Purpose: Japan and Taiwan have the most rapidly ageing rate of population in the world.Life quality care including palliative and end-of-life care is emphasized for the elders and cancer patients. Comparative study of the development of hospice and palliative care services in Japan and Taiwan is presented. Material and Method: George Bereday's comparative study model is used for this study based on literature review and visiting in place. Both commonalities and differences were found. Results: This article provides information on the origins and administration of hospice services in these two countries, as well as the degree of government involvement. Obstacles to the spread of hospice services are also discussed. This review identifies factors that influence people's perceptions and adoption of hospice. Conclusion: Stronger financial support for hospice and palliative care through the government and insurance programs would help increase the availability and use of services. Also, the need for continuing education of healthcare providers, patients, families, and the community is urgent. However, promotion of understanding of better pain management and the worth of hospice and palliative care must be conducted. Only when hospice and palliative care can be viewed as an admirable choice for one's loved ones, overcoming issues of truth telling, filial piety, worries about how one is judged, and religious considerations, will it become more widely accepted.