“生命最后的旅程”如何告别？上海261个“温暖驿站”给出答案

Core Viewpoint - Shanghai has developed a comprehensive palliative care network that emphasizes dignity and respect for patients at the end of life, with 261 palliative care institutions providing services across hospitals, communities, and homes [4][11]. Group 1: Palliative Care Development - Since 1988, Shanghai has pioneered a "government-led, community-involved" approach to palliative care, establishing a network that includes 246 community health service centers offering inpatient or home-based palliative care [4][11]. - The city has created a model of care that integrates medical services with social support, addressing not only physical needs but also emotional and psychological aspects of end-of-life care [6][11]. Group 2: Case Studies and Impact - A case study highlighted the importance of family reconciliation in palliative care, where a patient’s wish to donate his body was fulfilled after resolving family conflicts, showcasing the role of social workers in facilitating communication [5][6]. - Another example involved a patient with severe pain from cancer, where a multidisciplinary team provided comprehensive care, including pain management and psychological support for both the patient and their family [9][11]. Group 3: Future Directions - The Shanghai Health Commission plans to expand palliative care services, focusing on home, community, and institutional collaboration, while promoting traditional Chinese medicine and other suitable techniques [12]. - The recognition of social psychological services as chargeable items by national health authorities marks a significant step in enhancing the depth and value of palliative care services [6].