China Daily

FOCUS ON PALLIATIVE CARE

- By LIU XIANGRUI liuxiangru­i@chinadaily.com.cn

Palliative care is a relatively new concept for China. And in 2015, the Economist Intelligen­ce Unit, an advisory and research company in Britain, ranked China 71 out of 80 countries for quality of death.

It is noted that less than 1 percent of the country’s population has access to palliative care and most of the facilities were concentrat­ed in major cities.

However, in recent years, things have been changing.

The Chinese authoritie­s are aware that demand for palliative care is rising rapidly.

And in March last year, 15 hospice pilot projects were set up by the Beijing government in accordance with central government guidelines.

The yearlong pilot intends to explore the introducti­on of widespread palliative care. But no directions for follow-up programs have been set out.

Meanwhile, the 2018 Palliative Care Internatio­nal Summit was held recently at the Chinese PLA General Hospital in Beijing.

It is the third consecutiv­e year that large events like this one are held in China to mark World Hospice and Palliative Care Day, which is observed on the second Saturday of October.

This year also marks the 100th birth anniversar­y of Dame Cicely Saunders, the pioneer of the moda ern hospice movement.

Palliative care is a multidisci­plinary approach to specialize­d medical and nursing care for people with life-limiting illnesses. And it focuses on providing relief from the symptoms, pain, physical stress, and mental stress.

The event was jointly hosted by the Beijing Living Will Promotion Associatio­n, the National Clinical Research Center of Geriatric Diseases of the Chinese PLA General Hospital and the Chinese Geriatric Society.

More than 700 medical experts and profession­als, including members from countries and regions such as the United States, the UK and Australia attended the summit.

Internatio­nally known experts in the field of palliative care, such as Wai Kit David, an oncologist from the University of Texas MD Anderson Cancer Center and Co-Shi Chao, professor from the Medical College of Cheng Kung University, who has played a pioneering in promoting Taiwan’s palliative care, shared their insights on the trends in palliative care.

A roundtable meeting attended by government representa­tives and medical experts was held during the summit to discuss how to further promote palliative care in China.

The attending experts agreed that it is essential that detailed standards for hospice care and financing are drawn up, because without government subsidies operating costs will become a major challenge.

“It is significan­t that we are advocating the concept of palliative care for society, and are strengthen­ing relevant profession­al teams after learning from successful overseas examples,” said Mo Lixia, the vicehead of the department of elder’s health under the National Health Commission, adding that the government and social organizati­ons should work together to push forward.

In China, health insurance is focused on curative treatments, so reimbursem­ent is limited for patients reliant on palliative care.

And the problem is complicate­d by the fact that most Chinese consider it their filial duty to pay to keep their elderly parents alive for as long as possible, regardless of the quality of life, according to Yu Shiying, the director of the Cancer Center at Tongji Medical College, Huazhong University of Science and Technology.

Palliative care is a multidisci­plinary approach to specialize­d medical and nursing care for people with life-limiting illnesses. And it focuses on providing relief from the symptoms, pain, physical stress, and mental stress.

 ?? PHOTOS PROVIDED TO CHINA DAILY ?? The 2018 Palliative Care Internatio­nal Summit was held recently at the Chinese PLA General Hospital in Beijing.
PHOTOS PROVIDED TO CHINA DAILY The 2018 Palliative Care Internatio­nal Summit was held recently at the Chinese PLA General Hospital in Beijing.

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