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Taiwan Hospice Palliative Care-A Step by Step Development

台灣安寧緩和療護之逐步發展

摘要


安寧療護的理念始於1983年,但直到1990年,第一座機構才設立。目前登記有案的含37家合格的住院單位及57家合格的居家療護服務。安寧服務的需求量很大,但目前的服務機構無法滿足這樣的需求,增加現有之安寧服務機構達50%的涵蓋率已是首要目標。除了研究相關的本土模式外,教育及訓練仍是發展安寧的最高優先。現有的緩和醫療核心課程也是將來教育所必須。住院單位及居家療護單位的評鑑開始於2000年。安寧緩和專科醫師制度肇始於2001年。繼續推展安寧服務至非惡性晚期病患的承諾是台灣安寧運動的下一步前景。

並列摘要


The idea of hospice service started in 1983, but the first facility was not set up until 1990. There are currently 37 qualified in-patient units and 57 qualified homecare services register under the Taiwan Academy of Hospice Palliative Medicine. The current demand for hospice service is great and could not be met by service capacity. Increasing hospice coverage up to 50% has become the primary goal. Education and training is still the top priority of hospice development followed by research involving indigenous models. It has also been reconfirmed that the current curriculum of palliative medicine will be the education needed in the future. Accreditation of in-patient and home care units was initiated from 2000 and the first group of Palliative Medicine Specialists was qualified in 2001. With a promising plan to extend hospice services over to the non-malignant terminal patients, the status of the hospice movement in Taiwan has been more positive than ever.

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