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					            蔡 堅醫生
           香港醫學會會長
             Dr. CHOI Kin
President, Hong Kong Medical Association
The Hong Kong Medical
Association welcomes
delegates from Beijing and
Macau as well as colleagues in
Hong Kong to this Beijing/ Hong
Kong Medical Exchange Forum.
This is the eighth time we hold
this exchange to foster academic
relationship and knowledge
exchange and transfer between
China and Hong Kong.
The forum was first initiated in 1997
to discuss pediatric problems and
since then have proceed to look into
Obstetrics & Gynaecology,
Cardiology, Diabetes, Orthopaedics,
the Climacteric and AID & Sexual
Health in China and Hong Kong.
Useful dialogues have emerged
and we decided on our topic in
Community and Family Medicine
this year.
Family medicine is provided by
primary care physicians and
provided at the first point of contact.
It is undifferentiated medicine,
holistic in nature, and requires the
doctor to look at the physical,
psychological and social aspect of
the patient.
The family physician acts as a gate
keeper to help minimize
unnecessary investigations and
hospital admissions. He treats the
person instead of an organ and
looks after and supports the family
instead of just a single patient. He
uses evidence-based medicine to
treat his patient and offers
preventive care for his patients.
Numerous      studies   in   various
countries have confirmed that the
family medicine approach is the
most cost-effective way to provide
medical care to the population.
We have witnessed a shift in
emphasis in Hong Kong in the last
few years with government
providing more resources for Family
Medicine. More training
opportunities in this field have been
opened up for young graduates to
ensure a safe practicing standard in
the community when they finish
their contract.
But have we looked at the market
requirement? Have we looked at their
training program and see if it really helps
the young trainees to survive in the
community? Have we followed their post-
training course, their job opportunities
since departure from the Hospital
Authority and their salary scale since?
Have we monitored their standards after
they left their training post in the Hospital
Authority?
All these unanswered questions
have implications on the content of
the training program.
In China, we have heard and witnessed a
determination for change. We know that
it is difficult for the vast population in
rural China to get good medical care.
We know about red packets and rebates
and saw it on television reports. We
have our doubts on some of the
standard practices in China including
the intravenous drips for almost all
attendance.
We read about the false and fatal
medications and drugs created by
the pharmaceutical industry. We
can appreciate that the Health
Minister demanded changes.
The linkage between China and
Hong Kong in collaborating to
standardize specialist program
and examination has been hailed
as a success. However, most
specialist service is out of bound
to the majority of rural population
in China.
We learned that China may wish
to model itself after NHS in health
care. But NHS can only foster in
a welfare state, in a country
where taxation is high, and
although at one time was a pride
of the United Kingdom, is fast
collapsing because of colossal
demand despite huge financial
support.
China and Hong Kong must have its
own way forward. We may look for
guidance in the way that primary
care is provided in other countries,
but in the end, we must have our
own way based on our own doctors’
training, standard, our own taxation
system, and our own vision of how
much basic care should be
provided to citizens that will satisfy
their demand for health care.
I hope we have a fruitful discussion.


         Thank you.

				
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posted:11/28/2012
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