关键词: 安宁疗护, 普惠性, 全人照护, 医务社会工作

Abstract: As an important care service to maintain the dignity of the end of life, hospice care needs to be promoted in the development of an inclusive welfare system. However, the construction of the inclusive hospice care system is a systematic project, which will involve hospitals, communities, families and the multi-agency and main bodies in these institutions. Although professional medical staff play a core role in the practical implementation of the system, their limited service supply capacity has prevented hospice care from reaching the wider community and meeting the requirements of fairness, norms and accessibility. Medical social workers, on the other hand, can facilitate the construction of an inclusive hospice care system from the perspective of holistic care at the levles of system settings and system content. Specifically, at the system setting level, medical social work can promote information sharing and exchange, resource integration and coordination, and the formulation and improvement of regulations. At the system content level, medical social work can provide holistic personalized, and continuous services at the three levels of physical, psychological and social. However, there are also several obstacles in the intervention process of medical social work. Only by working together, can the government, market and society overcome these obstacles and build an inclusive hospice care system that brings “peace to individuals in events of life and deat”.

Key words: hospice care, universality, whole person care, medical social work