What is palliative care?

  In 1967, the St. Christopher’s Hospice was established in the United Kingdom to treat patients with less than a year to live, so that they could pass away as comfortably, painlessly, with dignity, preparation and peace of mind as possible in their final moments.  Palliative care was formally established as a separate clinical specialty discipline by the British government in 1987.  In 1990, the World Health Organization introduced the principles of palliative medicine: to preserve life, to treat near death as a normal process, to not hasten or delay death, and to provide pain relief services.  In Japan, the vast majority of terminal patients will enter palliative care, and this figure is over 99%, and it has become a public consensus to give up resuscitation at the end of life and say goodbye calmly and frankly.  In 1990, Taiwan passed the “Hospice Care Act”, which stipulates that all medical institutions must have a certain number of hospice wards, where doctors judge that terminally ill patients can be admitted and can make advance medical orders, such as forgoing invasive resuscitation, with medical expenses paid by the national health insurance.  Palliative care was introduced to the mainland in the 1980s and is still in its infancy. As the concept of palliative care gains popularity, it is believed that it will be accepted by the public in the near future.