"当我们意识到生命的底色是缺憾，珍惜当下本身就是一种圆满。"刘家睿说。 这两年，主持人李静连续经历多位亲人故去，有了些许悲观乃至恐惧的情绪。 她脑海中总会浮现长辈去世的场面。90多岁的老人躺在小屋里，灯光昏暗，家人沉默地簇拥在床前。哪怕长辈生 前是受人敬仰的干部，一生跌宕而精彩，但离世一刻却显得粗糙，"只是匆匆收场。" 她意识到，对于中国人来说，谈论死亡是艰难的，哪怕自己是一名语言工作者，也很难开口跟父母谈论身后 事，"因为说得太少，怕冒犯，不知道边界在哪儿。" 近日，在北京今日美术馆，一场名为"不虚此行"的生命艺术展，以"无常、缺憾和爱"为核心，用绘画、影像、装 置与互动空间构筑起一座桥梁。当观众凝视冰人融化的艺术装置，在"好好告别"电话亭倾诉心声，或是在儿童展 区触摸童真画作时，一场关于生命意义的深层对话已然展开。 展览"不虚此行"以"生命故事、生命状态、当下即圆满、自爱与大爱、行动与收获"为叙事线索，通过艺术作品引 导观众完成从感知生命到反思自我、再到践行行动的内在旅程。 展览的发起与主办方荣基金，多年来持续在安宁疗护领域探索、实践。这一次，荣基金从公益领域向艺术跨界， 试图以艺术的方式，让公众直面那些 ...

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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].

Core Viewpoint - The "Not Wasted This Trip" Life Art Exhibition, initiated by the Beijing Rongdeli Charity Foundation, aims to invite the public to reconsider the relationship between life and death, promoting a scientific and rational view of life and death through artistic expression [1] Group 1: Exhibition Overview - The exhibition will run until March 1, 2026, and focuses on themes such as impermanence, shortcomings, and love, using various artistic forms to create an engaging life experience space [1] - The exhibition narrative is structured around five core areas: life stories, life states, living in the moment, self-love and universal love, and actions and rewards, creating a complete path from emotional resonance to behavioral transformation [2] Group 2: Educational Initiatives - A special "Palliative Care" science popularization area is established to explain the origins, definitions, and core concepts of modern palliative care, emphasizing its role in enhancing the quality of life for terminally ill patients [3] - The exhibition includes a series of roundtable discussions featuring experts from various fields, aiming to deepen the public's understanding of life education and palliative care practices [2]

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]

Core Viewpoint - The "One Body Multi-Element" palliative care service model launched in Xihu District aims to provide a warm and supportive environment for end-of-life care through a systematic and diversified approach [1] Group 1: Service Model - The "One Body Multi-Element" palliative care service model is centered around community health service centers, supported by comprehensive hospitals and supplemented by private institutions and social resources [1] - Xihu District has achieved full coverage of home-based palliative care across 11 community health service centers, with inpatient palliative care wards established in two centers [1] - The service network integrates "inpatient + home" and "public + private" care, utilizing platforms like "Family Doctor Appointment" and the "Health Xiao Xi" app for online and offline support [1] Group 2: Human Touch in Care - A touching performance based on a true story highlighted the emotional aspect of palliative care, showcasing the importance of human connection and dignity in the final days of patients [2] - The care team employs pain management, comfort care, and traditional Chinese medicine to alleviate physical discomfort while providing emotional support [2] - A birthday celebration for a patient exemplified the compassionate care approach, emphasizing the significance of creating meaningful moments for patients [2] Group 3: Resource Integration - The establishment of a special fund of 200,000 yuan for palliative care training and projects demonstrates effective resource integration [3] - Collaboration with private hospitals and various elderly care institutions enhances the service offerings, supported by volunteers and wellness coaches [3] - The integration of resources from health, civil affairs, charity, and volunteer organizations aims to break down barriers and create a connected service network that meets community needs [3]

