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Origins and a Bit of History of Hospice- Notable Influences on Hospice Development and Acceptance

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Concept antedates 475 AD (早于公元475年)

In the 1800s, hospice evolved to care for the sick and incurables. The first hospice were opened in Dublin (Our Lady’s Hospice) and in London (St. Joseph’s Hospice): 在1800年代,安寧療護發展到照顧病人和不治之症。第一家安寧療護中心在都柏林(Our Lady’s Hospice)和倫敦(St. Joseph’s Hospice)開設:

Dame Cicely Saunders, MD, began refining the ideas and protocols that formed the cornerstone of modern hospice care in the 1950s and 1960s – The development of current concepts of palliative care is, in large part, through the work of Dame Cicely Saunders, including the use of scheduled oral opioids for pain management. 在1950年代和1960年代, 医学博士Dame Cicely Saunders开始完善现代临终关怀基石的想法和协议 – 在很大程度上是通过Dame Cicely Saunders的工作,構成现代姑息治疗概念的发展,包括使用预定的口服阿片类药物进行疼痛管理。Development of current concepts of palliative care are, in large part, through the work of Dame cicely Saunders at St. Christopher’s Hospice in London, including the use of scheduled oral opioids for pain management.

Elizabeth Kubler-Ross’s work in the 1960s demystified death and dying and opened the debate on care of the dying for healthcare professionals and the lay public; On Death and Dying was published in 1969, which lead to increased knowledge and research regarding grief, loss, and bereavement.

The first hospital palliative care service at the Royal Victoria Hospital, Montreal, Canada, was started by Balfour Mount, MD and opened in 1975; first use of the term palliative care to refer to a program of care for terminally ill persons and their families; this became the first hospice palliative care program in North America. 第一家医院的姑息治疗服务在加拿大蒙特利尔皇家维多利亚医院由马里兰州贝尔福芒特 MD Balfour Mount发起,于1975年开业; 首次使用姑息治疗一词来参考护理绝症患者及其家人的护理计划;這成為北美第一個安寧療護緩和療護計劃。

In the United States, hospice programs began in the 1970s and Medicare funding was secured in 1982 (providing reimbursement of costs through insurance but requiring relinquishment of curative treatments). 在美國,安寧療護計劃始於1970年代,醫療保險資金於1982年獲得(通過保險報銷費用,但要求放棄治療性治療)。

In 1988, the European Association for Palliative Care (EAPC) was formed, and in the mid 1990s, the International Association of Hospice and Palliative Care (IAHPC) was established in the United States. 在1988年,欧洲姑息治疗协会(EAPC)成立,而在1990年代中期,国际临终关怀和姑息治疗协会(IAHPC)在美国成立。

In 1993, hospice is included as a nationally guaranteed benefit under President Clinton’s health care reform proposal. Hospice is now an accepted part of the healthcare continuum. 在1993年,根据克林顿总统的医疗保健改革提案,临终关怀被列为国家保障福利。安寧療護成为醫療保健連續體中被接受的一部分。

In 1995, the physician-assisted suicide movement results of the Study to Understand Prognosis and Preferences for Outcomes and Risks of Treatment (SUPPORT) study, showing high incidence of uncontrolled pain (from 74% to 95%) in very ill and dying adults in site of planned interventions from nurses, encouraged physicians to attend to pain control. 在1995年, 医生协助自杀运动的研究结果,以了解对治疗结果和风险的偏好研究显示, 在重病和垂死的成年人中, 不受控制疼痛的发生率是74% 到 95%.

In 1996, major grant-makers began to fund research, program initiatives, public forums, and conferences to transform the culture of dying and improve care at the end of life. 在1996年,主要的资助机构开始资助研究以改变死亡文化并改善临终关怀。

In 1997, the Institute of Medicine (IOM) published the report Approaching Death: Improving Care at the End of Life, citing inadequacies in end of life care, and goals to improve that care; and the National Hospice Organization (NHO) published A Pathway for Patients and Families Facing Terminal Illness. 在1997年, 医学研究所(IOM)发表了报告《接近死亡:改善临终关怀》;国家临终关怀组织(NHO)出版了《面对绝症的患者和家庭的途径》。

In 2000, the National Hospice and Palliative Care Organization (NHPCO) developed Hospice Standards of Practice for Hospice Programs. 在2000年,國家安寧療護和緩和療護組織(NHPCO)制定了安寧療護計劃的安寧療護實踐標準。

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