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Speaking of "palliative care" a lot of people may feel strange, but when it comes to Hospice care, most people are able to understand the general meaning of the word.
In China, the palliative care doctor called "palliative medicine", often both interactive use. "Palliative care" refers to temporarily relieve pain but does not eliminate the cause of a treatment, is often used in patients with advanced cancer. On the premise of hopeless, palliative care is mainly to control and relieve the pain.
As the population is ageing and increase in prevalence of diseases such as cardiovascular, China on palliative care (Palliative Care) demand is also growing. Economist Intelligence Unit report released recently showed that demand for palliative care and the supply of such services, China belongs to the "supply/demand" the gap among the countries most affected.
On October 6, the Economist Intelligence Unit released 2015-the quality of death index, which measured the quality of palliative care across 80 countries. It focuses on adult palliative care quality and availability, by the score of 20 qualitative and quantitative indicators, and these indicators cover five major categories: palliative care of the environment, human resources, health care affordability, quality of care, and public participation.
In this ranking of 80 countries, China ranked 71st. Report, this reflects China's Hospice limited availability and the overall low quality of palliative care services.
2015-the quality of death index rankings. Source: Economist Intelligence Unit
Quality of death index by Singapore charity even funds (Lien Foundation) commissioned ranks, with extensive research and global based on interviews of more than 120 more than palliative care experts. The rankings show that, overall, the income level is the availability of palliative care and quality indicators of a strong, rich countries usually focus on ranking first. United Kingdom ranks top, Australia and New Zealand came in second and third place respectively, rich European and Asian countries and regions accounted for most of the top 20 places.
Reports, personnel and infrastructure constraints in many developing countries are still unable to provide basic pain management. But some lower-income countries also showed creativity and individual initiative. For example, Panama is to integrate palliative care into their primary health-care services, hospice care facilities and teaching projects in Mongolia showed rapid development momentum, Uganda with regard to supply of Opioid Painkillers has made great progress.
Economics people think-tank first on ease medical of supply situation and on this class nursing of needs situation for has compared, based on States of population profile and need ease medical of disease caused of burden for needs analysis, according to the analysis, due to Chinese mouth increasingly aging and such as cardiovascular disease of sick rate constantly rose (accounted for 2012 all death number of one-third), China became most easy by create of national one of. With the increasing prevalence of non-communicable diseases and the population is ageing and many other developing countries also need to meet the growing needs of the future.
"Palliative care is provided to patients with life-threatening diseases of the patient and the family, aimed at improving their quality of life and deal with the crisis of the system. Through early identification of suffering and pain, to rigorous assessment and effective management to meet all patients and their families (including mental and spiritual) needs. "This is the World Health Organization (WHO) for palliative care (PaliativeCare/PaliativeMedicine) is defined.
Palliative care as a subject, has a history of nearly 50 years. It first appeared in the 12th century, the Hospices (HOSPICE) refers to the pilgrimage way station.
In 1967, United Kingdom Church Sang Desi nurse Sicily (Cicely Saunders) to comply with the patient's wishes, learning psychology, medicine, in London in 1967 and established the world's first modern and medical technology Colis Erich leinsdorf and psychological care hospices (St.Christopher's Hospice Houses). Sang Desi Lady personally led the team embarked on a series of cancer pain research and spiritual care.
Starting from 1967 shengkelisi Erich leinsdorf hospices was founded, mode of modern palliative care establishment, which gradually accepted by developed parts of the world and the promotion.
But in today's China, deepening population ageing, cancer as the cause of death of the first China's enormous demand for palliative care, but the advancement of palliative care in China has been slow.
China scored. Source: Economist Intelligence Unit
September 2014, the Office of the national working Commission on ageing, issued the China aging industry development report (2014) predicts that by 2025 and 2034, China's elderly population will exceed 300 million and 400 million respectively. Although the national health planning Commission issued in 2008 of the list of subjects in medical care institutions, which would separately as a kind of hospice care, but hospice care available to public attention and is still limited. Economist Intelligence Unit of the above report, Cancer Hospital removed more than more than 400 professional level, only a small amount of charity hospital and community centres offer hospice care for patients.
The report also stated that, the availability of palliative care services in China is less than 1%, most of them concentrated in one or two cities such as Shanghai, Beijing, Chengdu and for palliative care, there is no policy guidance at the national level; also the relative lack of communication between doctor and patient.
But recent new trends at the local government level shows the Chinese Government is to increase palliative care support and input. Wei, Shanghai City Planning Commission April 2014, released documents showing that by the end of 2014, Shanghai will complete 1000 soothing therapy nursing beds new tasks and its normative service, trying to meet the soothing therapy in patients with advanced cancer and dying nursing service needs.
In August 2014, 2015 of the Tianjin Municipal Government to buy services from social forces guiding catalogue shows that the Governments involved in the purchase of services from social forces pension services up to 10 items, hospice care is included in purchased services for the first time. Liuzhou public security bombing suspect did not
The reporting editor David Line pointed out that "since the quality of death index for the first time since its release, has made it clear the issue on the global agenda, World Health Assembly calls for improving palliative care standards around the world last year. But even in this index ranks high in the country, there is still a lot of work to do. This issue affects all of us---the quality of death should be regarded as a human right. "
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