預立選擇安寧緩和醫療意願註記健保IC卡之成果報告：2006-2012

Effectiveness of Hospice Palliative Care Will Recording on National Health Insurance IC Card in Taiwan: 2006-2012

李英芬(In-Fun Li) ； 鄭旭清(Cheng-Hsu Ching) ； 莊榮彬(Rong-Bin Chuang) ； 杜瀛岳(Ying-Yueh Tu) ； 陳虹汶(Hong-Wen Chen) ； 方俊凱(Chun-Kai Fang)

《安寧療護雜誌》 18卷3期 (2013/11) Pp. 279-291

https://doi.org/10.6537/TJHPC.2013.18(3).3

摘要

自行政院衛生署於2006年開始推動選擇安寧緩和意願註記於民眾就醫時需用的IC健保卡起，每年完成註記之人數逐漸增加，至2012年共有145,921位民眾完成預立選擇安寧緩和醫療註記健保IC卡，其中女性有101,587人（69.1%），男性為44,335人（30.9%），50-59歲之註記人數最多達12924人（26.0%），次之為60-69歲之民眾，有11103人（22.4%）。而在民眾獲得安寧療護之管道中以來自親朋好友最多，次之為報章雜誌。隨著每年完成預立選擇安寧緩和醫療並健保IC卡註記的人數增加，可見民眾接受安寧緩和醫療觀念之接受度已逐漸擴大，期待未來能以更多元方式進行宣導，讓每位民眾都能在有行為能力時，預先表達自身對醫療照護的期望與選擇，並將選擇安寧緩和醫療意願註記於健保IC卡，以幫助末期病人達到尊嚴死亡與善終的目標。

關鍵字

預立選擇安寧緩和醫療意願 ； 健保IC卡註記

並列摘要

On May 23rd of 2000, the Natural Death Act was passed in Taiwan,, which was the first law in Taiwan to respect medical wills and protect the rights of terminally ill patients. In 2006, the Department of Health of Taiwan began encouraging Taiwanese citizens to record their will of intent to DNR on their National Health Insurance (NHI) smart (IC) cards. In 2011, the signing of a DNR letter of intent in NHI IC card with the force of law when Natural Death Act was amended.In 2006, Department of Health began to promote marking the will of hospice palliative of patients on National Health Insurance IC Card while taking medical treatment. The amount of people who completed marking each year increased gradually. In 2012, there were 145,921 people in total completing the pre-marking of hospice palliative care will on National Health Insurance IC Card, which 44,335 (30.9%) were males and 101,587 (69.1%) were females, and in group of ages between 50 and 59 had the highest proportion of people who signed up the system reached 12924 (26.0%), followed by group of ages between 60 and 69 reached 11103 (22.4%). People received the information of hospice and palliative care from relatives and friends mostly, followed by newspapers and magazines.Through the increase of amount of people in pre-marking hospice palliative care will with National Health Insurance IC Card each year, we can tell that people are gradually accepting the concept of hospice palliative care. In the future, the promotion of the system will be operated in a more diverse way. We aim to let all the patients can express their expectations and choice in advance and pre-mark their hospice palliative and medical care on their National Health Insurance IC Card while they are still capable to do it, to help last phase patients die with dignity

並列關鍵字

Pre-marking hospice palliative care will ； National Health Insurance IC Card registry