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Hong Kong
Opinion
David Dodwell

Outside In | Decades in the waiting, can Hong Kong finally get its primary healthcare right?

  • The lack of deadlines is the least of the problems with the government’s plan for community-wide healthcare
  • Our community should sit at the heart of the design of community clinics, not family physicians

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Free eye checks organised by Chinese University of Hong Kong’s medical society at MOSTown in Ma On Shan on October 15. Our future primary care centres will require not just a dedicated general practitioner, but also optometrists, dentists, physiotherapists, pharmacists, , podiatrists and highly professional nurses. Photo: Jelly Tse
Hong Kong’s Health Bureau recently published its Primary Healthcare Blueprint, a new report on the urgent need for healthcare reform, for people to lead “healthier and happier” lives. By my count, this is the 12th report on the imperative for reform since the first, massive “Health for All – The Way Ahead” report was published more than three decades ago.
The latest report has reached the same conclusion: we need to develop a comprehensive community-based primary care infrastructure to complement and take pressure off our secondary care infrastructure – our hospitals.

It echoes the findings of Our Hong Kong Foundation researchers in their “Fit for Purpose” report released in December 2018. It recommended pivoting “away from the current emphasis on hospital-based, specialist, episodic and acute care towards care in the community that is continuous, person-centred, and caters for the holistic needs of individuals [that] will transform the delivery and experience of care, and improve health outcomes and efficiency”.

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The comfort to be found in the Health Bureau’s report is that, having accepted the case for enhanced primary care, and learned some lessons from the horribly handled pandemic, the government now has a blueprint of what a reformed primary care sector would look like.

As Secretary for Health Lo Chung-mau said in the blueprint’s preface, the government is focused on “changing people’s mindset from treatment-oriented to prevention-oriented” healthcare, and examining the “service delivery, governance, resources, manpower and technology” that would underpin the community-based primary sector of the future.
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Its intentions are honourable: ensuring “accessible, comprehensive, continuing, coordinated and person-centred care”, prioritising illness prevention, providing one-stop care close to most homes, clear and reliable guidance on where to go if more specialist treatment is needed, reducing the need for constant hospital visits, and maintaining comprehensive and personalised healthcare records.

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