SINGAPORE: The
Ministry of Health (MOH) will be strengthening efforts to provide home
care for patients going through the last stages of their lives.
With
the prevalence of chronic diseases, the ministry is looking into
extending palliative care beyond traditional cancer care to benefit more
non-cancer patients.
Currently, MOH is funding a S$12 million
programme for over 3,000 end-organ failure patients to receive structured home palliative care over a five-year period.
A three-year pilot project for integrated home palliative care is also already underway.
Started
in February last year, the project involving Dover Park Hospice and Tan Tock Seng Hospital sees patients being directly admitted to the
hospital if they require higher-intensity care.
The project costs S$3 million and is funded by the Tote Board Community Healthcare Fund. It has seen more than 100 patients.
As
patient's records are shared, such an arrangement helps smoothen the
transition of patients across care settings and minimise visits to the
emergency departments.
If successful, such a pilot project could be extended to other hospices.
Speaking
at the Singapore Palliative Care Conference on Saturday morning,
Minister for Health Gan Kim Yong, said the majority of patients prefer
to be cared for at home towards the last phase of their lives.
"Families
sometimes misconceive that palliative care patients can only be
adequately cared for in hospitals or inpatient hospices. This is not
true. Even when the disease is advanced, it is still possible to look
after patients very well at home if the necessary expertise and services
are made available," he said.
Other areas of home palliative
care to be strengthened are the training of caregivers, and providing
better bereavement support in the community.
HCA Hospice Care says it will be enhancing their training curriculum for caregivers so that training methods are standardised.
In January this year, a committee was set up to study the recommendations for a National Strategy for Palliative Care.
The committee is looking at service development, education and training and standards of palliative care.
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