Interview｜Research to improve promotion and retain medical care Fan Hongling: One chance to upgrade after 30 years of service

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Written by: Zhang Meilan and Chen Qianting

2020-08-17 07:30

The public medical system is full of flaws, such as insufficient beds and staff, and long waiting times for consultations. The ills of the system cannot be cured by a single prescription. Fan Hung Ling, known as the "King of Public Service", took over as the chairman of the Hospital Authority in December last year, and immediately set up a task force to study the sustainable development of the Hospital Authority.

However, with many difficult issues before our eyes, Fan Hongling said in an exclusive interview with "Hong Kong 01" that she was honored to "fight the war" with her colleagues when the new crown pneumonia epidemic broke out in the last century. Although the work progress of the group is affected, the three major reform goals he set remain unchanged, including retaining talents, developing smart hospitals, and improving software and hardware. He looks forward to development in the next 30 to 40 years and provides better medical care for the public. service.

Extended reading: New Coronary Pneumonia. Interview｜Fan Hongling: Yabo has more than two thousand beds and still has enough manpower, Hong Kong only lacks hardware

I have done it for many years, but I have never regretted it, so I just accept it.

Fan Hung Ling, Chairman of the Hospital Authority, said that a task force has been set up to study how to retain talents and develop smart hospitals. (Photo by Liang Pengwei)

The new crown pneumonia epidemic kicked off a month after Fan Hongling took office, and it has been 8 months. In the past, he has held a number of public positions and has been involved in the business world. He also bluntly said that the response to the epidemic is challenging. "It is a great honor to be able to participate in the battle of the century epidemic with colleagues."

Research and retain talents, develop smart hospitals, improve software and hardware

In particular, the current epidemic is severe, and it is difficult to take up this public office. When asked if he would regret becoming the chairman of the Hospital Authority, Fan Hongling said categorically that he would not regret it. "Not every chairman has this opportunity (to fight the epidemic)." He continued, "I have been doing this for many years, but I have never done it. If you regret it, accept it and do it."

The epidemic broke out suddenly, delaying part of Fan Hongling's reform plan. He had previously prepared a task force to study the sustainability of the Hospital Authority and set three major areas, determined to find a good solution, including improving the promotion benefits of employees to retain talents, developing smart hospitals, and starting to improve the software and hardware of public healthcare. For example, to estimate the manpower in the next 30 to 40 years, and to propose a suggested mode of operation, "The HA must change before it can be done."

Fan Hung Ling, Chairman of the Hospital Authority, mentioned that most nurses have few promotion opportunities and the authorities will explore improvement measures. (Photo by Liang Pengwei)

Research and increase nurses and doctors promotion arrangements

For example, Fan Hongling said that there are about 28,000 nurses in public hospitals, but most of them have few opportunities for promotion, such as being promoted from registered nurses to senior nurses. "With 30 to 40 years of service in an institution, the opportunity for promotion is one time. Not very attractive.”

Hospital beds in public hospitals under the Hospital Authority have been bursting for a long time, and the turnover rate of medical staff has repeatedly hit record highs. The turnover rate of doctors and nurses has exceeded 5% in the past 4 years. Fan said that it was precisely "I was so busy to death, I had another chance to upgrade, and there were more and more patients. All of them must be carefully studied, and the working environment needs to be improved."

In addition, in the past, front-line doctors also reported that they had to participate in too many meetings and it was difficult to focus on clinical work. He said that he would study to increase doctor training and promotion opportunities. "How to keep good doctors in public hospitals is very important for sustainability. It's all fake."

I hope that the HA will retain the doctors who want to pay for the patients with incurable diseases

Regarding the retention of doctors, he mentioned that the ideal is to imitate the legal profession. "The lawyers who spend the most money in the legal profession are all privately-listed barristers, but if you are a judge, you can't get money, but your status is so lofty. Can the HA? How can it be done? Doctors who want to get money, you have to keep a lot of money, and Qu Mi goes out to get money and become a famous doctor. There are many training opportunities for doctors who stay in the Hospital Authority, which makes it extremely difficult for him. Miscellaneous diseases can be done here?” He pointed out that the children’s hospital opened in recent years can explore to do more scientific research. The goal is to be the top pediatric model in Asia, which is attractive to doctors. “I’m sorry for the money. If you ask for money, you won’t be a judge.”

Compared with government lawyers and private practice lawyers, doubling the labor force is unattractive.

Will explore strengthening public-private collaboration

Another way to relieve the service pressure of public hospitals is to divert some diseases to the private market. In the past, public-private medical cooperation plans included cataract surgery and cancer. Fan Hongling said that the work agenda will also explore strengthening public-private collaboration, but he also pointed out that the authorities need to worry about how to maintain quality, and more importantly, whether more colleagues will quit their jobs to practice privately. "For example, there are many experts. , Outsourcing the work, beckoning to them, and even going to bury it. You have to strike a balance.” Taking artificial joint surgery as an example, the waiting time in the public hospital is very long, and the patient can be transferred to a private doctor. He is responsible for a portion of the money. Will the orthopedic surgeon be attracted to resign? If he is sentenced to go out, it will be like a dragon."

When asked whether it would be possible to increase the salaries of public hospital doctors to solve the problem, he used the analogy of lawyers again, "Just like government lawyers and private lawyers, doubling the labor force is not attractive."

Promote further increase in the number of medical students to solve the shortage of doctors

In order to increase the number of doctors, he said that the authorities will also recruit overseas doctors. In recent years, they have also successfully recruited doctors who graduated from the UK to come to Hong Kong. As of July 13 this year, a total of 26 doctors with limited registration are working in public hospitals, of which 20 are in the UK. Obtain medical qualifications. But in the long run, he believes that it is still necessary to increase the number of medical students to help solve the shortage of doctors.

Fan Hongling also said that another goal of the task force is to develop smart hospitals. At present, the authorities are using Tseung Kwan O Hospital and Tin Shui Wai Hospital as pilots to use 5G technology to enable experienced doctors to provide advice to the doctors in the operating room remotely. They are also required to write patient layouts electronically so that the clinical system can quickly provide consultation information. Different medical and nursing reading.

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