生命的终点:论预立医疗照护计划开展的可行性及策略探讨

The end of life:discussion on the feasibility and strategy of advance care planning

预立医疗照护计划(Advance Care Planning,ACP)旨在维护患者自主权,逐渐被视为优化临终关怀的最佳方式。文章基于2017年由多学科国际ACP专家小组通过德尔菲法形成的定义,从国际经验、政策支持、社会需求和资源配备探讨在我国开展ACP的可行性,提出从强化ACP知识的普及和推广;加强ACP人才的培养;加强ACP信息化建设;完善ACP政策及法律框架4个层面对我国开展ACP策略进行探讨,为推进我国ACP的实施提供参考。

Advance care planning(ACP)is designed to preserve patients autonomy and is increasingly seen as the best way to optimize end-of-life care.Based on the definition developed in 2017 by a multidisciplinary international ACP expert panel through the Delphi method,this paper discusses the feasibility of implementing ACP in China from aspects of international experience,policy support,social demand and resource allocation.The paper discusses the ACP strategy in China from four aspects:enhancing the popularization and promotion of ACP,enhancing personnel training and information construction of ACP,and improving policy and legal framework,so as to provide the reference for promoting the implementation of ACP in China.