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Dr Tetsuo Kashiwagi - Palliative Care Australia

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Palliative care and the

formation of the APHN

Tetsuo Kashiwagi

Vice-chairman of APHN


What is APHN?

The Asia Pacific Hospice Palliative Care Network

(APHN) was established to empower and supporting

individuals and organisations committed to alleviating

suffering from life-threatening illness in Asia and the

Pacific. Established programs are encouraged to

assist less experienced and more isolated colleagues.

Since 2001 more than 1000 members from 29

countries have registered with the Asia Pacific

Hospice Palliative Care Network.


Objectives

• To facilitate the development of hospice and palliative

care programs (both service providers and umbrella

bodies) and other relevant initiatives

• To promote professional and public education in

palliative care

• To enhance communication and dissemination of

information

• To foster research and collaborative activities

• To encourage co-operation with local, regional and

international professional and public organisations


History ( March 1995〜)

The Asia Pacific Hospice Palliative Care Network is the

realization of the vision and generosity of Dr Shigeaki

Hinohara, Chairman of the Life Planning Centre in

Tokyo.

The APHN evolved over a series of meetings

from March 1995 until May 2001. The first of these was

hosted in Japan by the Life Planning Centre at the

invitation of Dr Hinohara. Delegates involved in palliative

care programs were invited from Australia, Hong Kong,

Indonesia, Malaysia, New Zealand, Singapore and

Taiwan. The aim of this forum was to provide an

opportunity to share experiences, frustrations,

knowledge and concerns for the future.



Some of these concerns included the need to

gain medical and public acceptance for the

concept of hospice, problems related to the

availability of appropriate analgesic drugs,

and issues relating to funding of services.

More specific issues included the need for

culturally relevant education, and the

maintenance of voluntary and community

involvement in the implementation of hospice

programs.


Delegates expressed a sense of

isolation and agreed that, if better

communication could be established

within the region, they could do much to

help each other by sharing educational

resources and offering support. The

concept of the Network was born from

these discussions.



1997 2nd APHN meeting

The second APHN meeting was held in Japan in

February 1997. In addition to delegates from the

eight original countries, delegates from Korea and

Philippines were included. Later that year in

November, the third meeting was held in Hong Kong.

Discussions now took place as to whether the

organisation should be formalised. It was suggested

that issues such as a constitution, registration and

funding for the new organization should be raised at

the next meeting.


23,Oct,1998

1998 4th meeting

The fourth meeting of the APHN was held in Japan in October

1998. Delegates attended from thirteen countries. Thailand,

Vietnam and India were invited for the first time. Discussions

centred on the need for APHN to be a legally registered

organisation with a secretariat. After three days of discussion it

was agreed that a pro-tem committee be established and that Dr

Rosalie Shaw be invited to take up the position of Executive

Director from May 1999.


1999 5th meeting

Thirteen delegates attended the fifth

meeting of the APHN in Hong Kong in

May 1999 prior to the Third Asia Pacific

Hospice Conference. At this meeting it

was decided that the name of the

organization would be the Asia Pacific

Hospice Palliative Care Network but

that APHN would continue to be used

as the abbreviated form.


At that time, organizations in Singapore

(Singapore Hospice Council and the

National Cancer Centre), Japan (Life

Planning Centre), Hong Kong (The

Society for the Promotion of Hospice

Care Ltd) and Taiwan (Hospice

Foundation of Taiwan) committed

generous donations to allow the APHN

to be established.


In May 1999 the Secretariat was set up in

Singapore in the Department of Palliative

Medicine at the National Cancer Centre and

work proceeded on drawing up the

Constitution. The pro-tem committee met

again in Singapore in October 2000 prior to

the APHN being registered with Registrar of

Societies in Singapore on 1 March 2001.


2001 The first Annual General

Meeting

The first Annual General Meeting was held inTaipei on1May2001 just

before the Fourth Asia Pacific HospiceConference. At that meeting the

First Council of 20 members was appointed with Professor Tetsuo

Kashiwagi as the Inaugural Chairman. Dr Shigeaki Hinohara was

invited to be the Patron of the APHN. There were fourteen Founding

Sectors of the APHN: Australia, Hong Kong, India, Indonesia, Japan,

Korea, Malaysia, Myanmar, New Zealand, Philippines, Singapore,

Taiwan, Thailand and Vietnam. A Sector is a geographic region which

may include one or more countries, or part of a country. More Sectors

will be invited to join the APHN in the future as hospice services are

established in other countries.


Asia Pacific Hospice Conference

1)1996 Singapore

2)1997 Hong Kong

3)1999 Hong Kong

4)2001 Taipei, Taiwan

5)2003 Osaka, Japan

6)2005 Seoul, Korea

7)2007 Manila, Philippine

8)2009 Perth, Australia


Hospice and PCU in Japan

1973 Start of the first hospice program (OCDP)

1981 Establishment of the first hospice facility

1987 Visit Singapore Hospice

1990 Insurance coverage for PC

1996 Establishment of the Japanese Society for

Palliative Medicine

2008 Commencement of the national grant for

doctoral l course for PC specialists

2009 Number of hospice and palliative care unit:195


Singapore, 1986


Singapore, 1986


Hong Kong,1988


Seirei Hospice established 1981


Hospice at Yodogawa Christian Hospital

established in 1984


Hospice at Yodogawa Christian Hospital

established in 1984


Hospice and Palliative Care

Unit in Japan 195,Sep.2009

180

施 設 数

160

140

120

100

80

60

40

20

0

病 床 数

3500

3000

2500

2000

1500

1000

500

0

1990

1992

1994

1996

1998

2000

2002

2004

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