安宁疗护基本服务包的构建

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Construction of basic service packages for hospice care

GONG Xiuquan， WANG Zhongling

East China University of Science and Technology， Shanghai 200237 China

Corresponding Author  GONG Xiuquan， E⁃mail： gongxiuquan@126.com

Abstract  Objective：To design a standardized and cost⁃effective basic service scheme for hospice care，aiming to promote its universal and inclusive development.Methods：The study employed a policy comparison approach to consolidate the service contents and project standards of palliative care across various regions，followed by two rounds of expert consultations.Results：A basic hospice care service package that met the actual needs of Shanghai was developed.The basic hospice care service package included five categories：environment and facilities，essential equipment，medication recommendation list，human resources，and evaluation and inspection.The environment and facilities category included eight first level items：department settings，quiet and comfortable wards，air purification and temperature control，appropriate lighting，clean ward environment，safety facilities，comfortable family care areas，and pain management facilities.The essential equipment categories included four primary items：medical equipment，symptom relief equipment，palliative care equipment，and ward management equipment.The drug recommendation list included two primary categories：symptom control and palliative care.The category of human resources included two first level items：symptom control and palliative care，as well as psychological support and humanistic care.Assessment and examination included three primary items：pain control，palliative care，psychological support，and humanistic care.Conclusion：Clear and specific standards have been established aiming at the environment and facilities，necessary equipment，human resources，medicines，assessment and examination，in order to foster the standardized development of hospice care.

Keywords  hospice care； basic service package； standardization； service items

摘要  目的：设计一套标准化、经济高效的安宁疗护基础服务方案，以促进安宁疗护普惠性发展。（剩余11258字）