最近好忙,所以遲咗講
其實香港個問題唔單止係唔夠醫生,係成個醫療系統都有問題。
1. 香港家庭醫生概念到今日都未發展好,個個當家庭醫生係睇傷風感冒,穩定嘅高血壓糖尿病等等全部去睇政府專科醫生。你走一轉公立醫院內科門診,起碼一半可以轉介返去家庭科跟進。整個primary care嘅系統都停滯不前。
2. 公立醫院家庭科門診數量極少,私家家庭科醫生無政府津貼,令財政不佳的病人唔敢及早求醫。
3. 醫護比例荒謬得令外國醫生震懾。一個醫生一朝要睇三十個症,護士1對12-18,言語治療師極少仲要唔請人,職業同物理治療師過少再加設備不足,你去一轉公立物理治療門診,好似去咗physical咁成堆人圍住部機做。而到今時今日都仲未有營養師註冊制度。
依加講緊multidisciplinary and holistic management,但醫管局全方位所有醫護人員都缺人。唔單止缺人,連醫院,床同房都缺,請多兩個醫生又點?請多咗醫生但無房睇症,又無護士同allied health一齊幫手,點manage個病人?
然後你話放寬海外醫生,到底有幾多海外醫生會放棄work life balance去提供substandard care俾病人?
係外國,我4個鐘只係要睇6個症(我承認我睇得算慢,又要搵consultant同我double check),我可以有時間慢慢同病人同屋企人解釋再做埋醫療教育。又可以慢慢沖個hydralyte俾個dehyrated嘅細路。你點樣吸引到好嘅海外醫生來港?
4. The system is fucked,香港成個醫療系統過去二十年都無解決過個根源,錢唔夠又唔爭取,管理層仲要併命去證明自己好有管理能力去cut資源做靚盤數。內部文化永遠都係「多一事不如少一事」「唔好搞咁多嘢」「個system一路都係咁運作」,然後perpetuate個fucked up system。一路走來,只係靠消費醫護嘅醫德,去爆肝OT瘋狂衝症,唔飲水唔食嘢,oliguria去勉強撐住。
香港醫療問題係much more than 放寬海外醫生,搞咁耐都唔正視下個根源,淨係識買魚蛋同搵明星拍片,腦袋落後咗幾多年?
同時也有1部Youtube影片,追蹤數超過147萬的網紅Kento Bento,也在其Youtube影片中提到,Official Kento Bento Merch: https://standard.tv/kentobento Support us on Patreon: https://patreon.com/kentobento The first 500 people to use this li...
primary health care 在 Dr 文科生 Facebook 八卦
最近好忙,所以遲咗講
其實香港個問題唔單止係唔夠醫生,係成個醫療系統都有問題。
1. 香港家庭醫生概念到今日都未發展好,個個當家庭醫生係睇傷風感冒,穩定嘅高血壓糖尿病等等全部去睇政府專科醫生。你走一轉公立醫院內科門診,起碼一半可以轉介返去家庭科跟進。整個primary care嘅系統都停滯不前。
2. 公立醫院家庭科門診數量極少,私家家庭科醫生無政府津貼,令財政不佳的病人唔敢及早求醫。
3. 醫護比例荒謬得令外國醫生震懾。一個醫生一朝要睇三十個症,護士1對12-18,言語治療師極少仲要唔請人,職業同物理治療師過少再加設備不足,你去一轉公立物理治療門診,好似去咗physical咁成堆人圍住部機做。而到今時今日都仲未有營養師註冊制度。
依加講緊multidisciplinary and holistic management,但醫管局全方位所有醫護人員都缺人。唔單止缺人,連醫院,床同房都缺,請多兩個醫生又點?請多咗醫生但無房睇症,又無護士同allied health一齊幫手,點manage個病人?
然後你話放寬海外醫生,到底有幾多海外醫生會放棄work life balance去提供substandard care俾病人?
係外國,我4個鐘只係要睇6個症(我承認我睇得算慢,又要搵consultant同我double check),我可以有時間慢慢同病人同屋企人解釋再做埋醫療教育。又可以慢慢沖個hydralyte俾個dehyrated嘅細路。你點樣吸引到好嘅海外醫生來港?
4. The system is fucked,香港成個醫療系統過去二十年都無解決過個根源,錢唔夠又唔爭取,管理層仲要併命去證明自己好有管理能力去cut資源做靚盤數。內部文化永遠都係「多一事不如少一事」「唔好搞咁多嘢」「個system一路都係咁運作」,然後perpetuate個fucked up system。一路走來,只係靠消費醫護嘅醫德,去爆肝OT瘋狂衝症,唔飲水唔食嘢,oliguria去勉強撐住。
香港醫療問題係much more than 放寬海外醫生,搞咁耐都唔正視下個根源,淨係識買魚蛋同搵明星拍片,腦袋落後咗幾多年?
