緩和療護政策
什麼是緩和療護?
緩和療護是為患有嚴重疾病的人提供的專門醫療護理。 這種護理專注於緩解疾病的症狀和壓力。 目標是提高患者和家人的生活質量。
安寧療護由一支經過專門培訓的醫生、護士和其他專家團隊提供,他們與患者的其他醫生合作,提供額外的支持。安寧療護是基於病人的需求,而不是預後。它適用於任何年齡和任何階段的重病,並且可以與治癒性治療同時進行。如需了解安寧療護如何影響患者生活,請觀看以下影片:
加州醫療補助健康保健計劃政策:
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.
聯邦醫療保險 D-SNP 政策:
從 2024 年 1 月開始,DHCS 還將要求聯邦醫療保險雙重合資格特殊需要計劃(D-SNP)為其雙重合資格的會員提供緩和護理計劃。具體指引載於 D-SNP 政策指南。有關 D-SNP 緩和護理的更多信息,請查看 D-SNP 緩和護理概覽。
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.
重要連結
- APL 18-020 (supersedes APL 17-015)
- SB 1004 政策文件
- 受益人利用分析
利害關係人參與
過去利害關係人會議:
- 9月8 , 2016 – SB 1004/安寧療護利害關係人網路研討會
- October 5, 2015 – SB 1004/Palliative Care Stakeholder Webinar
- June 5, 2015 – SB 1004/Palliative Care Stakeholder Meeting
- April 13, 2015 – SB 1004/Palliative Care Stakeholder Webinar
- February 23, 2015 – SB 1004/Palliative Care Stakeholder Meeting
利害關係人意見
提前護理計劃意見信
Draft Policy Paper and Comments – October 2, 2015
姑息關懷 - 績效指標草案
姑息關懷 - 績效指標文件草案
姑息關懷 - 利益相關者的意見
凱撒永恆醫療集團
Yolo 安寧療護
Karl Lorenz, MD MSHS
資源
- 醫療保險在臨終關懷中的作用
- 協調照護計劃
- Public Hospital Redesign & Incentives in Medi-Cal (PRIME) Program – Refer to the Special Terms & Conditions Attachment Q
- 第 2703 條保健院
- 維持生命治療的醫生命令(POLST)表格
- 加州醫療保健基金會 – SB 1004 實施資源