Palliative Care Service Development Experience in Singapore and Its Implications for China

doi:10.12114/j.issn.1007-9572.2023.0226

Abstract

Abstract:

Palliative care is one of the effective means to protect the rights of good death and improve the quality of life in end-stage patients. Palliative care in Singapore is developing rapidly and a comprehensive palliative service system has been gradually established, ranking in the top of Asia in the latest national quality of death ranking. This paper proposes that the social awareness, education and training of palliative care should be strengthened, the power of charities and NGOs should be utilized, the existing palliative care carrying capacity should be improved, palliative care related system and legal protection should be established in China, by sorting out the current situation of hospice care, the practical experience in public education, personnel training, charitable support, related policies and legal protection in Singapore, in order to achieve the hospice needs of end-stage patients.

Key words: Hospice and palliative care nursing, Health care reform, National health system, Advance medical directive, Advance care planning, Singapore

摘要：

安宁疗护是保障终末期患者善终权益，提升终末期患者生活质量的有效手段之一。新加坡安宁疗护发展迅猛，目前已逐步建成完善的安宁疗护服务体系，并在最新发布的国家死亡质量排名中位于亚洲前列。本文通过梳理新加坡安宁疗护现状，公众宣教、人才培养、慈善支持以及相关政策法律保障等方面的实践经验，最终提出我国应加强安宁疗护的社会认知、教育培养，发挥慈善团体和非政府组织的力量，提高现有安宁疗护承载力，构建安宁疗护相关制度和法律保障，以期达到实现终末期患者善终需求的目的。

关键词: 临终关怀和姑息治疗护理, 卫生保健改革, 国家医疗卫生体系, 预立医疗指示, 预立照护计划, 新加坡

CLC Number:

R 473.51

GAO Xiaoyi,HU Liping,ZHAO Yue, et al. Palliative Care Service Development Experience in Singapore and Its Implications for China[J]. Chinese General Practice, 2024, 27(22): 2745-2751. DOI: 10.12114/j.issn.1007-9572.2023.0226.
高晓艺,胡利萍,赵越等. 新加坡安宁疗护服务发展经验及其对我国的启示[J]. 中国全科医学, 2024, 27(22): 2745-2751. DOI: 10.12114/j.issn.1007-9572.2023.0226.

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