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团结香港基金:2025晚期照顾心连心 以人为本共同行研究报告(英文版)(116页).pdf

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1、Realising a Heartfelt JourneyThrough People-Centred End-of-Life CareJuly 202511Table of ContentsExecutive SummaryExecutive Summary 2 2 IntroductionIntroduction 2020 Cultivate a Proactive Mindset Cultivate a Proactive Mindset 1.Strengthen Advance Care Planning Development 26 1.Strengthen Advance Care

2、 Planning Development 26 2.Enhance Life and Death Education 36 2.Enhance Life and Death Education 36 Provide Seamless Care Provide Seamless Care 3.Establish a Medical-Social Collaboration Platform 50 3.Establish a Medical-Social Collaboration Platform 50 4.Promote the Use of Gerontechnology 66 4.Pro

3、mote the Use of Gerontechnology 66 5.Facilitate Dying in Place 76 5.Facilitate Dying in Place 76 ConclusionConclusion 9494Dying in Place:A Guide to a Supported and Peaceful JourneyDying in Place:A Guide to a Supported and Peaceful Journey 9696AppendixAppendix 98982Executive SummaryWhat is End-of-Lif

4、e Care and why is it important?End-of-Life Care(EoLC)remains a critical yet overlooked aspect of Hong Kongs healthcare system.The need for comprehensive and compassionate care during peoples final stages of life is crucial to maintaining patient dignity and quality of life.However,existing healthcar

5、e policies have predominantly focused on medical treatments,leaving significant gaps in support for patients and their families during this critical phase.Source:Census and Statistics Department,2020,20220%10%20%30%40%50%60%70%80%90%100%20452025Age groupPercentage of population(%)Figure I.Percentage

6、 of population aged 65+and 85+0192064658485+Percentage of population aged 65+is expected to increase from 23.6%in 2025 to 33.1%by 2045.Among all age groups,the most drastic change in percentage is among the group aged 85+,increasing from 3.3%to 8.6%.62.813.720.33.38.624.557.59.13EXECUTIVE SUMMARYThe

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1. **公众认知不足**:仅23.4%受访者能定位临终关怀服务,92.4%长者未接受生死教育(Our Hong Kong Foundation, 2019; Jockey Club EoLC Project, 2024a)。 2. **服务利用集中**:临终前6个月,患者住院天数占比达30%,凸显医疗资源过度依赖(Hospital Authority, 2017)。 3. **ACP发展碎片化**:香港缺乏标准化框架,医疗与社福机构覆盖领域不同(医疗侧重医学,社福涵盖心理、法律等),导致服务不连贯。 4. **教育体系缺口**:学校生死教育不足,依赖教师自主设计;社区教育依赖NGO,缺乏政策支持与跨部门协作。 5. **专业培训缺失**:医护人员对ACP沟通信心不足,大学课程未系统整合EoLC内容,影响服务质量(Kuusisto et al., 2020)。 6. **医疗-社协作平台缺位**:医院与社福部门信息割裂,安老院舍缺乏临终关怀标准指引,影响照护连续性。
生命教育如何破局? ACP如何落地香港? 临终关怀如何整合?
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