安寧共同照護服務：社區推展的創新模式

Hospice-Shared Care: A Novel Community Model

安寧療護是末期病人最佳照顧方式之一，為了使癌症末期病人能早期認識和接受安寧療護，將此理念推廣至非安寧病房實屬必要。我國於西元2004 年開始試辦「安寧共同照護」模式，也就是推動院內安寧療護團隊與原診療團隊共同照護癌症末期病人，並提供相關諮詢服務和協同照護。藉由「安寧共同照護」這幾年的發展，已成功地將安寧療護推展至非安寧病房和各層級醫療機構。而且成效評估顯示不但可以改善癌末病人的生活品質和確保醫療照護品質，同時也可以減少健保醫療資源的耗用。未來努力的方向是將「安寧共同照護」的發展，從照顧癌末患者，進一步運用在照顧各種疾病之末期患者；從醫療機構醫療人員的推廣，進一步至社區的民眾推廣，將安寧療護的理念深植於民眾之心。

Hospice care is one of the best care models for terminal patients. To promote the concept of hospice care to the general ward is important for terminal cancer patients’ early awareness and acceptance of hospice care. Hospice-shared care was introduced to Taiwan in 2004. Hospice-shared care has provided early hospice consultation and combined care with original care team in the general ward. This care model has been increasingly recognized in recent years. In addition, several studies in Taiwan have demonstrated that hospice-shared care can significantly improve the quality of life and quality of care in terminal cancer patients. Meanwhile, the health care expenditure of hospice-shared care is much less than that of conventional care. With the increasing awareness of hospice care among community residents, the future goal is to extend hospice-shared care from terminal cancer patients to non-cancer patients with terminal illness. In conclusion, the promotion of hospice care is important not only for hospital staffs, but also for community residents.