衍生安寧病房－談安寧共同照護在台灣

The Extension of Hospice Palliative Care: Shared Care Programs in Taiwan

李佩怡(Pei-Yi Lee) ； 蔡麗雲(Li-Yun Tsai)

《安寧療護雜誌》 11卷2期 (2006/05) Pp. 166-174

https://doi.org/10.6537/TJHPC.2006.11(2).5

摘要

癌症為24年來十大死因之冠，行政院衛生署國民健康局為使在一般急性病房的癌症晚期病人皆能受到安寧照護的服務，開始推動「安寧共同照護計畫」，希望藉由安寧照護團隊及原診療團隊共同照護的模式，讓癌末病人及其家屬皆能得到四全三平安的照護。本文旨在介紹安寧共同照護的發展歷程、運作模式、團隊成員的角色功能、成效與評估，並透過實際工作中所面臨的困難與挑戰，提出具體之建議，以期讓更多臨床工作者參考之用，並發展出具個別性的工作服務模式。

關鍵字

安寧共同照護 ； 原診療團隊

並列摘要

Cancer has been the leading cause of death for 24 years in Taiwan. To ensure cancer patients admitted in acute care wards can receive hospice service, Bureau of Health Promotion, Department of Health, R.O.C initiated a hospice shared care project. It is aimed to integrate palliative and primary care teams to care terminal cancer patients and family in a share care model, which incorporates care of physical, psychosocial and spiritual issues.
This article is to introduce development of hospice shared care programs, role and function of team members as well as evaluation of success. The difficulty, challenges and possible resolutions in practicing shared care are also discussed. We wish it could be an important reference to clinical practitioner for developing individualized care and service model.

並列關鍵字

hospice shared care ； primary care teams