斷食能善終嗎，超高齡社會如何好好走？醫界專家揭台灣三大制度缺口｜決策者·聽天下 Ep.143
天下雜誌 video
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November 15, 2025
天下雜誌 video
@cwvideoAbout
天下，不只是一本雜誌，我們經營的是「信任」。 1981 年創辦，天下的使命是追求更公平、美好的社會， 用積極、前瞻、放眼天下的角度，找出問題的真相，提出解決的可能性。 我們相信，媒體在社會發展路上，扮演一束冷靜的聲音。 鏡頭是我們新的筆桿，影像是我們新的語言， 持續關注全球趨勢、科技脈動，與時事議題，幫您掌握最領先的觀念。
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Video Description
本片提供中文 CC字幕，請開啟字幕以獲得完整觀影體驗 內容勘誤說明： 58:44 「世界衛生組織在最近的安寧緩和醫療說明裡面強調的。」而非安寧緩和醫療條例。 台灣即將邁入超高齡社會，65歲以上人口超過總人口兩成，但我們準備好面對死亡了嗎？ 儘管台灣安寧療護品質位居亞洲第一、全球第三，且擁有亞洲第一部《病人自主權利法》，但簽署率卻不高。更矛盾的是，台灣鼻胃管使用率居高不下，有數十萬人處於無意識插管臥床狀態，平均臥床長達十年。 《斷食善終》一書出版後，引發社會熱議，卻也讓安寧緩和醫學會發出反對聲明，凸顯醫界對「善終」定義擁有不同觀點。問題核心在於，當病人選擇加速死亡，如何了解真正需求？醫療人員又該如何拿捏放手與關懷的界線？ 這集節目特別邀請立場不同的兩位專家同台對談——《斷食善終》作者畢柳鶯教授，以及臺大醫院金山分院蔡兆勳院長，一起探討台灣善終環境的困境與出路。 從醫學教育只教救命不教放手、健保給付重機器輕人力、居家安寧資源嚴重不足等醫療決策難題，兩位醫師將剖析台灣在生命教育、法規制度、醫療體系上的三大缺口，以及我們該如何為自己和家人預做準備，才能讓生命活出更好的品質？ 主持人：天下雜誌總編輯 陳一姍 來賓：《斷食善終》作者/教育部部定教授 畢柳鶯、臺大醫院金山分院院長 蔡兆勳 ＊延伸閱讀｜別害怕談死，台灣必修善終課：https://lihi.cc/ck8oq ＊立即收聽《CEO的修煉場》：https://hi.cw.com.tw/u/jqveRdb/ ＊意見信箱：[email protected] 製作團隊：樂祈、邱宇豪 #天下雜誌 #決策者聽天下 #善終 #死亡 #安寧 #病主法 #斷食善終 #權力
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