Shanghai, a pioneer municipal city in implementing hospice and palliative care (HPC) services in China, has realized its initial goal of universal coverage of either inpatient or home-based HPC services in all community health centers (CHCs) by 2020. However, there are still some bottlenecks during the progress, including low equalization and homogenization of services among different CHCs, and lack of charging items for comprehensive evaluation, alternative therapy, appropriate traditional Chinese medicine (TCM) technology and humanistic care which are labor-intensive. There is an urgent need to construct and standardize contents and items of HPC services and introduce payment method by service unit to encourage medical staffs to provide HPC services at all levels of care.
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