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

doi:10.12114/j.issn.1007-9572.2022.0256

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

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

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

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

Yue ZHAO,Lanqiu LIU. 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. DOI: 10.12114/j.issn.1007-9572.2022.0256.
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. DOI: 10.12114/j.issn.1007-9572.2022.0256.

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

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

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