(Cure)

(Prolong life)
(Improve the
quality of life)
To cure sometime
To relieve often
To comfort always


Fabiola

Hospice
St. Vincent de Paul
(Sisters of Charity)

(Irish Sisters of
Charity)
(St. Josephs Hospice)

 (Dame Cicely Saunders)1967

(St.
Christophers Hospice)
(Hospice care)

(Palliative medicine)

(Hospice
care)(Palliative Care)

Dame Cicely Saunders

(Total
Pain Care)

(Care in their community)

, ,

(Continuity in care)


Definition of Palliative Care by
WHO,1990

1970s 829

1982 ,
1990
1991
1993

1994

1995

1996 ()

1997 ()
(
)
1998

1999

-
2000 [
]
, ()
()

2001
2002

2003

1995
1996 **
**

**
**60

2000

2000
( 2000/7 )
2000/5/23
DNR

2002/11/22

1990, WHO

-Holistic Care
-Family Care
-Team Care
- Continuing Care


(1) (Hospice

In-patient care)
Acute & chronic
(2) (Hospice home care)
(3) (Hospice day care)


(1)

(2)

(3)

(4)(Uncertainty)


()
()



1.
89.7 11.
2.
85.5 12.
3.
79.9 13.
4.
67.8 14.
5.
56.6 15.
6.
50.0 16.
7.
48.1 17.
8.
44.0 18.
9.
36.9 19.
10.
36.9 20.

34.1
32.2
31.8
31.3
30.4
22.9
22.5
19.1
18.3
16.4

 (Total Pain)

Total
Pain