安寧共同照護之挑戰及因應策略

Hospice Shared Care: The Challenges and Coping Strategies

郭集慶(Victor C. Kok) ； 張文豪(Wen-Hao Chang) ； 柯萬盛(W. S. Ko) ； 王銘志(M. C. Wang) ； 吳中興(C. S. Wu) ； 石季子(C. T. Shi)

《安寧療護雜誌》 11卷3期 (2006/08) Pp. 252-262

https://doi.org/10.6537/TJHPC.2006.11(3).3

摘要

安寧共同照護（共照）的實施，讓急性病房住院病患可在原治療單位同時接受安寧團隊的照顧，儘管比不上在安寧病房內可享有的安寧服務，但仍能得到適切的症狀控制，心理社會照顧，甚至靈性照顧。安寧共同照護自2004年實行至今，展現明顯的成效，但在執行上仍有若干困難與挑戰。本文將探討所觀察到的現象、困難和挑戰，透過文獻複查，綜合判斷後提出因應策略。

關鍵字

安寧共同照護模式 ； 以病人為中心

並列摘要

Compared with the more established hospice ward and home care hospice models, the model of ”hospice shared care” (HSC) for inpatients in acute-care setting has been noticed to have limitations and challenges in the real world situation in this country. Before the model of HSC is promoted to enlarge hospice care coverage for the particular population of cancer patients in their final year of life, the officially reported hospice utilization rate was just nearly 14%. In order to facilitate utilization of hospice services and to get hospice care concept across and offer patients with this option beyond the hospice ward, HSC is expected and adopted to boost the coverage rate hopefully to allow more patients with advanced cancer have better symptom management and better psycho-social-spiritual care in the end-of-life setting. This article also looks at the literature discussing roles of palliative care consultation service in the acute-care setting. Both the challenes and coping strategies for providing expertise and quality hospice shared care are delineated in this review.

並列關鍵字

Hospice shared care ； patient-centered