Chinese General Practice ›› 2022, Vol. 25 ›› Issue (19): 2330-2335.DOI: 10.12114/j.issn.1007-9572.2022.0256

Special Issue: 社区卫生服务最新研究合集 安宁疗护专题研究

• Focus·Special Issue of Hospice Care • Previous Articles     Next Articles

The Model of Community Home-based Hospice Care Delivery in the United Kingdom and the United States and Its Enlightenment to China

  

  1. School of Medical Humanities, Capital Medical University, Beijing 100069, China
  • Received:2022-04-07 Revised:2022-04-24 Published:2022-07-05 Online:2022-05-26
  • Contact: Lanqiu LIU
  • About author:
    ZHAO Y, LIU L Q. The model of community home-based hospice care delivery in the United Kingdom and the United States and its enlightenment to China[J]. Chinese General Practice, 2022, 25 (19) : 2330-2335.

英国和美国社区居家安宁疗护服务模式及其对我国的启示

  

  1. 100069 北京市,首都医科大学医学人文学院
  • 通讯作者: 刘兰秋
  • 作者简介:
    赵越,刘兰秋.英国和美国社区居家安宁疗护服务模式及其对我国的启示[J].中国全科医学,2022,25(19):2330-2335.[www.chinagp.net] 作者贡献:赵越、刘兰秋负责论文构思、设计与修订;赵越负责文献/资料收集与整理,并撰写论文,对文章整体负责。
  • 基金资助:
    国家社会科学基金项目--《基本医疗卫生与健康促进法》实施中的关键法律问题研究(21STA052)

Abstract:

Community home-based hospice care service plays an important role in hospice care service. Focusing on community home-based hospice care is the future direction of hospice care service development. As the early countries to develop community home-based hospice care delivery, the United Kingdom and the United States have accumulated rich experience in patient admission standard, service team and content, and funding guarantee of community home-based hospice care delivery, a relatively sound community home-based hospice care delivery system has been established in these two countries. China can appropriately learn from the development experience of community home-based hospice care in the United Kingdom and the United States, in order to formulate the admission standards of community home-based hospice care, strengthen the construction of multidisciplinary hospice care teams, incorporate the non-drug therapy into the scope of community home-based hospice care, implement the payment method of per-diem, so that the patients can die peacefully and dignifiedly in a familiar environment with their hospice rights protected.

Key words: Hospice and palliative care nursing, Health care reform, Healthy aging, National health system, Basic medical and health services, The United Kingdom, The United States

摘要:

社区居家安宁疗护服务是安宁疗护服务的重要组成部分,以社区居家安宁疗护服务为中心是安宁疗护服务发展的方向。英国与美国作为开展社区居家安宁疗护服务较早的国家,在社区居家安宁疗护服务的患者准入标准、服务团队与服务内容、经费保障等方面都积累了较为丰富的经验,也建立起了相对健全的社区居家安宁疗护服务体系。我国可适当借鉴英国和美国社区居家安宁疗护服务的发展经验,制定适合我国的社区居家安宁疗护服务的患者准入标准,加强多学科安宁疗护团队建设,将非药物疗法纳入社区居家安宁疗护服务范畴,实行按床日付费的支付方式,使疾病终末期患者能在其熟悉的环境中安详、有尊严地离世,保障其善终权益。

关键词: 临终关怀和姑息治疗护理, 卫生保健改革, 健康老龄化, 国家医疗卫生体系, 基本医疗卫生服务, 英国, 美国