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Hong Kong healthcare and hospitals
OpinionLetters

Letters | What Hong Kong needs is a third medical school to ease doctor shortage

  • With Hong Kong’s doctor-patient ratio below the average in developed countries, and hospitals there actively recruiting internationally, the city should work on training more medics locally

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Hong Kong Diploma of Secondary Education exam top scorers about to join the University of Hong Kong’s faculty of medicine pose with Professor Gabriel Leung, dean of the school, in August 2018. Photo: K.Y. Cheng
Letters
A paper published by Our Hong Kong Foundation noted Hong Kong had 1.9 doctors per 1,000 population in 2017, the worst ratio compared to Organisation for Economic Cooperation and Development countries, where the average sits around 3.4 – Singapore is at 2.39, UK 3.69, US 3.42 and Germany 6.

It is difficult to say what the appropriate doctor-to-population ratio should be, as health systems operate differently around the world. However, we can apply general economic principles to this discussion.

A fundamental economic principle is that competition is good, driving efficiency and innovation and directing businesses to meet consumer demands by providing the right price and quality. This applies to health care too; competition among health care providers will promote efficiency and better care in general.

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So why not aim for triple the current number of doctors? The ratio will still sit below Germany’s. Even doubling the number of our doctors will only put us around the UK’s level and still way behind Australia.

Patients wait to pick up medication at Prince of Wales Hospital in Sha Tin during the flu season in February 2018. Photo: Sam Tsang
Patients wait to pick up medication at Prince of Wales Hospital in Sha Tin during the flu season in February 2018. Photo: Sam Tsang
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Countries like the UK and Australia still feel that they are short of doctors and are actively recruiting internationally. The long-term outcome of Hong Kong’s efforts in recruiting foreign-trained doctors will be extremely modest. This is simply a function of Hong Kong’s attractiveness to live in.

Mercer’s Quality of Living City Rankings put Hong Kong at 71. One suspects the places decision-makers are hoping to recruit from are mostly within the top 70. How big do we imagine this pool of doctors who want to live and work in Hong Kong to be? Do we also need to reconsider the “want versus need” economic concept when developing assessments?
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