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database in Japan, we found substantial clinical and economic burdens of chronic critical illness in Japan. Chronic critical illness was particularly common in elderly people. Although inhospital mortality of chronic critical illness patients continues to decrease, costs and patients with dependence for activities of daily living or decreased consciousness at discharge are increasing. To develop and implement a patient- and family-centered care program for patients in a cardiovascular surgery ICU. Prospective, pre-

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牽頭式債務舒緩計劃又稱綜合債務舒緩計劃，其實與債務舒緩計劃相似，同樣無需經過法庭程序，無需律師或會計師參與，可節省堂費、律師費等高額開支，亦能保持高私隱度。他們最大的相異之處，就是債務人只需向最大債權人（即牽頭銀行）協商，討論新的還款方案。因為無需與所有債權人逐個安排談判，申請手續得以簡化。 市面上有不少提供債務重組服務的機構，例如香港債務重組協會、盈富專業方案事務所等等，服務範圍覆蓋卡數、銀行個人貸款、金融公司貸款、高利息貸款、信用社貸款、學生助學貸款、稅收等等。 申請人與牽頭債權人經過洽談，若雙方接受新的還款建議，又獲得其餘債權人的同意，債務人所有債款便將歸納於牽頭債權人下，根據新方案規定的較低的利息，日後債務人只需每月向這個單一債權人定額定息還款，直到還清債項，無需再同時與多個債務人周旋。 債務舒緩計劃適合牽涉較少債權人的債務人，申請人可自行與銀行或財務公司分別商討，根據實際狀況提出雙方有利的還款協議，例如將信用卡結欠轉為私人貸款、延