After the Kwai Tsing District Health Center was put into service two years ago, the government "in one go" to open one more district health center and 11 district health stations this year, to "catch up" with the goal of having district health facilities during the term of the current government. , And cooperate with the "Primary Medical Health Development Blueprint" to be announced.
The Kwai Tsing Health Center was criticized for not being able to effectively serve local residents. When the Secretary for Food and Health, Chen Zhaoshi, was interviewed by "Hong Kong 01", he pointed out that it is difficult to use data alone to determine the effectiveness of the center. Will "repeat the same mistakes".
Chen Zhaoshi revealed that the government will review the "Elderly Health Care Voucher Scheme" and study "standardization". First, the medical staff of the district health center will conduct health assessments for the elderly, and then "tailor-made" plans to use the health care vouchers will be provided. Improve the health of the elderly in a more targeted manner.
Chen Zhaoshi revealed that the government will review the "Elderly Health Care Voucher Scheme" and study "standardization". First, the medical staff of the district health center will conduct health assessments for the elderly, and then "tailor-made" plans to use the health care vouchers will be provided.
(Photo by Liao Yanxiong)
The current government is focusing on the development of "primary medical care", hoping to reverse the previous medical system's model of "emphasizing treatment and neglecting prevention", promote public health, and relieve the pressure on the public medical system.
During the interview, Chen Zhaoshi reiterated that the Food and Health Bureau is drawing up a "Blueprint for the Health Development of Primary Care". The blueprint includes how to establish a primary care system, how to train relevant medical staff, and how to exchange public and private patient health records, etc. The bureau will as soon as possible Announce the blueprint of the blueprint and consult the public, including key consultations with the Department of Health, Hospital Authority, private doctors, university medical schools, medical colleges, nursing colleges, non-governmental organizations, etc., and plan to publish the results before the end of the current government term.
Chen Zhaoshi said that the bureau will expand the staff structure and functions of the primary medical and health offices, and will study how to integrate and supervise the primary medical services in Hong Kong.
For example, she pointed out that there are different institutions under the Department of Health that provide primary medical services. Among them, elderly health centers and women's health centers have the "most overlap."
Other primary medical services, such as general outpatient clinics, family doctors, non-governmental organizations in the community, etc., are part of the need to be integrated. She hopes that after the integration, the "path of the patient" can be displayed more clearly and serve as a medical service. The Authority will check it so that the public will not continue to use the Hospital Authority as the first stop for medical treatment.
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In terms of manpower, Chen Zhaoshi frankly said that "there are challenges" and that when it appeared, when training medical staff, he also "emphasis on treatment and not prevention". Medical staff will only practice in hospitals. Therefore, after the establishment of the Kwai Tsing District Health Center, The College of Family Medicine of the Medical College, the College of Community Nursing of the Nursing College, and the School of Public Health Nursing have begun to provide training for medical care in the district health centers, and the government also provides partial subsidies.
She said that the government will also study whether medical students and nurse students need to practice in primary medical service institutions in the future.
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The Kwai Tsing District Health Center has been in operation for two years. It has been criticized for not being able to effectively serve local residents and even "disappeared" during the new crown pneumonia epidemic. Chen Zhaoshi believes that this is the first health center to be opened, and it is difficult to determine with data alone. Effective, and the service volume of the center has also increased recently.
The Food and Health Bureau stated that from September 25, 2019 to March 31, 2020, the number of members of the center was 2,900, serving 12,300 people; in 2020/21, the center added 11,500 members and served 61,000 Person-times: From April 1st to the end of September 2021, 6,900 new members and 51 thousand person-times will be served.
Chen Zhaoshi pointed out that under the epidemic, part of the services of the Kwai Tsing District Health Center was converted to an online form, and it was also necessary to provide services related to the epidemic. Faced with different challenges, "It is difficult to be accurate. We will handle every request flexibly. The home has all been dealt with and returned." She said bluntly that the center "also has manpower problems."
However, she firmly believes that other regional health centers and regional health stations will not repeat the same mistakes. "It will definitely not happen." The government hopes that they will continue to improve their services. Introduction), but the more the system is inclined, the more it may increase, and the degree of proficiency can be improved.”
The government earlier commissioned the Chinese University of Hong Kong to conduct the "Kwai Tsing Regional Health Center Monitoring and Evaluation Study". Chen Zhaoshi said that the study would also need to be delayed in response to the epidemic. CUHK will also conduct an evaluation of the Sham Shui Po District Health Center.
Chen Zhaoshi said that the government will review the "Elderly Health Care Voucher Scheme" and study whether it needs to be "standardized."
(Photo by Ou Jiale)
In addition, Chen Zhaoshi said that the government will review the "Elderly Health Care Voucher Scheme" to study whether it needs to be "standardized."
She explained that some members of the public do not know how to use health care vouchers. The government thinks that it is possible to arrange for medical staff in district health centers to assess the health of the elderly first, and then provide a "tailor-made" plan to use health care vouchers. "For example, Does the microphone need a physical examination? When there is a problem with his own health, does the microphone need to be dealt with in a targeted manner?" However, she emphasized that there will not be a limit for each service. Sure, there is a limit (amount) to be sampled."
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