Core Viewpoint - The article emphasizes the urgent need for improved palliative care in China, highlighting that nearly 30,000 people die daily, which underscores the importance of making "good death" a public concern and accessible service for all [3][8]. Group 1: Current State of Palliative Care - Palliative care, also known as end-of-life care, aims to provide comfort and support to patients in the terminal stages of illness, focusing on symptom control and emotional support for both patients and families [4][5]. - The World Health Organization's principles of palliative care stress the importance of recognizing death as a normal process and providing relief from pain and discomfort without hastening or delaying death [5]. Group 2: Policy and Regulatory Framework - The Chinese government has initiated policies to promote palliative care, including the inclusion of palliative care centers in the medical institution directory, which marks a significant step in legal support for the industry [6][9]. - The "Healthy China" initiative has laid the groundwork for palliative care development, with specific guidelines and standards established for palliative care centers since 2017 [6][9]. Group 3: Challenges and Obstacles - Despite policy support, the quality of end-of-life care in China remains low, with issues such as inadequate pain management and lack of psychological support being prevalent [7][9]. - Payment mechanisms pose a significant challenge, as current reimbursement systems may not adequately cover palliative care services, affecting accessibility and sustainability [9][10]. Group 4: Future Directions and Opportunities - The recent national planning documents emphasize the need to enhance the care system for elderly individuals, including expanding palliative care services [11][12]. - The integration of palliative care into public health strategies is deemed necessary to address the growing demand due to an aging population and to fulfill ethical responsibilities [13]. Group 5: Company Initiatives - TaiKang has established a comprehensive palliative care model, providing multidisciplinary services across 10 facilities in 9 cities, with plans to expand to 15 facilities and increase bed capacity to nearly 150 by next year [14]. - The company focuses on a four-in-one model of palliative care, which includes comfort care, humanistic care, and grief therapy, with dedicated staff for each aspect, contrasting with the reliance on volunteers in many hospitals [14].

Core Viewpoint - The article emphasizes the importance of palliative care in improving the quality of life for terminally ill patients, highlighting its role as a public welfare initiative in China, especially in the context of the 20th National Congress of the Communist Party of China which advocates for enhancing people's livelihoods [1][2]. Group 1: Current Status of Palliative Care - Palliative care is not about "giving up treatment" but involves systematic relief of physical pain and psychological distress for terminal patients, focusing on improving their quality of life [3][4]. - As of now, palliative care services are rapidly developing in China, with various pilot programs initiated since 2017, and a growing number of hospitals establishing specialized palliative care units [3][4][6]. Group 2: Multidisciplinary Approach - A multidisciplinary approach is crucial for effective palliative care, involving pain management and understanding patients' emotional needs, with collaboration among medical professionals, social workers, and volunteers [4][6]. - Recent guidelines in Beijing have included medical social workers in core service teams, promoting shared decision-making between patients and families [4][7]. Group 3: Community and Home-Based Care - Community and home-based palliative care is increasingly recognized as essential, aligning with cultural values of dying at home and addressing practical needs [5][6]. - Innovative models are being explored, such as the integration of hospital, community, and family support systems to enhance palliative care accessibility [6][7]. Group 4: Challenges and Opportunities - There are significant challenges in palliative care, including uneven resource distribution, insufficient professional training, and a lack of standardized practices across regions [8][10]. - The demand for palliative care is expected to rise, with estimates suggesting that around 7 million patients annually require such services, yet only about 600,000 currently benefit [7][10]. Group 5: Future Directions - The establishment of industry standards and training programs for palliative care professionals is essential to improve service quality and accessibility [9][10]. - Ongoing efforts to develop comprehensive guidelines and training initiatives aim to enhance the skills of healthcare providers in palliative care [9][10].

Core Insights - The article highlights the urgent need for palliative care services in response to the aging population and the prevalence of chronic diseases among the elderly in China [1][2][3] Group 1: Palliative Care Development - The training session on palliative care was organized by the Bao'an District Health Bureau to enhance service capabilities and establish standards for palliative care units [1][2] - Professor Chen Yongyi discussed the integration of palliative care from policy to practice, addressing service norms, practical guidelines, and ethical considerations [2] Group 2: Institutional Developments - Five institutions in Bao'an District have been recognized as the first batch of palliative care service providers in Guangdong Province, part of a larger initiative involving 214 institutions across the province [3] - Bao'an District is implementing a three-tiered model of care that includes hospitals, community health organizations, and home care, with plans to develop palliative care units in three major hospitals by 2025 [3]

Core Viewpoint - The Guangdong Provincial Health Commission has officially announced the first batch of 214 palliative care institutions, achieving full coverage across all 21 cities in the province, aimed at enhancing the level of palliative care services [1] Group 1: Palliative Care Implementation - Palliative care focuses on terminally ill patients and their families, providing integrated care and humanistic support through multidisciplinary collaboration, helping patients to live their final days comfortably and with dignity [1] - By the end of 2024, the number of palliative care service institutions in Guangdong is expected to increase to 574, with over 5,000 palliative care beds, ensuring coverage across urban and rural areas [1] Group 2: Regulatory Framework and Guidelines - In July, the Guangdong Provincial Health Commission issued the "Guangdong Province Palliative Care Service Project Guidelines," detailing and standardizing 13 service items, including symptom assessment and survival period evaluation [1] - This guideline is the first provincial-level palliative care service guideline in the country, providing a comprehensive and precise "manual" for palliative care practices in the province [1] Group 3: Continuous Improvement Efforts - The notification emphasizes that health departments at all levels will enhance palliative care services through institution regulation, system construction, capacity building, and public awareness campaigns, ensuring quality care for every life’s final journey [1]