Page 194 - Hospital Authority Convention 2018

Corporate Scholarship Presentations
HOSPITAL AUTHORITY CONVENTION 2018

C2.1 Rehabilitation and Community Care 13:15 Room 428

Ortho-geriatric Care for Elderly with Hip Fractures
Yam CP
Department of Medicine and Rehabilitation, Tung Wah Eastern Hospital, Hong Kong
The Geriatric Teams of the Queen’s Medical Center of Nottingham University and the Poole Hospital achieved excellent
outcomes in their Ortho-geriatric services. The clinical attachment was a precious opportunity to learn about the
management of elderly orthopaedic patients with fragility fractures and organisation of ortho-geriatric service.

C2.2 Rehabilitation and Community Care 13:15 Room 428

Sharing of Primary Healthcare in Inala Primary Care, Australia
Mak MF
Department of Family Medicine and Primary Health Care, Tuen Mun Hospital, Hong Kong
Hong Kong has been ranked the top of the most efficient healthcare system by Bloomberg. While Australia Health Care
system is relatively more complicated in their governance and financial system, i.e. the Medicare, where most of it comes
from high taxation of the residence there. However, there is always some room for improvement in healthcare services.
Tuesday, 8 May 2018 opportunities in the local context to be explored based on the insights from this visit in Australia. Answers of the following
The core value of this visit is to inspire the clinical leaders with new capabilities including innovative clinical initiatives with
best evidence based practice for the way forward of primary healthcare delivery in Hospital Authority services. Areas with
questions could be a guide to move forward.

(1) How should health services be provided across the continuum of care?
(2) How to build and extend primary care capacity to support and improve the integration with local secondary and tertiary
healthcare?
(3) How can the primary care support hospital avoidance strategies?
(4) How to define and develop optimal models of care from the preferred patients outcomes which in turn determines the
appropriate workforce supply and skill mix and identify future needs for professional and operational planning?

In conclusion, “vertically”, the “beacon” model in up-skilling the primary care practitioners to specialist is one of the means
in ensuring health services to be provided across continuum of care. Besides, by ‘pulling’ patients from acute sector
and ensuring patients to remain as much and as long as possible at home, could support hospital avoidance strategies.
Furthermore, in addition to expanding the existing chronic disease management services in terms of disease types and health
risk factors (diabetes, hypertension, chronic obstructive pulmonary disease, mental health, wound care, SCCP, cardiac and
etc.), extending the rehabilitation services of related disease from tertiary/secondary to primary level is also considerable. The
primary care capacity is extended to support and improve the integration with local secondary and tertiary healthcare.
On the other hand, horizontally, in addition to improving public-private partnership, utilising community resources is also an
option in maintaining a sustainable healthcare model in an ageing society. General Outpatient Clinics could act as a “hub”
within the primary care level as well as between the secondary and tertiary level.
Finally, apart from establishing nurse clinic, providing the cultural based and patient-family-centred healthcare services as
well as building up a healthy culture among patients are keys in delivering new primary healthcare services.
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