Morning News (Peninsula Morning News, 39 Degrees Video Reporter Huang Fengtong) In order to meet the needs of terminally ill patients and their families, let Every life ends with dignity. As the first public pilot unit of palliative care in Dalian, the palliative care ward of the Fourth People’s Hospital of Dalian officially opened on July 1, 2019, taking the lead in the province and the country to implement tranquility The medical care and medical insurance pooling fund shall be settled on the basis of bed-day expenses. Recently, the Dalian Palliative Care Center was established in the fourth hospital of the city.
When faced with the fact that there is no cure for the disease and imminent death, terminally ill patients suffer physically and mentally. Different from ordinary wards, the focus of hospice wards is to control uncomfortable symptoms such as pain, not to prevent the progression of the primary disease. Hospice ward director Huang Fulin said palliative care does not mean “waiting to die”. Palliative care does not deliberately prolong or shorten life, but more respects the wishes of the patient and his family, and gives the patient dignity and comfort. For patients, it is to avoid meaningless and traumatic treatments such as cardiopulmonary resuscitation and endotracheal intubation, adopt more soothing comprehensive treatment and care, and formulate the most suitable diagnosis and treatment decisions to alleviate the pain of patients. At present, palliative care in Dalian is mainly aimed at patients with advanced cancer. Different from the general medical insurance payment policy, Dalian explores the implementation of palliative care, which is settled by the medical insurance pooling fund on a bed-day basis to ensure that patients with advanced cancer receive continuous and appropriate care. medical service.
It is understood that since the opening of the hospice ward for two years, the occupancy rate of the beds has been around 90%. The oldest patient is 103 years old and the youngest is 8 years old. The problems of body, mind, and social spirit at the end stage made the patient peacefully spend the last journey of his life.
In the next step, the Fourth Municipal Hospital will focus on “exploring and researching the working mechanism of palliative care suitable for Dalian, gradually accumulating and continuously improving, forming valuable and referential experience and practices, and then providing conditions to medical institutions. The idea of ”extension” is to explore the establishment of an integrated palliative care service system with perfect system, clear division of labor, complementary functions, close collaboration, and efficient operation, expand species (diseases) and increase coverage (coverage), and create a high-quality brand of palliative care.