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Author: Zhu Haiqi
2021-01-25 08:00
Last update date: 2021-01-25 08:00
Public hospitals have taken care of a large number of patients for a long time. The imbalance between public and private patients has severely slowed down the waiting time of patients in public hospitals. The Public-Private Partnership Project (PPP) is part of the re-diversion of patients. However, it has always been criticized for its low intensity and low effectiveness. Some voices worry that expanding PPP will increase the share of the private market and increase the flow of doctors from the Hospital Authority.
In an exclusive interview with "Hong Kong 01", the Director of Network Services of the Hospital Authority, Yang Digang, revealed that he is considering extending the PPP of general outpatient clinics to specialist outpatient clinics, which will benefit more patients. At the same time, the vacated places can allow new patients to seek medical treatment. Avoid the deterioration of specialist outpatient clinics that have been waiting for too long.
He also believes that public and private doctors are a family that has no distinction between you and me. Even if public hospital doctors switch to the private market, they can take care of public hospital patients. He said with a smile, "If you have a card, you can help me enter the general outpatient PPP."
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The aging population in Hong Kong is a serious problem. Yang Digang pointed out that an elderly person may have "eyes and bone pain", and diabetes or high blood pressure. It is inevitable that they have to go to 3 or 4 specialists for follow-up consultations, and their condition is actually very stable, but general outpatient clinics And orthopedic clinics are in charge of different doctors. There are no integrated medicines. Repeated painkillers are provided during follow-up consultations. "It's so miserable. I go back to pick up a pile of medicines every time." The situation is by no means ideal. On the contrary, a private specialist is The patient's long-term caregiver, "It will take more time for the patient to go there. For example, after the orthopedic department has finished the inspection, I will be in charge of it later, knowing that your medicine needs to be changed."
In the 7th year since the General Outpatient PPP was launched this year, Yang Digang shared his experience, and 50% of the patients who participated are required to be treated in specialist outpatient clinics. "There are 50 clinicians who have to return to our specialist outpatient clinics." In fact, 15% of the 580 private doctors in the outpatient PPP are specialists. Assuming that a patient has to see 3 specialties, each department has 3 follow-up consultations a year, and he has to go back to public hospitals 9 times a year. A specialist in the private market can integrate the number of follow-up consultations, once every three months, that is, only 4 visits a year, "patients are watched 4 times, and my entire system is reduced by 9 times", which can vacate places for new cases The patient seeks medical attention.
When PPP expands to specialist outpatient clinics, Yang Digang hopes to avoid further deterioration of the waiting time for specialist outpatient clinics. "PPP is not easy to do with a single trick, but at least it will make you feel better." In the coming year, the authorities will expedite research and discussion, suitable for participating in PPP specialties, "we are looking forward to doing this."
He also pointed out that 90% of PPP patients who participate in general outpatient clinics, "I don’t want to go back to our HA. The environment (private) is so much better. At least I don’t have to wait for a long time when I go to a clinic. People wait in the lobby", and the patient only needs to pay the HA fee, which is $50 once.
Only 10% of patients are willing to participate in Yang Digang: with revolving door
Yang Digang pointed out that he wanted to expand the scale of PPP, but in the past, when patients were invited to the private market, only one adult finally participated. He understood that they were concerned about fees and quality issues. In fact, public hospitals have paid many fees for PPP patients, including X-rays and blood draws. When the patient’s body is abnormal, he can return to the public hospital for medical treatment in a short time. "Don’t leave our HA specialist team." The HA currently has 8 permanent PPPs, one of which is general medicine. Outpatient clinics are targeted at patients with stable conditions such as hypertension and diabetes who have returned to general outpatient clinics for long-term follow-up consultations. Each patient enjoys ten subsidized outpatient services per year.
Peng Hongchang, director of the Association of Community Organizations, who cares about the rights of patients, welcomed the authorities to extend PPP to specialist outpatient clinics, but pointed out that the authorities must ensure the quality and promptly transfer patients back to the public hospital when there are problems. Second, patients are not interested in PPP and the authorities should do more. Propaganda and dispel doubts, "Improve the participation rate when it is dealt with. If you don't do anything about it, you will get angry."
Peng Hongchang welcomes the Specialist Outpatient PPP and hopes that the authorities will try to increase the participation rate of citizens.
(Profile picture / Photo by Luo Junhao)
The attrition rate of doctors in the HA has always been the focus of the public. There are opinions that the private market is booming and the resignation of doctors in public hospitals has become more intense. Yang Digang pointed out that he treats public and private doctors equally, and that he is currently "widely framed" even if the doctor leaves The Hospital Authority can take care of patients in public hospitals. "You can take a card and help me enter the general outpatient PPP", or return from the "Optional Part-time Recruitment Program" (Locum) to help the public system is a public-private partnership. They can also share experiences and learn from each other with public hospital doctors.
When asked whether expanding the PPP would not worry about exacerbating the loss of public hospital doctors, Yang Digang bluntly said: "Family, in Hong Kong, I don't divide you and me." The current generation should not separate public and private companies too far, he Emphasize that the Hospital Authority must develop PPP, "Even if (the doctor) leaves our HA (Hospital Authority), it will help our HA patients."
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