Yuen Kevin J, Behrndt Margaret M, Jacklyn Christopher, Mitchell Geoffrey K
Cancer Foundation Cottage Hospice, and Royal Perth Hospital, Shenton Park, WA 6008.
Med J Aust. 2003 Sep 15;179(S6):S38-40. doi: 10.5694/j.1326-5377.2003.tb05577.x.
Home care is the preferred option for most people with a terminal illness. Providing home care relies on good community-based services, and a general practice workforce competent in palliative care practice and willing to accommodate patients' needs. Structured palliative care training of general practitioners is needed at undergraduate and postgraduate level, with attention to barriers to teamwork and communication. Good palliative care can be delivered to patients at home by GPs (supported by specialist palliative care teams) and community nurses, with access to an inpatient facility when required. To optimise patient care, careful planning and good communication between all members of the healthcare team is crucial.
居家护理是大多数晚期疾病患者的首选方案。提供居家护理依赖于良好的社区服务，以及一支具备姑息治疗能力且愿意满足患者需求的全科医疗团队。需要在本科和研究生阶段对全科医生进行结构化的姑息治疗培训，同时关注团队协作和沟通的障碍。全科医生（在专科姑息治疗团队的支持下）和社区护士可以在家中为患者提供优质的姑息治疗，并在需要时使用住院设施。为了优化患者护理，医疗团队所有成员之间进行仔细规划和良好沟通至关重要。
