緩和ケアとは?​​ 

緩和ケアとは、重篤な病気を抱えて生きる人々のための専門的な医療です。 このタイプのケアは、病気の症状やストレスを和らげることに重点を置いています。 目標は、患者と家族の両方の生活の質を向上させることです。​​ 

Palliative care is provided by a specially-trained team of doctors, nurses and other specialists who work together with a patient’s other doctors to provide an extra layer of support. Palliative care is based on the needs of the patient, not the prognosis. It is appropriate at any age and at any stage in a serious illness, and it can be provided along with curative treatment. For examples of how palliative care has impacted patients’ lives, please watch these videos:​​  

• Watch Val’s Story​​ 
• Watch Louisa’s Story​​ 

Medi-Calポリシー:​​ 

The California Department of Health Care Services (DHCS) requires Medi-Cal managed care plans to have palliative care programs for members. Medi-Cal plans currently follow palliative care criteria as outlined in APL 18-020.​​ 

メディケアD-SNPポリシー:​​  

2024年1月以降、DHCSはメディケア二重適格特別支援プラン(D-SNP)に対し、二重適格会員向けの緩和ケアプログラムの実施も義務付ける。具体的なガイダンスは、 D-SNPポリシーガイドに記載されています。D-SNP における緩和ケアの詳細については、 D-SNP 緩和ケア ファクト シートをご覧ください。​​  

DHCS has collaborated with Coalition for Compassionate Care of California, with funding from the California Health Care Foundation to provide technical assistance to D-SNPs. A webinar series was created to educate California’s D-SNPs about new requirements to provide access to palliative care services starting in 2024. The California Health Care Foundation generously provided funding for the project. Please view the Coalition for Compassionate Care of California webinar page for more information. ​​ 

A full-page image of the SB 1004 Care Model, including the descriptive text, is available for download.​​