中醫師在安寧緩和醫療的角色與展望

The Role and Future of Traditional Chinese Medicine Physicians in Hospice and Palliative Care

陳建宏(Chien-Hung Chen) ； 許中華(Chung-Hua Hsu)

《北市醫學雜誌》 12卷附冊 (2015/06) Pp. 168-172

https://doi.org/10.6200/TCMJ.2015.12.SP.16

摘要

安寧緩和醫療在台灣發展已經超過30年。隨著安寧緩和醫療條例的通過以及許多推動安寧緩和醫療前輩們的努力下，包含安寧病房，安寧共照，與安寧居家護理也納入健保給付的範疇，至此安寧緩和醫療在台灣發展的架構已大致完備。但是在提供服務的數量上，服務可近性及服務內容的豐富多元性與本土化，則仍有許多發展的空間。中醫師在台灣的醫療體系中扮演照護民眾健康角色的一份子，與民眾的生活甚至有更緊密相依存的關係。中醫師加入安寧緩和醫療中，不僅可以建構更多元的照護團隊，也能產生協同加分的效果。改善癌症末期病人的生活品質，更能形成具有台灣本土特色的安寧緩和醫療。

關鍵字

安寧緩和醫療 ； 安寧居家療護 ； 安寧共照 ； 中醫師

並列摘要

Hospice palliative medicine has been developed for more than 30 years in Taiwan. Along with the enactment of hospice palliative medicine act and efforts of the predecessors, hospice palliative medicine is now covered by the national health insurance, including the hospice ward service, hospice share care service, and hospice home care service. The major framework of hospice palliative care in Taiwan is generally completed at this stage. However, there is still a space to improve in the amount, accessibility and diversity and taiwanization of service contents. Traditional Chinese Medicine physicians play an important role in caring people's health in Taiwan, and even have a closer interdependent relation with the people. The enrollment of traditional Chinese Medicine physicians, either to establish a multidiscipline care team or to increase cooperation effectiveness, has created a synergized effect in the hospice palliative medicine system. The integrated system is likely to improve the quality of life of terminal cancer patients and forms a hospice palliative medicine with local features.

並列關鍵字

Hospice palliative medicine ； Hospice home care ； Hospice share care ； Traditional Chinese physician