Core Insights - Shandong Province has pioneered the establishment of palliative care standards and service norms, creating a network of over 1,500 institutions and 11,000 beds, serving more than 130,000 individuals [1][10][12] - The implementation of a pricing standard for palliative care aims to enhance service accessibility and encourage medical institutions to invest in this field, addressing the gap in end-of-life care services [10][12][13] Group 1: Palliative Care Development - Palliative care focuses on providing comprehensive care for terminally ill patients and their families, emphasizing symptom management, psychological support, and spiritual care to improve the quality of life [3][4] - The national policies have positively influenced the overall development of palliative care in China, although challenges remain for practitioners, including low compensation and psychological stress from working with terminal patients [3][7][12] Group 2: Pricing and Accessibility - The daily cost for palliative care services is set at 260 yuan, and currently, families bear the full cost, which can be a burden for economically disadvantaged households [7][10] - Shandong's medical insurance bureau has led the implementation of palliative care pricing, with 16 cities in the province establishing their pricing regulations [10][11] Group 3: Training and Talent Development - There is a significant shortage of trained professionals in palliative care, which limits service capacity; efforts are being made to establish training bases and increase the number of trained personnel [4][12][28] - The province has initiated various training programs, with over 2,000 participants annually, and has integrated palliative care into national training projects for geriatric medicine [12][28] Group 4: Innovative Service Models - The "one body, multiple sources" model in Hangzhou's Xihu District integrates community health services, hospitals, and social resources to create a comprehensive palliative care system [27] - This model emphasizes resource integration and the collaboration of various stakeholders, including volunteers and social organizations, to enhance service delivery [27] Group 5: Future Directions and Challenges - The future of palliative care is promising, but it faces challenges such as the need for quality standards, certification processes, and public awareness to change perceptions about palliative care [28] - Establishing a long-term talent cultivation and incentive system is crucial to improve the attractiveness of careers in palliative care [28]
山东率先构建安宁疗护服务网络 创新实践为全国提供"最后一公里"照护样本
Yang Guang Wang·2025-11-11 06:00