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Written by: Zhang Meilan and Li Enci
2021-02-28 08:00
Last update date: 2021-02-28 08:00
The public medical system in Hong Kong may be an intractable disease. Luo Siwei, who has focused on administrative medicine, has studied this disease for more than 20 years. He has been "welcome" him during his tenure as the director of the New Territories East Hospital Cluster and the Prince of Wales Hospital 4 years ago. The waiting time for specialist outpatient clinics is extremely long, and there is also a new coronary pneumonia pandemic that has occurred once in a century.
Retire from the Hospital Authority system is imminent. Tomorrow (March 1), Luo Siwei, who will be the chief executive of the Hong Kong Genome Center, told me that in public medical services, the most difficult thing is to change people's culture and mindset.
It seems simple, but in reality, it is not easy for medical staff to get injections. He is proud to promote influenza vaccination for most of the hospitals during his tenure.
New Territories East Orthopedics has the longest waiting time for new cases among the seven major networks. The successful triage of patients has finally reduced the waiting period by one year. He emphasized that encouraging colleagues to unite and be consistent with reality, "We don’t need to be a HA The best, but the fact is that we are the best. We have to strive to be the second worst and third worst.” As a result, my colleague Buy (agree), and young doctors are willing to work together to "save the bridge" to improve and benefit patients.
The second phase (phase one) of the redevelopment of the Weiyuan Hospital is in full swing. Luo Siwei witnessed the demolition of staff dormitories and nursing homes to add 450 beds.
When the first and second phases of the second phase of the redevelopment plan are completed, the Weiyuan Hospital will become the largest "super hospital" in Hong Kong in the future, with the total number of beds increased to nearly 3,000.
(Photo by Lu Yiming)
Extended reading: Interview｜Luo Siwei: Overseas doctors help Hong Kong face an aging population, and the exemption will not cause a surplus of doctors
After the transfer of the British medical system to Hong Kong in 1998, Luo Siwei first joined the Hospital Authority to participate in the coordination of the New Territories East Hospital. After more than a decade, he returned to the old place as the network director and ended his career in serving the public hospital.
The demand for services in the New Territories East is growing, and the second phase of the redevelopment plan of the Weiyuan Hospital is in full swing. During his tenure, he witnessed the demolition of the staff quarters and the elderly homes of the Weiyuan Hospital. It is expected to be converted into 450 hospital beds in 2028; in conjunction with the next phase of the hospital construction plan, Li Ka-shing Specialist Clinic (North Wing), Lui Chi Wo Clinical Medicine Building, Day Clinic Building, etc. will be demolished together, which means that his current office will also disappear. By then, the total number of beds in the hospital will increase from about 1,700 to nearly 3,000. It is a "super hospital" larger than Kai Tak Hospital.
(Hong Kong 01 drawing)
(Hong Kong 01 drawing)
Luo Siwei described that the most special feature of the New Territories East Hospital is its 13,000 staff. The team spirit is very good, especially the gastrointestinal surgery team.
As the leader of the group of dragons, he admitted that it is the most difficult to change the existing culture of his colleagues.
In 2015/16, when he was first transferred back to the New Territories East Network, the staff's flu vaccination rate was 20%, among which only 16% of the nurses were vaccinated.
Whenever the winter flu peaks, the service pressure of public hospitals is put to the test, and the wards are exploding. "If you carry the virus, don’t you know that it will actually infect the patient? How can the patient be right?" He followed the temptation to the vaccine. Tell my colleagues about the importance of and find ways to facilitate their injections, such as arranging a "mobile injection cart" outside the operating room.
As a result, the influenza vaccination rate of staff in the New Territories East Cluster has been increasing year by year. By 2020/21, it has reached nearly 70%. More than 80% of doctors have been vaccinated.
(Hong Kong 01 drawing)
The doctor is willing to work hard in the short term
A common problem in public hospitals is the surprisingly long waiting time for specialist outpatient clinics. In 2016, the average waiting time for stable new cases of orthopedics in the New Territories East Network was as long as 3.3 years (173 weeks).
At that time, Luo Siwei called a young associate consultant doctor to discuss countermeasures, "I told him that we don’t need to be the best for a HA, but in fact we are doing the best, and we have to strive to be the second. The worst, the third worst, step by step.” He emphasized that the expectations of his subordinates must be in line with reality. Fortunately, his colleagues agree that doctors are willing to "work hard to deal with (symptoms)" in the short term, and increase the evening consultation time.
Weiyuan also launched the "Orthopedics and Family Medicine Collaborative Service Model" in 2017, allowing some orthopedic patients to receive family medicine specialist treatment. The hospital also hired many part-time doctors to help. The results have been demonstrated within a few months. The waiting time for symptoms decreased by one year to 121 weeks (2.3 years) in 2020.
Luo Siwei said that the expectations of his subordinates must be in line with reality and be recognized by colleagues.
(Photo by Lu Yiming)
Luo Siwei was involved in the fight against large-scale epidemics in different positions. He served in the Research Office of the Health and Welfare Bureau during the SARS period in 2003. He still remembers that due to insufficient protective equipment, the hospital was in turmoil. He understood that in the future, he must first ensure the supply of protective clothing. .
On January 25 last year, the Weiyuan Hospital received the first confirmed case of new coronary pneumonia. The hospital was like a big enemy. In mid-February, he set clear guidelines for wearing protective equipment to give colleagues peace of mind.
Although doctors and nurses are busy dealing with the epidemic, he emphasized that non-emergency services cannot be one-size-fits-all, but adjusted as needed.
Due to the extremely unsatisfactory waiting time for lung cancer patients in this network, the hospital has continued to increase the number of surgical sessions in the past year, more than before.
Having studied many difficult medical issues, Luo Siwei will serve as the Chief Executive Officer of the Hong Kong Genome Center tomorrow (March 1) to help patients solve the mystery of genetic diseases.
He believes that the human body's genetic information is numerous and complex, so the development of genomic medicine is very important, which is more helpful for early diagnosis and treatment of cancer.
The center will carry out large-scale genome sequencing for undiagnosed diseases and genetic-related cancers, sequencing 40,000 to 50,000 genomes.
The pilot program will start recruiting patients in the second half of this year, hoping to perform 5,000 gene sequencing and analysis for 2,000 patients in the coming year.
The farewell is just around the corner. The cardboard boxes in Luo Siwei's office are neatly folded, with gifts from colleagues and patients next to them, artistic paintings and funny spoof pictures.
He described working at Weiyuan every day as happy without regrets, and the most unforgettable enthusiasm of colleagues, "Sister Xia (operation assistant) helps me with coffee every day, so I know my taste is good, and he was shocked to go to the side ( Genome Center) no one helped me flush, and I was so busy that there was no time to flush, so I gave me coffee powder."
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North District Hospital, Prince of Wales Hospital, Hospital Authority
