Objective To examine the progress in incorporating hospice care as a key component to improve the quality of life for the elderly within Beijing's city-wide elderly health support system. Methods Relevant policy documents and literature,as well as the progress in system construction and service model development of hospice care in Beijing,were reviewed to comprehensively evaluate the effects and challenges of policy implementation. Results Guided by national policies,Beijing has advanced hospice care through innovative service models that integrate hospital,community,and home-based care,supported by "Internet+" technologies to enhance service accessibility and efficiency.Multiple healthcare institutions have established hospice care departments and adopted multidisciplinary team approaches to improve service quality.In addition,progress has also been made in workforce training,digital infrastructure,and supportive socio-economic policies. Conclusions While Beijing has achieved initial success in developing a hospice care system,challenges remain,including uneven resource distribution and a shortage of qualified professionals.Further efforts are needed to optimize resource allocation,strengthen professional training,enhance public awareness,and improve digital support.These efforts are expected to promote the building of a comprehensive and sustainable hospice care system that ensures dignity and compassion for the elderly at the end of life.This study has for the first time constructed a gradient allocation model of palliative care resources,providing a reference for developing countries. 目的 探讨北京市在构建老年健康支撑体系中,将安宁疗护作为提升老年生活质量核心要素的实践进展与成效。 方法 通过文献分析与政策梳理,结合北京市安宁疗护制度建设与服务模式的发展,综合评估政策执行效果及其面临的挑战。 结果 在国家政策引导下,北京市创新性地整合医院、社区与居家服务,结合互联网+技术,实现了照护服务的便捷与高效。多家医疗机构设立安宁疗护科室,并采用多学科团队协作模式,提高了服务质量。此外,在人才培养、信息化建设与社会政策支持方面取得积极进展。 结论 北京市在推动安宁疗护服务体系发展方面取得初步成效,但仍面临资源分布不均、专业人才紧缺等问题。建议进一步优化资源配置,强化人才培养与公众认知,同时提升信息化水平,推动构建规范、可持续的安宁疗护体系,以保障老年人有尊严地安度晚年。本研究首次构建了安宁疗护资源梯度配置模型,为发展中国家提供借鉴。.
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