[新聞] 善終非不孝…萬人仰賴呼吸器維生 年耗120億醫療支出消失
善終非不孝…萬人仰賴呼吸器維生 年耗120億醫療支出
三立新聞
中華文化避談死亡,許多已無法挽回的病患,家屬卻仍堅持依靠著呼吸器維持患者的生命
徵象,最後不僅增加病人的痛苦,也消耗了可觀的健保資源。根據衛福部統計,去年共有
1萬6千多名長期使用呼吸器的患者,醫療支出更高達120億元。
「我們忙著準備升學、結婚,卻從來沒有準備死亡。」在台灣,呼吸器的盛行率將近是美
國的6倍,甚至使用葉克膜的人數更占了全球的一半。根據衛福部資料顯示,去年健保醫
療費用共計5650億元,其中的2%使用在長期依賴呼吸器的患者,約為120億台幣,時間最
長甚至在病床上躺了14年。
因為家屬的不捨與糾結,讓患者拖著一口氣,在呼吸器及葉克膜的運轉下維持著心跳,搶
救最後的生機,卻也因此淪為殘忍的人生終點;那些仰賴著各種機器、點滴、鼻胃管、尿
管所生存的患者,連一聲「痛苦」都無法說上,也無從選擇。
根據《自由時報》報導,陽明大學附設醫院醫師陳秀丹表示,過度的依賴呼吸器反而令人
更不捨,醫師和民眾都應該多加思考,對患者最好的選擇是什麼,每年花了上億的健保經
費,卻沒有人願意思考這麼做對病人有沒有幫助。
歐洲正力推「老後無長期臥床」的政策,讓患者最多在死亡前臥床2週。陽明大學醫務管
理研究所教授唐高駿指出,目前只能持續宣導「放手讓家人善終非不孝」的思想。雖然面
對人性,許多人仍無法做到,但健保署醫管組長龐一鳴表示,2014年有2萬2千多人依賴著
呼吸器維生,去年降1萬6千多人,可見民眾的觀念正在逐漸改變。
http://tinyurl.com/kq6wclq
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