Fan Hongling, chairman of the Hospital Authority, was interviewed by the School of Communication of Hang Seng University in Hong Kong. From July 1 last year to the end of June this year, the attrition rates of full-time doctors and full-time nurses were 4.6% and 6.5% respectively. It is inferred that the increase in the turnover rate in recent months is related to immigration. The situation is worrying.
He emphasized that the HA has adopted the strategy of "cutting upstream, lowering downstream, and diverting in the middle" to achieve a balance between supply and demand and the sustainable development of the public medical system. Measures include the implementation of a specialist public-private partnership plan by the end of this year.
Fan Hongling (middle) pointed out in the interview program "Heng Sen Yan" that the attrition rate of full-time doctors from July 1 last year to the end of June this year was 4.6%, and the attrition rate of doctors is on the rise.
(Provided by Evergrande)
The Food and Health Bureau replied to Legislative Council Members' questions on the special meeting of the Finance Committee in April this year. The document disclosed that the attrition rate of doctors in 2019/20 was 5.4%.
From January 1 to December 31, 2020, it dropped to 3.9%, which is equivalent to 237 full-time doctors, and no one left in the cardiothoracic and lung surgery department.
Fan Hongling pointed out in the "Heng Sen Yan" interview program that the attrition rate of full-time doctors from July 1 last year to the end of June this year was 4.6%, and the attrition rate of doctors is on the rise.
Regarding the attrition of nurses, the full-time attrition rate from July 1 last year to the end of June this year was 6.5%, an increase of 0.9 percentage points from the same period last year.
He said that it is inferred from the actions of resigned employees to apply for detailed service records and early tax filings that part of the increase in turnover rate is due to immigration.
On the other hand, private hospitals also have the problem of insufficient staff due to the immigration of doctors, so digging corners in public hospitals has made the situation worse.
He said that the government is increasing the number of medical staff in many ways. Among them, the Medical Registration (Amendment) Bill 2021 aims to allow non-local doctors who meet specific requirements to train Hong Kong doctors without passing a licensure examination to obtain formal registration in Hong Kong. Qualifications are awaiting deliberation by the Legislative Council.
Regarding whether the regulations should be further relaxed to overseas doctors who are not permanent residents of Hong Kong, he said he is open-minded, but emphasized that two requirements must be met first, including priority in hiring all local medical graduates and ensuring that the current level of medical services is not affected.
Fan Hongling said that the aging population and the younger age of the disease have increased the demand for public hospital services. Therefore, the Hospital Authority has adopted the strategy of "cutting upstream, lowering downstream, and diverting in the middle".
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Fan Hongling said that the aging population and the younger age of the disease have increased the demand for public hospital services. Therefore, the Hospital Authority has adopted the strategy of "cutting upstream, lowering downstream, and diverting in the middle".
"Interrupting upstream" needs to cooperate with the government to develop primary medical care, strengthen the public's concept of "diseasing Chinese medicine" and the role of family doctors, and reduce patient admissions.
In terms of "delivery downstream", the Hospital Authority will strengthen cooperation between institutions and arrange for patients with stable conditions to be admitted to institutions, and the outreach medical team will follow up regularly.
He also said that by the end of this year, the Hospital Authority will select suitable specialists to try out a public-private collaboration plan to allow community family doctors to follow up specialist outpatients in stable conditions to achieve "intermediate triage."
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Regarding the handling of the medical strike at the beginning of last year, Fan Hongling believes that the HA’s decision to deduct the wages of absentees has taken full consideration of the laws and regulations and the bureau’s internal governance structure and is a reasonable decision.
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