Services e Wong

Health, Welfare and Food Bureau
Hong Kong Special Administrative Region

1
Australian Government policies and
practices on delivery of hospital services -
similarities / differences compared to HK
Experience 8haring 8eminar
Co-located Public-Private Hospitals in Australia
11 April 2007
2
verview of Health Care
8ystem in Hong Kong
3
Public Health Care 8tructure
PubIic HeaIth
Port HeaIth
Community SurveiIIance
Management and controI of
pubIic hospitaIs and cIinics
HKSAR
Department of Health
(Government Department)
Hospital Authority
(Statutory Body)
4
Government Policy
5
Government Health Policies
To formulate and oversee implementation of
policies to protect and promote public health
To provide comprehensive and lifelong holistic
health care to each citizen
To ensure that no one is prevented, through lack
of means, from obtaining adequate medical
treatment
6
Government nput into our
Public Health Care 8ystem
Government nput
Public
Health Care
7
Non-recurrent subvention to the Hospital Authority (1991/92 - 2007/08)
9
?99
499
99
899
1.999
1.?99
1.499
1.99
1
9
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8
#ecurrent subvention to the Hospital Authority {1991/92 - 2007/08_
9
.999
19.999
1.999
?9.999
?.999
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`.999
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9
Government nput into the
Private Health Care 8ystem
Government nput
Private
Health Care
10
Government nput into Private
Health Care 8ystem
evel playing field
Sound regulatory system
No direct government subsidy
At most nominal land price for non-profit making
hospitals
11
utput of the Health Care 8ystem
Public
41 Hospitals
Private
12 Hospitals
12
Public Hospitals
Private Hospitals
istribution of PubIic & Private HospitaIs
13
!ublic
(Hospital Authority
!rivate
Primary Care
Secondary and
Tertiary Care
thers
istribution of Health Care 8ervices in HK

!ublic
(Hospital Authority)
!rivate

14
utput of the Health Care 8ystem
About 34,100 beds
Public
27,765 beds
(about 81%)
Private
6,335 beds
(about 19%)
15
verview of the
Australian
Health Care 8ystem
16
verview of the Australian Health
Care 8ystem
3 tiers:
Commonwealth (Federal Government)
6 State and 2 Territory governments
ocal government
17
Care 8ystem
Commonwealth
Department of Health and Ageing
Sets national health policies
Collects taxes
Funds primary and ambulatory care and pharmaceuticals
Gives financial assistance, through the state
governments, to public hospitals, residential cares
facilities, hostels and home
Funds health research
Provides support for the training of health professionals
and financial assistance to tertiary students
18
Care 8ystem
State and Territory governments
Primary responsibility under the constitution for
the actual provision of health services (including
most acute and psychiatric hospital services)
Provides a wide range of community and public
health services (e.g. school health, dental health,
maternal and child health etc)
19
Care 8ystem
ocal government
Environmental control (e.g. garbage disposal,
clean water, and health inspections)
Provides home care and personal preventive
services
20
Health Care Financing 8ystem
Hong Kong
No universal system of health insurance
According to a private study, insurance coverage
Age 30-44: 64%
Age 45-59: 48.4%
Age 50-70: 19.7%
21
Australia
Medicare
ntroduced in 1984, a universal system of health
insurance
Funded in part through a compulsory taxation levy on
income
Functions: to cover the cost of services by medical
practitioners and of public hospital care
All permanent Australian residents are entitled to free
public hospital care
22
Australia
Private
About 1/3 of population coverage
Wide coverage
Government incentive
23
Challenges of Hong Kong's
Health Care 8ystem
24
Challenges of Hong Kong's Health Care 8ystem
1. Public vs Private
25
2. Ageing population
374,000
546,000
795,000
978,000
1,548,500
2,243,100
7.0%
9.3%
11.7%
19.4%
26.8%
13.2%
0
500,000
1,000,000
1,500,000
2,000,000
2,500,000
1983 1993 2003 2013 2023 2033
no. of elderly (aged 65 or above) % of total population
Elderly population in Hong Kong (1983 2033)
26
. Prevalence of Chronic illnesses
9.9
19.9
?9.9
`9.9
49.9
9.9
9.9
9.9
^ zd 184 ^ zd
H =l
lm =l
Prevalence rate of chronic diseases by age (2005)
27
4. Overstretched public hospital services
5. Advancement in medical technology
28
Problems
29
Public health care sector to target
its services at:
acute and emergency care;
for low income and under-privileged
groups;
illnesses that entail high cost, advanced
technology and multi-disciplinary
professional team work; and
training of health care professionals.
30
Private health care sector should:
provide comprehensive, personal and quality
care to patients;
provide choice for the community;
be affordable by people of average income level;
attract young members of the health care
professions; and
contribute towards the training work for health
care professionals.
31
Health and Medical evelopment
Advisory Committee
32
Problems
Health care financing?
Public-private-partnership?
33
Thank you!

Services e Wong

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Services e Wong

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Health, Welfare and Food Bureau

Hong Kong Special Administrative Region

istribution of Health Care 8ervices in HK

Health, Welfare and Food Bureau

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