primary health care 在 醫師立委邱泰源 Facebook 八卦
台灣基層醫療國際肯定 全民均健UHC最佳典範
WHO應邀請分享各國
-今日2019/05/21上午,由台灣醫師會TMA及世界醫師會WMA共同主辦的「基層醫療Primary Health Care國際研討會」在日内瓦WHA期間隆重登場。由於世界衛生組織推展基層醫療多年,更將其作為推展全民均健(Universal Health Coverage,UHC)的基礎。去年TMA和WMA在日内瓦合辦的國際研討會即是以UHC為主題,今年則以基層醫療PHC為研討會主題。
-會議首先由WMA會長Eidelman醫師開場,呼籲基層醫師應站出來到社區帶領照護團隊提供病人完整照顧,如此可使UHC在世界各地落實。衞福部陳時中部長致詞時強調,台灣各項醫療成就受國際肯定,政府也很注重社區醫療及安寧照護發展。台灣也將以此為基礎追求UHC的目標,希望真正落實提供民眾更好的健康照顧。
-台灣醫師會理事長邱泰源教授致詞時,首先感謝十多國專家的蒞臨,同時表示活化基層醫療是改善國家醫療體系的關鍵,也可提供民眾全人全家全社區的醫療照顧。WHO一直很重視世界各國基層醫療的推展,2008年的世界健康年報World Health Report中更強調推行基層醫療從未如此急迫過,呼籲世界各國儘速建立優質的基層醫療。
-WMA秘書長Kloiber醫師在主持時也強調,WMA非常重視PHC的推展,所以在世界各地舉辦相似研討會。相信今日各國專家可以帶給更多創見及有效策略。
-WMA會長Eidelman醫師也指出,提供完整社區醫學教育,促進基層醫師能在社區領導照護團隊,共同推展全人醫療,是達到UHC最重要的步驟。來自肯亞來的KEMUNTO醫師則以在肯亞推展基層醫療的經驗分享。
-台灣醫師會副祕書長張必正醫師演講時提到,台灣從921大地震後篳路藍縷發展社區醫療群家庭醫師制度,目前已是基層醫療重要組織架構。由於政府的支持和醫界的努力,推展已有具體成效,包括醫療費用降低、民眾滿意度及健康指標等提升,此成就為世界各國重視更希望能來台取經。接著,台大醫院程劭儀副教授演講時,敍述台灣推展安寧緩和醫療的成就及而後推展預立醫療指示ACP的努力。目前再透過立法修法來落實,使得重症病人的人權得到保障。目前台灣的不少基層醫師也很樂意來負責此工作,未來要如何讓基層醫師能順暢的擔當起這個照顧責任,是政府要努力的。
-綜合討論時互動熱烈,也做成結論:
1.台灣基層醫療成就已為推動UHC最佳模範,WHO應邀請台灣與各國分享。
2.台灣醫療費用佔GDP比例相當低,卻有卓越的醫療成就,這些都靠醫療人員的辛勞付出,令人敬佩。
3 基層醫療和UHC等主題是未來的普世價值,建議未來能多舉辦相關國際會議,共同研擬更具體之策略,以落實UHC的目標。(之軒、中宜)
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Video Footage Credit:
Hong Kong Strong - Brandon Li
https://youtube.com/channel/UC3stPIuUoCDHG7COfwr0tEA
(most of the absolutely beautiful and dynamic shots of Hong Kong came from Brandon's short film Hong Kong Strong)
Music:
Stranger Danger by Francis Preve
Not For Nothing by Otis McDonald
Grasshopper by Quincas Moreira
Connection by Wayne Jones
Funky Suspense by Bensound
Under Suspense By Lee Rosevere
Channel Description:
We do videos on intriguing & thought-provoking Asiany topics, including stereotypes, history, culture & geography.
Credits:
Researcher/Writer/Narrator/Video Editor: Kento Bento
Motion Graphics: Charlie Rodriguez
Cheerleader: Nina Bento
————————————————————————————————————————
[WHY HONG KONG HAS THE LONGEST LIFE EXPECTANCY?]
50.1 years. According to the World Health Organization, this is the average life expectancy in the country of Sierra Leone. As of now, one of the lowest in the world.
At the other end of the spectrum, we have countries like Italy, Iceland, Singapore and Switzerland all with an average life expectancy well into their 80’s. Now beating all those countries however, is (of course) Japan, topping the list at 83.7 years. (Note that the UN data is a little different). Regardless, this is the country with the longest average life expectancy.
But, this video is not about Japan, because there is a city with an even longer life expectancy.
This is Hong Kong, a city with over 7.4 million people living on about a thousand square kilometres of land. One of the most densely populated places on the planet - a fast paced city that never sleeps.
It’s a city of contradictions with towering buildings next to lush green mountains, street food stalls alongside McDonald’s & KFC’s, markets selling cheap counterfeits in front of designer stores, but the most surprising perhaps is the extremely long life expectancy of the people living in what is one of the most polluted cities in the world.
Hong Kong has an average life expectancy of 84.3 years.
Ironically enough, Hong Kong literally translates to ‘Fragrant Harbour’.
This video will cover:
- Hong Kong weather and climate
- Londons' Great Smog of 1952
- Geographical access to good food
- Cuisine / diet
- Accessibility of walkways and footpaths
- Fitness and habits
- Taichi & Qigong
- Environment
- WHO global network of age-friendly cities
- Hong Kong's healthcare system / primary care / hospital treatment
- Smoking
- Strong family ties
- Mahjong
- Retirement age
- Many older generation Hong Kongers were not boring in China, but in Mainland China
- China's Cultural Revolution
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