Literature Review of Good Death Service.

Abstract

安寧緩和醫療照護的服務在台灣約已有十年的發展，安寧緩和醫療照護所追求的乃是 追求提供病人善終的機會，不論是在身體，心理，社會，靈性個層面皆然。根據這樣 的思維，我們可以說病人能否得到適切的善終服務乃是安寧緩和醫療的品質指標。雖 然在1997年美國國家科學醫學院已對善終下過的概念性定義，但至今，善終除仍是一 個抽象且難以溝通的一個理念或意像外，也相當的難以去測量。為了使讀者能對善終 能有一更好的了解，本文將針對下列的議題一一位大家做介紹，並希望能藉此提供大 家對於善終能有更好的認識。1.藉由安寧緩和醫療照護提供善終服務的重要性。2.善 終的理念。3.提供善終服務的架構。4.國內外善終服務國內外善終服務的發展。 Hospice/ Palliative care has been provided for about a decade in Taiwan. The final goal of hospice/ palliative care is seeking for patient's good death physically, psychologically , socially, and spiritually. According to such concept, we could even infer that good death is the most important indicator to measure if the provided hospice/ palliative care is good or not. Despite the conceptual definition was elaborated by the Institute of Medicine National Academy of Sciences in 1997, the norm of good death is still too abstractive to be understood and measured. To provide readers a chance to understand what good death is, this review article is organized and developed by following paragraphs of the importance of providing good death service via hospice/ palliative care, the concept of good death, the framework of providing good death service, and the development of good death service in Taiwan and other developed country. We do hope such a article could be helpful to give the readers a vivid figure of good death.