論兩岸安寧療護之倡議與實踐【月旦時論】 試閱
A Promotion and Fulfillment Research of Hospice Care in the Cross-Straits
本文宗旨在探討安寧療護於兩岸之倡議與實踐。觀察臺灣經驗，安寧療護之發展與「安寧緩和醫療條例」、「病人自主權利法」的法制化過程及納入全民健康保險支付密切相關。本文亦觀察中國大陸「安寧療護實踐指南（試行）」在症狀控制、舒適照護、心理支持和人文關懷各方面的內容，認為特色亮點在於凸顯「信任」之重要性、「參與」之必要性與「尊嚴」之價值性。易言之，「安寧療護實踐指南（試行）」訴求安寧療護在權利主體身心靈全方位之展現。本文藉由安寧療護此一主題之探討，冀望兩岸可交流分享經驗，共同參與這個時代象徵病人自主意識在人生最後階段之絢爛轉身。
The theme of this article is to discuss the promotion and fulfillment of hospice care in the cross-straits. Observing experiences in Taiwan, the development of hospice care is closely related to the legalization process of the “Hospice Palliative Care Act” and the “Patient Right to Autonomy Act” and payment included in the national health insurance. Also, this article observes each symptom control, comfortable care, and mental support and humane care aspect of the “Hospice Care Practice Guide (Test)” in Mainland China, and highlights the importance of “trust”, the necessity of “participation” and the value of “dignity”. In other words, the “Hospice Care Practice Guide (Test)” seeks hospice care to display in all directions of body, mind, and spirit in one human being. By discussing the hospice care topic in this article, experiences can be exchanged and shared in the cross-straits. Both Taiwan and Mainland China can jointly participate in this era, which symbolizes patient autonomy conscious’ awareness in the final stage of life.
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