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http://dx.doi.org/10.14475/kjhpc.2016.19.4.292

Advances of Hospice Palliative Care in Taiwan  

Cheng, Shao-Yi (Department of Family Medicine, College of Medicine and Hospital, National Taiwan University)
Chen, Ching-Yu (Department of Family Medicine, College of Medicine and Hospital, National Taiwan University, Taipei, Taiwan)
Chiu, Tai-Yuan (Department of Family Medicine, College of Medicine and Hospital, National Taiwan University)
Publication Information
Journal of Hospice and Palliative Care / v.19, no.4, 2016 , pp. 292-295 More about this Journal
Abstract
Hospice and palliative care in Taiwan has been growing continuously. The 2015 Quality of Death index, as rated by the Economist Intelligence Unit, ranked Taiwan first among Asian countries and sixth in the world. In this review article, we highlight three particular areas that might have contributed to this success; the laws and regulations, spiritual care and research network. Finally, we discuss the future challenges and prospects for Taiwanese encounters. A systemic review was conducted with the keywords "hospice palliative care Taiwan" using PubMed. The passing of the "Natural Death Act" in 2000 set the example and established a landmark for patient autonomy in Asia; it guarantees the patient's right to request that medical staff do not resuscitate (DNR) them and to reject other futile medical treatments at the end of their life, thus reflecting the importance of palliative care from the policy perspective. In 2015, Taiwan passed another pioneering law entitled the "Patient Autonomy Act". This law states that a patient may decline medical treatment according to his/her own will. Taiwanese indigenous spiritual care was launched in 2000. It requires a Buddhist Chaplain to successfully complete a training program consisting of lectures, as well as bedside practicum before applying Buddhist practices to end-of-life care. The Japan-Korea-Taiwan research network was established for the purpose of enabling collaborative research for the East-Asian collaborative cross-cultural Study to Elucidate the Dying process (EASED) cohort. With consensus from the government and society to make it a priority, hospice and palliative medicine in Taiwan has been growing steadily.
Keywords
Legislation as topic; Hospice care; Research;
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  • Reference
1 Lai YL, Su WH. Palliative medicine and the hospice movement in Taiwan. Support Care Cancer 1997;5:348-50.   DOI
2 Cheng SY, Dy S, Hu WY, Chen CY, Chiu TY. Factors affecting the improvement of quality of dying of terminally ill patients with cancer through palliative care: a ten-year experience. J Palliat Med 2012;15:854-62.   DOI
3 The Economist Intelligence Unit. 2015 Quality of Death Index [Internet]. London: The Economist Intelligence Unit; 2015 Oct 6 [cited 2016 Aug 30]. Available from: https://www.eiuperspectives.economist.com/healthcare/2015-quality-death-index.
4 Tang ST, Liu TW, Chow JM, Chiu CF, Hsieh RK, Chen CH, et al. Associations between accurate prognostic understanding and end-of-life care preferences and its correlates among Taiwanese terminally ill cancer patients surveyed in 2011-2012. Psychooncology 2014;23:780-7.   DOI
5 Cheng SY, Lin WY, Cheng YH, Huang CH, Chen CY, Hwang SJ, et al. Cancer patient autonomy and quality of dying-a prospective nationwide survey in Taiwan. Psychooncology 2016;25:179-86.   DOI
6 Cheng SY, Suh SY, Morita T, Oyama Y, Chiu TY, Koh SJ, et al. A Cross-Cultural Study on Behaviors When Death Is Approaching in East Asian Countries: What Are the Physician-Perceived Common Beliefs and Practices? Medicine (Baltimore) 2015;94:e1573.   DOI
7 Chiu TY, Hu WY, Huang HL, Yao CA, Chen CY. Prevailing ethical dilemmas in terminal care for patients with cancer in Taiwan. J Clin Oncol 2009;27:3964-8.   DOI
8 Chang HT, Chen CK, Lin MH, Chou P, Chen TJ, Hwang SJ. Readmissions in Cancer Patients After Receiving Inpatient Palliative Care in Taiwan: A 9-Year Nationwide Population-Based Cohort Study. Medicine (Baltimore) 2016;95:e2782.   DOI
9 EAPC blog: Spiritual care in Taiwan: Introducing the clinical Buddhist chaplain in palliative care [Internet]. London: European Association for Palliative Care; 2014 Oct 8 [cited 2016 Aug 30]. Available from: https://eapcnet.wordpress.com/2014/10/08/spiritual-care-in-taiwan-introducing-the-clinical-buddhist-chaplain-in-palliative-care.
10 Morita T, Oyama Y, Cheng SY, Suh SY, Koh SJ, Kim HS, et al. Palliative Care Physicians' Attitudes Toward Patient Autonomy and a Good Death in East Asian Countries. J Pain Symptom Manage 2015;50:190-9.   DOI