”：死于医院

摘要 本文是致力于死亡和临终地点的大型研究的一部分。本文的重点是在以色列和美国医院死亡的老年人的“医疗死亡”，并基于在他们生命结束时照顾他们的四位家庭成员的经历。对每位参与者进行了深入访谈，并利用叙事分析方法来确定数据中的主题。在调查结果部分，参与者的叙述以个人独白的形式呈现，每个独白后面都有作者的理论评论。尽管媒体经常将在医院死亡的过程描述为充满过度和激进的程序，本文中描述的案例表明，护理人员和患者对于死亡过程的医院环境存在明显的歧义和矛盾。在某些情况下，医院被认为是首选的死亡地点，因为它通常可以减轻护理人员的压力。然而，参与者也评论了医院死亡的许多不受欢迎的方面，包括在陌生人陪伴下死亡；医生缺乏同理心；关于停止治疗的生存困境；还有几个。医生缺乏同理心；关于停止治疗的生存困境；还有几个。医生缺乏同理心；关于停止治疗的生存困境；还有几个。