With a rapidly aging population and a cash-strapped National Health Insurance system, the government is paying more attention to the issue of “futile medical care,” treatment applied only to prolong life without a foreseeable cure or positive outcome, and the prospect of hospice care.
In a seminar held by medical groups yesterday, National Taiwan University Hospital (NTUH) Jinshan Branch Superintendent Huang Sheng-Jean (黃勝堅) made a presentation on how the community hospital he directs in Jinshan established the first hospice community in Taiwan.
Huang was assigned to the post by NTUH less than two years ago, when the hospital planned to initiate a pilot program promoting local, close-to-home healthcare and hospice community care in the district.
“Physicians at Jinshan branch don’t just stay in the hospital. They visit patients and their families at home and participate in community health-promotion activities to relate to local people,” Huang said.
The hospital is now employing the capitation payment system, which can be seen as a family practice system, Huang said, with a physician taking care of a number of patients closely instead of being visited by patients randomly.
The system works under the idea that pain prevention is more important than treatment, Huang added, stressing that this kind of preventive healthcare includes reducing the patient’s and their family’s suffering at the end of their life.
“Of the NT$570 billion [US$18.9 billion] healthcare expenditure paid by the NHI, about NT$170 billion is spent on futile medical treatment,” Huang said. “By operating preventive healthcare, including building quality end-of-life care and promoting the signing of DNR [do not resuscitate] to have ‘a good death,’ a lot can be saved, benefiting the sustainability of the NHI system.”
“The rate of the patients under end-of-life care that had signed the DNR was 9.2 per 1,000 last year, compared with a national rate of 6.3 per 1,000,” Huang said, adding that the number is expected to exceed 10 per 1,000 this year.
An essay competition jointly organized by a local writing society and a publisher affiliated with the Chinese Communist Party (CCP) might have contravened the Act Governing Relations Between the People of the Taiwan Area and the Mainland Area (臺灣地區與大陸地區人民關係條例), the Mainland Affairs Council (MAC) said on Thursday. “In this case, the partner organization is clearly an agency under the CCP’s Fujian Provincial Committee,” MAC Deputy Minister and spokesperson Liang Wen-chieh (梁文傑) said at a news briefing in Taipei. “It also involves bringing Taiwanese students to China with all-expenses-paid arrangements to attend award ceremonies and camps,” Liang said. Those two “characteristics” are typically sufficient
A magnitude 5.9 earthquake that struck about 33km off the coast of Hualien City was the "main shock" in a series of quakes in the area, with aftershocks expected over the next three days, the Central Weather Administration (CWA) said yesterday. Prior to the magnitude 5.9 quake shaking most of Taiwan at 6:53pm yesterday, six other earthquakes stronger than a magnitude of 4, starting with a magnitude 5.5 quake at 6:09pm, occurred in the area. CWA Seismological Center Director Wu Chien-fu (吳健富) confirmed that the quakes were all part of the same series and that the magnitude 5.5 temblor was
The brilliant blue waters, thick foliage and bucolic atmosphere on this seemingly idyllic archipelago deep in the Pacific Ocean belie the key role it now plays in a titanic geopolitical struggle. Palau is again on the front line as China, and the US and its allies prepare their forces in an intensifying contest for control over the Asia-Pacific region. The democratic nation of just 17,000 people hosts US-controlled airstrips and soon-to-be-completed radar installations that the US military describes as “critical” to monitoring vast swathes of water and airspace. It is also a key piece of the second island chain, a string of
The Central Weather Administration has issued a heat alert for southeastern Taiwan, warning of temperatures as high as 36°C today, while alerting some coastal areas of strong winds later in the day. Kaohsiung’s Neimen District (內門) and Pingtung County’s Neipu Township (內埔) are under an orange heat alert, which warns of temperatures as high as 36°C for three consecutive days, the CWA said, citing southwest winds. The heat would also extend to Tainan’s Nansi (楠西) and Yujing (玉井) districts, as well as Pingtung’s Gaoshu (高樹), Yanpu (鹽埔) and Majia (瑪家) townships, it said, forecasting highs of up to 36°C in those areas
RSS