Purpose of the guideline: |
The shared care management (SCM) of palliative care model, as one of the existing forms of palliative care, involves the collaboration between in-hospital palliative care teams and the original care teams. By establishing a SCM team, consultations, and referrals are used to jointly provide palliative care services to patients at the end-of-life stage. This model can break through limitations imposed by care settings and other factors, enabling "flexible mobility" of palliative care beds and allowing patients to enjoy "de-walled" services , and promoting the hospital-wide adoption of the palliative care concept. Currently, countries in Europe and America as well as regions like Taiwan in China have gradually started implementing SCM services. Although there have been descriptions of SCM or related management process, the evidence remains scattered and lacks detailed and specific explanations. There is an urgent need for developing unified guidelines and management procedures in mainland China. Therefore, this study aims to formulate an expert consensus on shared care management of palliative care in adults at the end of life based on the perspective of evidence-based medicine, in order to standardize clinical service processes, promote the dual improvement of service capabilities and service quality on the supply side of palliative care services, and inject new impetus into the construction of a healthy China. |