关键词: 临终关怀和姑息治疗护理, 社区卫生服务, 预立医疗照护计划, 预立医疗指示

Abstract: The patient-centered and family oriented community health service center is a new way to promote the advanced care planning（ACP），and it is an important part of community palliative care. There have been practical experience and theoretical discussion in some developed countries and regions. At present，the research on community ACP in China is still in its infancy. We need to learn from the advanced ideas and experience of foreign community ACP development to explore the ACP development model suitable for the Chinese community. Based on the perspective of community，this paper expounds the current situation of ACP development at home and abroad，analyzes the advantages of community ACP implementation combined with the current situation of community in China，and puts forward some suggestions for the development of ACP in Chinese communities，so as to provide reference for the research and practice of ACP in domestic communities.

Key words: Hospice and palliative care nursing, Community health services, Advance care planning, Advance directive