香港基层医疗服务.ppt

The top 4 disease groups encountered were hypertension, upper respiratory tract infections, diabetes mellitus and lipid disorders As for preventive services, GOPCs provide influenza vaccination only Antenatal services, child and student health services, geriatric health services are provided by DH * GOPCs are not open 24 hours per day and closed during public holidays Designated quota system has been set for the number of GOPC attendances per day However, they are often clogged up with patients with chronic illnesses who simply need a refill of their medication No computer system assists GOPC users to see the same doctor for episodic disease when patients make their appointments at GOPCs. * Family Medicine Specialist Clinics (FMSCs) were set up along with the rapid expansion of family medicine since 2000 There are 21 FMSCs, located either within the hospital or community setting FMSCs served as a step down clinics, receiving referrals from hospital specialties, emergency department and GOPCs Accessing to FMSCs can only be through referrals * Changes in disease pattern: NCDs The epidemic of chronic non-communicable diseases is sweeping the world Locally, about two-thirds of deaths are attributable to chronic diseases, such as hypertension, heart disease, diabetes mellitus and chronic respiratory problems Managing chronic diseases over long periods * Challenges to the existing system Higher public and consumer expectations Increased access to health information may lead to a rise in expectations on the availability of more advanced treatment and demand for choices of a wider range of services * Inflating healthcare expenditure Ageing population, growing burden of chronic diseases and associated disabilities, advancements in medical technologies and inflation in healthcare prices all lead to pressure to expand the range of healthcare services * Current Healthcare System * The Need to Enhance Primary Care Primary care is the key to “Health for All” It was reaffirmed