Skip to main content
Log in

Palliative Medicine: Barriers and Developments in Mainland China

  • Published:
Current Oncology Reports Aims and scope Submit manuscript

Abstract

The development of palliative care in China is vital to the care of its aging population and associated increase in cancer incidence. There are physician-related and population-related barriers which impede palliative care development. The first institute for hospice care was established in Tianjin. Community hospices (Ning Yang Yuan) have been established by the Li Ka Shing Foundation. Academic centers such as the one in Chengdu associated with Sichuan University have partnered with the World Health Organization to establish centers of excellence to both develop and teach palliative care to physicians in training and practice. The National Hospice Service Program has developed five principles to the practice of palliative care in China.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

  1. • Dong B, Ding Q. Aging in China: a challenge or an opportunity? J Am Med Dir Assoc. 2009;10(7):456–8. This study gives new important information on the status of the aging Chinese population, which means an increasing need for hospice care.

    Article  PubMed  Google Scholar 

  2. •• Zhao P, Dai M, Chen W, Li N. Cancer trends in China. Jpn J Clin Oncol. 2010;40(4):281–5. Chinese cancer incidence of 400/100,000 now are very important data, which should be a cause for concern.

    Article  PubMed  Google Scholar 

  3. Epidemiological Status Of Cancer. www.ikcw.com. Accessed on January 18 2007.

  4. A survey of the medical fee with 5.5 million for a patient with malignant lymphocytomatosis. www.news.xinhuanet.com. Accessed on January 18 2007.

  5. Wang XS, Di LJ, Reyes-Gibby CC, Guo H, Liu SJ, Cleeland CS. End-of -Life Care in urban areas of China: a survey of 60 oncology clinicians. J Pain Symptom Manage. 2004;27(2):125–32.

    Article  PubMed  Google Scholar 

  6. Ye R, Lu Z, Xie Y, Wang C. National Textbook of Medicine for Medical Student. 6th ed. Beijing: People’s Medical House of China; 2004. p. 1–4.

    Google Scholar 

  7. Chen J, Ding X, Liao L, Yang B, Weng X. Practicing Medicine, 11th edn. People’s Medical House of China; 2005, pp. 1–6.

  8. Lijun DI, Shujun L, Guohang S, Fengling W, Guangwei X. Investigation of the current status of palliative care of cancer patients in China and the clinicians’ attitude to palliative care of cancer patients. Chin J Clin Oncol Rehabil. 2003(5):7–11.

    Google Scholar 

  9. • Yanjun S, Changli W, Ling W, Woo JL, Sabrina K, Chang L, et al. A survey on physician knowledge and attitudes towards clinical use of morphine for cancer pain treatment in China. Support Care Cancer. 2010;18(11):1455–60. This survey shows that Chinese physicians lack knowledge about morphine. Therefore, it is necessary to train medical staff and increase their awareness and knowledge of effective cancer pain management.

    Article  PubMed  Google Scholar 

  10. Tongdu LI. Present implementation situation and prospects of cancer pain control strategy in China. J Qilu Oncol. 2003(1):11–15.

    Google Scholar 

  11. Liu Z, Zhou W, Lian Z, Mu Y, Cao J, Cai Z. A survey of attitudes, knowledge and clinical practice on cancer pain in Chinese health professionals. Chinese Journal of Pain Medicine. 1999(1):3–9.

  12. Tang W. Analysis on Suitable Usage of analgesics to the patients in advanced cancer. Herald of Medicine, 2005(06):86–88.

  13. Pang Z, Liu X, Wang J, Shi X. Pethidine can’t be used for cancer pain therapy for long time. Chinese Journal of Drug Dependence. 1998;7(4):246–8.

    Google Scholar 

  14. Zhu S. An Analysis Annual Quantity both Pethidine and Morphine. Chinese Pharmaceutical Affairs. 2004;18(11):696–709.

    Google Scholar 

  15. •• Shi Y, Wang G, Luo W, Wang Z, Li J. The status and policy research on palliative care in Chinese cities. Scientific and Educational Publishing House of Shanghai. 2010:14–17. This study demonstrates that patients with advanced cancer who are dying require many persons to care for them.

  16. • National Hospice Service Program by LKSF. Guidelines for hospice management. 2011:3–5. Ning Yang Yuan is a kind of palliative care in community supported by LKSF and is very important in the management of the terminally ill in China.

  17. Xue Y, Milone-Nuzzo P. Development of hospice in China. Caring. 2004;23(1):34–6.

    PubMed  Google Scholar 

  18. Introducing the program of national hospice care by Li Ka Shing Foundation. www.hospice.com.cn. Accessed on January 18 2007.

  19. Sun Y, Gu W. The World Health Organization 3-step analgesic ladder for cancer pain. Second edition. 2002:1–2.

  20. A Notice on the World Health Organization 3-step analgesic ladder for cancer pain Issued by Security Management Department of Chinese Drugs and Monitor Bureau. (DMS 1999–68). www.hyey.com/Article . Accessed on January 18 2007.

  21. Sun Y, Gu W. The World Health Organization 3-step analgesic ladder for cancer pain: principle and guide, 1999:1–8.

  22. Li J, Twycross RG, Davis MP, Li P, Shuser J, Jiang J. Palliative Medicine. Beijing: People’s Medical House of China; 2005.

    Google Scholar 

  23. • Li Ka Shing Foundation, Li Yu, Li Jinxiang, Wei Chen, Weihua Cao, Huiping Chen. Palliative medicine - symptom management in advanced cancer. Publishing House of Shantuo University. 2008:10–13. Mr. Li Ka Shing had the original concept of support for the poor with advanced cancer and is a wonderful example of charity in China.

  24. •• National hospice service program by LKSF. Guidelines for hospice menagement. 2011:3–10. The objectives and principles of NHSP are an important guidance to palliative care in the Chinese community.

Download references

Disclosure

No potential conflicts of interest relevant to this article were reported.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Mellar P. Davis.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Li, J., Davis, M.P. & Gamier, P. Palliative Medicine: Barriers and Developments in Mainland China. Curr Oncol Rep 13, 290–294 (2011). https://doi.org/10.1007/s11912-011-0169-9

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11912-011-0169-9

Keywords

Navigation