关键词: 缓和医疗, 临终关怀和姑息治疗护理, 社区卫生服务, 指南

Abstract: The WHO has released several palliative care guidelines since 2014，providing important evidence for the implementation of palliative care. In the situation of limited medical resources，increased demand for palliative care，and limited palliative care specialists，community-based palliative care may be an effective model to solve the underuse of palliative care.In 2018，the WHO Department of Service Delivery and Safety，in collaboration with experts from the United States，the United Kingdom and other countries and regions，developed the Integrating Palliative Care and Symptom Relief into Primary Health Care，which is the first guide on how to systematically integrate palliative care into primary health care. This guide consists of eight chapters. We explained the scientific and practical significance of integrating palliative care into primary health care based on Chapter 3，and discussed how to integrate palliative care into primary health care based on Chapters 4，5 and 6，mainly including the allocation of essential medical resources and drug management in the community，core palliative care competencies requirements for primary care providers，as well as the important role of community health workers. In addition，we introduced successful integration cases of some regions and countries in the guide，and put forward suggestions feasible for domestic implementation in accordance with relevant domestic policies and research. The introduction of this guide may provide help for the development of palliative care and further integration of community medical resources in China.

Key words: Palliative care, Hospice and palliative care nursing, Community health services, Guidline