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你個醫療制度壞咗呀!

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香港自詡文明進步,為甚麼醫療系統千瘡百孔?

當他們能醫不自醫……

制度崩塌,港人有病難治?
醫護發聲,誓要逆轉命運!

廿五篇醫療工作及病患對醫療制度的批判及控訴

174 pages, Paperback

Published July 1, 2019

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公共衞生研究社

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Displaying 1 - 3 of 3 reviews
7 reviews
March 17, 2020
A great reflection on the healthcare system in Hong Kong by interviewing different stakeholders.
Working as a part in HA, nothing is rewardable except helping those in need.
Profile Image for Shee Tsim Nam.
83 reviews
August 13, 2019
This is a very real description of the problemSSSSSSS now Hong Kong (HK) is facing in its medical delivery system. As most of the inpatient care is provided by Hospital Authority (HA), the book mainly focuses on problems in the public sector. Yet the descriptions are genuine expression of the culprits and grievances 'remaining' HA working frontline are facing. Many left not just because of better pay, but better work-life balance, prevent burn out, and allow time for exercise and family activities. The extremely poor planning started back to 2003, when the economy turned bad due to SARS and government cut medical student numbers. But in fact the alert for population ageing problems has long been flagged from Japan and other parts of the world. While Singapore has started to upgrade the health system HK chose to downgrade. Now just about 15 years on, HK faced a more than serious situation. Matching of private service by Health Insurance is not easy, if there is no control in increase in premium after claims. The private sector service is also burdened by the high rent, and medical treatment seekers from the Mainland. Private firms set up clinics to provide good services, but these services are, essentially, open to the world. Similar to the Bumrungrad Hospital in Bangkok, few Thailand people will patronise, most patients are from the rest of the world as they found the service affordable. So in HK for Insurance it still matters to whether engaging in a health insurance plan is affordable, and whether it really protects (in the sense of contributing a reasonable annual premium) you despite of starting to claim or identified to have serious / chronic illnesses.
3 reviews3 followers
August 10, 2019
透過訪問不同的醫療專業人士,本書說出了香港醫療系統的許多問題。我讀到這些問題時,仿佛如自己的問題一般感受到醫護人員的無奈與病人的切身之痛。本書亦提供了諸多參考資料,作為嘗試解決這些問題的藍圖。可是,
在結構上,好像只是看見了前線人員的辛酸,而聽不到背後決策者的苦衷。作為全面性的報導來看待的話,我覺得如果加入政府的回應、聆聽一下為政者的考量會讓各界人士及讀者更全面地反思香港醫療系統的弊病。

改革醫療制度是一個很值得深入討論的社會議題,有眾多方面需要考慮方能找出一個各界都能接受的平衡點。這本書主要寫出專業醫護人員的心聲,離「醫療制度」卻相距甚遠。讀完本書好像對醫療體系有了一個基本的認識,可惜仍對香港的「醫療制度」一知半解,如果日後打算再接再厲,希望會探討整個「醫療制度」的各個環節。

本書於最後部分提出了香港可參考外國部分國家的做法,而且也列出了當地正在實行的政策及措施,香港醫療各界可以借鏡以改革現時的制度。我覺得這些例子就是這本書的精粹,因為正如最後所表示,香港政府本身不是沒有在改善,但奈何資源及系統的癥結難以解開。如果在每個本地醫療人員表達的困難後加上海外的例子作參考會更好。

另外,有幾篇是由患者的角度撰寫的,但就像作者寫的一樣,每一個不幸的故事都是不一樣的。每一個個案都是有不同的背景,不同的困難之處。而我覺得在本書加入這些個案對該個案內的醫護人員不公平,因為我們都不是最了解該個案的專業人士,只靠片面之詞就想引用來指出醫療制度的不足,未免令人覺得以偏概全。
Displaying 1 - 3 of 3 reviews

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